M01e1-Introduction of Optometrists & Opticians Act 2007 Presentation

Introduction Of
Optometrists and Opticians

Act 2007
(Act no.36 of 2007)
Acknowledgement
Module comprises of extracts from following websites
https://www.oob.moh.gov.sg
http://statutes.agc.gov.sg
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Optometrists & Opticians Act
2007
The Act was passed in Parliament in July 2007 to regulate
the practice of Optometry and Opticianry in Singapore.
The purpose of regulation is to ensure that those who
provide eye care services are properly trained and qualified.
The Act establishes the Optometrists and Opticians Board
(the "Board") to regulate optometrists and opticians.
All optometrists and opticians providing eye care services
must be registered with the Optometrists & Opticians Board
to continue practising or to start working as an optician or
optometrist from 1 Jan 2008.

Optometrists and Opticians Act 2007
II - Optometrists and Opticians Board
Establishment
4. (1) There shall be established a body to be

called the Optometrists and Opticians Board,
which shall consist of not less than 10 and not
more than 12 members appointed by the
Minister, of whom —
(a) at least 2 shall be optometrists;
(b) at least 2 shall be opticians;
(c) at least one shall be an ophthalmologist;
(d) one shall be the Director or his
representative;
II - Optometrists and Opticians Board
Functions
(2) Every member shall hold office for a term not exceeding 3 years and shall be eligible for
reappointment.
(3) The Minister may, at any time, revoke the appointment of any member (other than a member in
subsection (1)(d) or (e)) without assigning any reason.
Functions of Board
5. The functions of the Board are —
(a) to approve or reject applications for registration under this Act and to approve any such
applications subject to such restrictions as it may think fit;
(b) to accredit courses in the practice of optometry and opticianry in Singapore for the purposes of
registration;
(c) to issue guidelines on the standards for the practice of optometry and opticianry;
(d) to make recommendations to the appropriate authorities for the training and education of
optometrists and opticians;
(e) to determine and regulate the conduct and ethics of optometrists and opticians; and
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(f) Copyright
generally to do all such acts, matters @ as
and things M01e1 SY to be carried out under or for44
are necessary
the purposes of this Act.
Optometrists and Opticians Board
Functions
To approve or reject applications for registration under the Act

To accredit courses in the practice of optometry and opticianry in
Singapore
To issue guidelines on the standards for the practice of optometry
and opticianry
To make recommendations for the training and education of
optometrists and opticians
To determine and regulate the professional and ethical conduct of
optometrists and opticians

III - REGISTRATION OF OPTOMETRISTS AND OPTICIANS
Registers
13. (2) The Register of Optometrists and the Register of
Opticians shall contain the following particulars of every
registered person:
(a) his name and residential address;
(b) information as to whether he is practising as a proprietor or an employee;
(c) the registered name of the business or eye care establishment that he operates or is
employed by;
(d) the address of his most current place of work;
(e) the date of his registration as an optometrist or optician;
(f) the qualifications by virtue of which he is registered and the date on which he
obtained those qualifications; and
(g) such other particulars as the Board may determine.

Registers
(3) A registered person shall inform the Registrar in writing of —
● (a) any change in his name, residential address, practice address or other particulars as
may be prescribed, within 28 days of the occurrence of the change; and
● (b) any alteration or addition to his qualifications.
(4) Any person who fails to comply with subsection (3)(a) shall be
guilty of an offence and shall be liable on conviction to a fine not
exceeding $1,000.
(5) A person who makes a report of a change in his residential address
under section 8 of the National Registration Act (Cap. 201) shall be
deemed to have complied with subsection (3)(a) in relation to his
residential address on the date on which he makes the report.

Registration
15. (1) Any person who desires to carry out any
practice of optometry or opticianry shall make an
application for registration to the Board in accordance
with the regulations.
(2) The Board may, subject to the regulations, register
a person to carry out any practice of optometry or
opticianry, as the case may be.
(3) The Minister may, in respect of the practice of
optometry or opticianry, by regulations make
provisions for or with respect to the following
matters:
Refusal of registration
16. (1) The Board may refuse to register any applicant who —
(a) in the opinion of the Board, may not be registered in accordance with the
regulations;
(b) in the opinion of the Board, is not of good reputation and character; or
(c) fails to satisfy the Board that he is able to effectively and safely carry out the
practice of optometry or opticianry.
(2) Where the Board refuses to register an applicant, the Board shall by notice in
writing inform the applicant of such refusal.
(3) Any person who is aggrieved by any refusal of the Board under subsection (1)
may, within 30 days of the notice given under subsection (2), appeal to the Minister
whose decision shall be final.

