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Healthcare Practitioners

Ophthalmic Medical Technicians

Also called: Certified Ophthalmic Medical Technician (Certified Ophthalmic Medical Tech), Certified Ophthalmic Surgical Assistant, Certified Ophthalmic Technician (COT), Certified Ophthalmic Technician-Surgical Assistant (COT-SA)

US median pay

$45,570

per year, 2025

Job growth 2025–35

+21.4%

faster than average

Openings a year (US)

11,800

72,500 employed

Typical entry education

Postsecondary nondegree award

Preparation 3/5 · Medium preparation

What this job is

Assist ophthalmologists by performing ophthalmic clinical functions. May administer eye exams, administer eye medications, and instruct the patient in care and use of corrective lenses.

What they do day to day

  • Take and document patients' medical histories.
  • Conduct tonometry or tonography tests to measure intraocular pressure.
  • Operate ophthalmic equipment, such as autorefractors, phoropters, tomographs, or retinoscopes.
  • Take anatomical or functional ocular measurements of the eye or surrounding tissue, such as axial length measurements.
  • Measure visual acuity, including near, distance, pinhole, or dynamic visual acuity, using appropriate tests.
  • Measure and record lens power, using lensometers.
  • Administer topical ophthalmic or oral medications.
  • Conduct visual field tests to measure field of vision.
  • Assist physicians in performing ophthalmic procedures, including surgery.
  • Measure corneal curvature with keratometers or ophthalmometers to aid in the diagnosis of conditions, such as astigmatism.

Skills and knowledge that matter most

Skills

  • Social Perceptiveness3.1/5
  • Service Orientation3.1/5
  • Coordination3.0/5
  • Judgment and Decision Making2.9/5
  • Time Management2.6/5
  • Instructing2.6/5
  • Complex Problem Solving2.6/5
  • Quality Control Analysis2.2/5

Knowledge

  • Customer and Personal Service4.3/5
  • Medicine and Dentistry4.2/5
  • English Language4.0/5
  • Mathematics3.3/5
  • Administrative2.9/5
  • Education and Training2.8/5

Importance rated by people working in the job (1 = not important, 5 = extremely important).

Education and preparation

Preparation level 3 of 5 — Medium preparation. Usually vocational training, an associate's degree or an apprenticeship.

Typical entry education (BLS): Postsecondary nondegree award.

Highest education of people in this job:

  • High school diploma59%
  • Post-secondary certificate27%

Who this job suits

Mostly Realistic

Hands-on work with tools, machines, plants or animals

Investigative

Ideas, research and solving problems

Social

Helping, teaching and caring for people

Based on the Holland (RIASEC) interest profile for this occupation.

Job titles you'll see in postings

Certified Ophthalmic Medical Technician (Certified Ophthalmic Medical Tech)Certified Ophthalmic Surgical AssistantCertified Ophthalmic Technician (COT)Certified Ophthalmic Technician-Surgical Assistant (COT-SA)Health Technician (Health Tech)Ophthalmic AssistantOphthalmic Diagnostic SonographerOphthalmic Medical AssistantOphthalmic Medical Technician (Ophthalmic Medical Tech)Ophthalmic Tech (Ophthalmic Technician)