Access to Ophthalmologists Improves Across the U.S. by 2024

Access to ophthalmologists in the United States has seen a notable improvement from 2014 to 2024, according to a research letter published in JAMA Ophthalmology. The study, led by Peter R. Kastl, M.D., Ph.D., and his colleagues at Tulane University, analyzed distances patients need to travel to consult with either optometrists or ophthalmologists.

The research utilized data from the Doctors and Clinicians National Downloadable File, comparing information from June 2014 and June 2024. The findings indicated a growth in the number of optometrists during this period, while the number of ophthalmologists experienced a slight decrease. Despite this decline, the overall number of practices has significantly increased, suggesting that ophthalmologists are now available at a wider array of locations.

Improved Access and Reduced Isolation

This expansion has led to a reduction in the number of isolated optometrist practices—those without an ophthalmologist in the same ZIP code. In 2024, only eighteen such practices were identified, located in Hawaii and Alaska. The mean distance from these isolated optometrist practices to the nearest ophthalmologist also saw a slight decline, decreasing from 12 miles in 2014 to 11 miles in 2024. This shift indicates enhanced overall access to ophthalmological care for patients.

The authors of the study conclude, “Our data do not support the premise that there is a need to extend optometrists’ privileges based on traveling distance to ophthalmologists.” This statement reflects a growing confidence in the current distribution of eye care professionals and underscores the progress made over the past decade.

Overall, the research highlights a significant change in the landscape of eye care in the U.S., with improved access likely benefiting patients seeking ophthalmological services. For more detailed insights, the full study can be found in JAMA Ophthalmology under the title “Distribution of Ophthalmologists and Optometrists in the US.”