Certificate of registration
17. (1) Upon the registration of a person, the Board shall issue to
him a certificate of registration and specify in the certificate the
practice or practices of optometry or opticianry for which the
person is registered.
(2) Where a person has had his registration in respect of any
practice of optometry or opticianry cancelled or suspended under
section 20, he shall surrender his certificate of registration to the
Board —
(a) within 14 days of being notified by the Board of such cancellation or suspension; or
(b) in a case where an appeal is pending under section 22, within such period as the
Board may specify.
(3) Any person who fails to comply with subsection (2) shall be guilty of an offence
and shall be liable on conviction to a fine not exceeding $5,000.
Practising certificate
18. (1) A registered person who desires to obtain a practising certificate for the
practice of optometry or opticianry for which he is registered shall make an
application to the Board in such form and manner as the Board may require.
(2) The application shall be accompanied by the prescribed fee.
(3) A practising certificate shall be valid for such period as the Board may
determine.
(4) An application for the renewal of a practising certificate shall be made no
later than 30 days before the expiration of the practising certificate and shall
be made in such form and manner as the Board may require.
(5) A registered person who applies for a practising certificate later than 30
days before the expiration of the practising certificate shall be liable to pay to
the Board such late application fee as may be prescribed.
(6) Where a person has had his registration in respect of any practice of
optometry or opticianry cancelled or suspended under section 20, he shall
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Publication of list of registered persons

19. The Registrar shall, from time to time, prepare and
publish on an Internet website a list of the names,
addresses, qualifications and dates of qualifications of
all persons who —
(a) are registered as optometrists or opticians; and
(b) have in force practising certificates.

Power of Board to cancel registration, etc.

20. (1) Any complaint concerning the conduct of
a registered person in his professional capacity
shall be made to the Board in such form and
manner as the Board may require.
(2) Where the Board receives any complaint
against a registered person under subsection (1) or
otherwise comes to know of any information
concerning the conduct of a registered person in
his professional capacity, the Board shall notify
the registered person of the complaint or
information
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be

(4) Where a registered person is liable to have his
registration cancelled on any of the grounds referred
to in subsection (3)(e) to (l), the Board may, instead of
cancelling his registration, take one or more of the
following measures:
(a) censure him;
(b) impose on him a penalty not exceeding $10,000;
(c) order that his registration be subject to such conditions as may be
imposed by the Board for a period not exceeding 3 years;
(d) suspend his registration for a period not exceeding 3 years.
(5)
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Costs
21. (1) Where the Board cancels the
registration of a registered person under
section 20(3) or takes any action against him
under section 20(4), the Board may order
him to pay such sums as it thinks fit in
respect of the costs and expenses of or
incidental to any inquiry or investigation
conducted or the taking of action against
him.
IV - Offences
Unlawful engagement in optometry or opticianry
25. (1) No person shall —
(a) carry out any practice of optometry or opticianry; or
(b) advertise or otherwise hold himself out to be qualified to
carry out any practice of optometry or opticianry,
unless he is a qualified person in respect of the practice of
optometry or opticianry in question, and he carries out that
practice in accordance with the prescribed conditions.
(2) No person shall employ any person who is not a
qualified person in respect of a practice of optometry
or opticianry to carry out that practice of optometry or
opticianry.
IV - Offences
Recovery of fees or charges

