The ophthalmic medical assistant (OMA) is a relatively new concept within the National Health Service in the United Kingdom. However, in the United States, OMAs have been recognised as important members of the eye team for some time. Neither nurse nor doctor, the OMA may perhaps best be described as a technician or doctor’s assistant.

An OMA can undertake a number of tasks, including cataract preoperative counselling, clerking, biometry measurements, compilation of operating lists, postoperative examinations, and even discharge from clinic. Furthermore, their role need not be restricted to cataract surgery but can include all other aspects of ophthalmology. In some eye departments many of these tasks are already performed by extended role nurses or nurse practitioners. The major difference between the two roles is that an OMA is appointed to work with one particular consultant, whereas a nurse, by virtue of his or her mode of employment, will not be able to fulfil such a role.

Since an OMA …