S.F. _____ Section 1. Section 154.1, subsection 3, paragraph a, Code 1 2016, is amended to read as follows: 2 a. An optometrist licensed under this chapter may employ 3 all diagnostic and therapeutic pharmaceutical agents for the 4 purpose of diagnosis and treatment of conditions of the human 5 eye and adnexa pursuant to this subsection , excluding the use 6 of injections other than to counteract an anaphylactic reaction 7 which penetrate the globe , and notwithstanding section 147.107 , 8 may without charge supply any of the above pharmaceuticals 9 to commence a course of therapy. A licensed optometrist may 10 perform minor surgical procedures and use medications for the 11 diagnosis and treatment of diseases, disorders, and conditions 12 of the eye and adnexa. A license to practice optometry under 13 this chapter does not authorize the performance of surgical 14 procedures which require the use of injectable or general 15 anesthesia, moderate sedation, penetration of the globe, or 16 the use of ophthalmic lasers for the purpose of ophthalmic 17 surgery within or upon the globe. The removal of pterygia and 18 Salzmann’s nodules , and incisional corneal refractive surgery , 19 and strabismus surgery are prohibited. 20 EXPLANATION 21 The inclusion of this explanation does not constitute agreement with 22 the explanation’s substance by the members of the general assembly. 23 This bill makes changes to the types of actions which may be 24 performed by an optometrist. Previously, an optometrist could 25 not use injections other than to counteract an anaphylactic 26 reaction. Under the bill, an optometrist cannot use injections 27 which penetrate the globe. The bill also removes strabismus 28 surgery from a list of prohibited activities. 29 -1- LSB 5194SC (1) 86 tr/nh 1/ 1