26. No person shall be entitled to
demand, claim, accept, receive, retain
or sue for or recover any fee or charge
in any court for any act done in
contravention of section 25.
Fraudulent registration, etc.
27. Any person who —
(a) procures or attempts
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V - Inspection
Inspectors
31. (1) The Board may appoint one or more

public officers or officers of the Board as
inspectors —
(a) to investigate the commission of an offence under this
Act;
(b) to investigate any complaint or matter in respect of
which the Board may take action against registered
persons under section 20; and
(c) to assess the quality and appropriateness of the
facilities and services provided and the practices and
procedures being carried out in relation to any practice of
optometry or opticianry.
ACTS OR ACTIVITIES CONSTITUTING
"OPTICIANRY“ OR “THE PRACTICE OF OPTICIANRY”
The Schedule Part I
1. Refraction for persons of 8 years of age or

older.
2. Interpreting prescriptions of medical
practitioners and optometrists.
3. Supplying, preparing and dispensing of all
optical appliances.
4. Fitting, adjusting and adapting of all optical
appliances to the human face and eyes in
accordance with the prescriptions of legally
qualified
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ACTS OR ACTIVITIES CONSTITUTING "OPTOMETRY"
OR “THE PRACTICE OF OPTOMETRY”
The Schedule Part II
1. Refraction.
2. Prescribing of optical appliances.
3. Detecting abnormalities of the eye using the
following methods:
1. binocular vision tests;
2. ophthalmoscopy or fundoscopy;
3. retinoscopy;
4. slit-lamp examination;
5. tonometry; and
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6. visual field testing.
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Registration of Opticians
Registration of opticians is governed by the Optometrists and Opticians Act
(Act no.36 of 2007).
A) Opticians Registration (Grandfathering)
1. Opticians with less than 1 year of experience in Opticianry as at 1 Jan 2008 must complete the
Advance Certificate of Performance in Ophthalmic Dispensing (ACOPOD) or the Advance
Certificate of Performance in Ophthalmic Dispensing and Refraction (ACOPOD+R) to be
eligible for registration.
2. There are two categories of registration for opticians. Opticians may be registered to perform
only dispensing, or perform both dispensing and refraction depending on their qualifications,
competence and experience. The competency tests and courses for each category of
registration differs.
3. While waiting to complete the competency tests, or while undergoing the approved upgrading
programmes, you will be permitted to continue practising Opticianry as a conditionally
registered optician.
4. Currently practising Opticians who do not wish to take relevant competency tests, or
approved upgrading programmes will be granted conditional registration for up to 4 years.
Thereafter, he will no longer be eligible for registration as an optician unless he completes the
ACOPOD or the ACOPOD+R.

(Act no.36 of 2007).
A) Opticians Registration (Grandfathering)

(Act no.36 of 2007).
B) Opticians Registration
1. While undergoing the Advance Certificate of

Performance in Ophthalmic Dispensing
(ACOPOD) or the Advance Certificate of
Performance in Ophthalmic Dispensing and
Refraction (ACOPOD+R), you can provide
retail services in an optical shop but you will
not be allowed to practise Opticianry under
the Optometrists and Opticians Act.

(Act no.36 of 2007).
B) Opticians Registration

Performing Refraction
To perform refraction, an Optician must have

the relevant training and competencies:
1. Optician with less than 1 year of experience as
at 1 Jan 2008 will be required to complete the
ACOPOD + R course.
2. Optician with at least 5 years of experience as
at 1 Jan 2008 will be required to pass an
Opticianry competency test (with refraction)
within 2 tries.
Optician with more
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5
Performing Refraction
• Opticians who do not wish to do refraction will still go
through the same grandfathering route except that the
competency test /upgrading programme will not include
refraction. These opticians will be registered as dispensing-
only opticians
• Hence, there will be three groups of opticians to be registered
– Opticians with Refraction, Dispensing and Contact Lens Practice
privileges (will close once all CLP opticians are registered)
– Opticians with Refraction and Dispensing privileges
– Opticians with Dispensing-only privilege

Registration of Optometrists
Registration of optometrists is governed by the Optometrists and Opticians
Act (Act no.36 of 2007).
Optometrists Registration (Grandfathering)
1. Optometrists with approved optometry qualifications and at least 1 year
practical experience in optometry (before 1 Jan 2008) will be eligible for
full registration as an Optometrist.
1. Optometrists with approved optometry qualifications and less than 1

year practical experience in optometry will be eligible for provisional
registration as an Optometrists.
IMPORTANT NOTE
Most if not all optometrists are currently licensed contact lens practitioners.
These optometrists will be eligible to apply for provisional or full
registration as optometrists
There
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mainly because they have non-approved optometry qualifications (not
Optometrist Registration (From 1 Jan 2008)
Approved
Yes At least 1 Yes
Application for local/foreign Fully registered
year of
registration optometry Optometrist
experience?
qualifications?
No No
No Non-approved Provisionally
foreign optometry registered
qualification? Optometrist
Yes
With at least 1 Yes Conditional registration

year of approved subject to approval by
practical Optometrists & Opticians
experience? Board
No
Yes Conditionally
Reject application No Conditional
registered optometrist
for Optometrist registration
(up to max of 4 years)
registration granted?

Registration
for Licensed Contact Lens

Practitioners no.36 of 2007). (CLPs)
Registration CLPs is governed by the Optometrists and Opticians Act (Act
All licensed CLPs will be deemed Fully-Registered Opticians under the

Optometrists & Opticians Act.
Licensed Contact
Fully-registered Optician
Lens Practitioner
IMPORTANT NOTE
1. Licensed CLPs who possess optometry qualifications can apply to register as optometrists,
as shown previously.
2. Licensed CLPs who do not possess optometry qualifications may convert to optometrists
via competency test or conversion course (see next slide)
3. Licensed CLPs who are fully-registered opticians can continue to engage in contact lens
practice.

Licensed Contact Lens Practitioners
(Grandfathering)
Licensed Contact
Lens Practitioner
At least
Fully-registered Approved Yes Yes
1 year
Optician apply local/foreign Fully-registered
optometry
for registration optometry optometrist
practice
as Optometrist qualification?
experience?
No
No
At least 5 Yes Take optometry
years
competency test
experience?
No Provisionally
registered
optometrist
Pass
Undergo a 2-year No Yes
optometry
modular Conversion
competency
Course in Optometry
test within 2
(CCOp)
tries?
No Yes
Successfully
complete
course?
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Registration
for Licensed Contact Lens

Practitioners no.36 of 2007). (CLPs)
Registration CLPs is governed by the Optometrists and Opticians Act (Act
Under the Optometrists & Opticians Act, currently licensed contact lens practitioners
are deemed fully registered opticians, and you will be allowed to continue contact
lens practice, refraction and dispensing as a fully registered optician. However, you
will not be allowed to carry out any other activity constituting the
practice of optometry.
Registration of Optometrists
(Act no.36 of 2007).

Conditionally/Provisionally registered
practitioner
As a fully registered Optician or Optometrist, you will be able to practise your
profession independently. However, if you are conditionally or provisionally
registered, you would be required to work under the supervision of a fully
registered practitioner as follows:
Conditionally/Provisionally Fully registered

registered practitioner supervisor
Optometrist Optometrist
Optician Optometrist or
Optician
Overview of Practice
Disp sp Ref(> 7 yr) Ref(< 8 yr) CL Practice Basic eye screening, basic eye care
Optometrist √ √ √ √ √
Optician (CL) √ √ √
Optician √

What is OO Act about?
The Optometrists & Opticians Act is a new law

passed in Parliament in July 2007 to regulate the
practice of Optometry and Opticianry in
Singapore.
The Act establishes the Optometrists &
Opticians Board to regulate Optometrists and
Opticians through the following:
1. Approve or reject applications for
registration;
Accredit courses
2.3/8/11 in the
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@ M01e1 SY of Optometry
3535
Why do we need to regulate Optometrists & Opticians?
The purpose of regulation is to ensure that those

who provide eye care services are properly
trained and qualified.

What is Opticianry?
In Part I of the Schedule of the Optometrists &

Opticians Act, the acts or activities constituting
"Opticianry" or "The practice of Opticianry" are
specified as follows:
1. Refraction for persons of 8 years of age or
older.
2. Interpreting prescriptions of medical
3. Supplying, preparing and dispensing of all
optical appliances.
What is Optometry?
In Part II of the Schedule of the Optometrists

& Opticians Act, the acts or activities
constituting "Optometry" or "The practice of
Optometry" are specified as follows:
1. Refraction.
2. Prescribing of optical appliances.
3. Detecting abnormalities of the eye using
the following methods:
1.
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@ M01e1 SY 3838
What is 'Grandfathering?
'Grandfathering' allows opticians and optometrists to

register with the Board even if they do not possess the
requisite qualifications for registration. The
'grandfathering' provisions for registration apply only to
opticians and optometrists who are already in practice
prior to 1 January 2008.
Optometrists and opticians will need to submit their
applications on or before 31 July 2008 to be eligible for
registration under the 'grandfathering' provisions.

Most opticians do not have any formal qualifications, what are the
'grandfathering' provisions for registration of Opticians?
Opticians without approved qualifications and are

currently practising the profession will be considered
for conditional registration with the Board .
Those with at least 5 years of experience will be
required to take specific competency tests for
conversion to full registration.
Those with less than 5 years of experience will be
required to take specific training courses for conversion
to full registration.

What will be proof of my registration with the Optometrists &
Opticians Board?
On successful application, you will be issued with a

Registration Certification, and a Practising Certificate
(renewable on expiry). Your name, main practice place
address, date of registration, and qualifications will also
be available on the online registers on the Optometrists
& Opticians Board's website.
The following information will also be listed on the
appropriate Registers maintained by the Optometrists &
Opticians Board:
1. your name and residential address;
2. information
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as to whether you
are practising as a
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proprietor or an employee;
How do optometrists and opticians differ?
Table 1: Acts or Activities Constituting Optometry/Opticianry
Part I: ACTS OR ACTIVITIES Part II: ACTS OR ACTIVITIES

CONSTITUTING "OPTICIANRY" CONSTITUTING "OPTOMETRY"
OR "THE PRACTICE OF OR "THE PRACTICE OF
OPTICIANRY" OPTOMETRY"
1.Refraction.
1.Refraction for persons of 8 years of age or
2.Prescribing of optical appliances.
older.
3.Detecting abnormalities of the eye using
2.Interpreting prescriptions of medical
the following methods:
1. binocular vision tests;
3.Supplying, preparing and dispensing of all
2. ophthalmoscopy or fundoscopy
optical appliances.
3. retinoscopy;
4.Fitting, adjusting and adapting of all
4. slit-lamp examination;
optical appliances to the human face and
5. tonometry; and
eyes in accordance with the prescriptions of
6. visual field testing.
legally qualified medical practitioners and
4.Any other type of practice of eye care
optometrists.
which is part of the practice of opticianry.

Duty Of Care
1. The duty of care is a legal obligation imposed on an

individual requiring that they adhere to a reasonable
standard of care while performing any acts that
could foresee ably harm others.
2. The duty of care may exist between individuals with
no current direct relationship (familial or contractual
or otherwise), but eventually become related in
some manner, as defined by common law.
3. A breach of duty of care is considered as negligence.

Negligence
1. Negligence means conduct that is culpable because

it misses the legal standard required of a reasonable
person in protecting individuals against foreseeably
risky, harmful acts of other members of society.
2. Negligence behaviour towards others gives them
rights to be compensated for the harm to their body,
property, mental well-being, financial status, or
relationships.

Duty to Refer
1. Every registered dispensing optician has a statutory

duty to immediately refer a patient to a registered
medical practitioner or directly to a hospital for
appropriate medical advice if it appears that a
patient is suffering from a disease or injury of the
eye.

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Introduction Of

Optometrists and Opticians

3/8/11 Copyright @ M01e1 SY 11

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4. (1) There shall be established a body to be

To approve or reject applications for registration under the Act

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Publication of list of registered persons

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Power of Board to cancel registration, etc.

Power of Board to cancel registration, etc.

Power of Board to cancel registration, etc.

Recovery of fees or charges

31. (1) The Board may appoint one or more

The Schedule Part I

1. Refraction for persons of 8 years of age or

The Schedule Part II

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1. While undergoing the Advance Certificate of

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To perform refraction, an Optician must have

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1. Optometrists with approved optometry qualifications and less than 1

With at least 1 Yes Conditional registration

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for Licensed Contact Lens

All licensed CLPs will be deemed Fully-Registered Opticians under the

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for Licensed Contact Lens

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Conditionally/Provisionally Fully registered

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The Optometrists & Opticians Act is a new law

The purpose of regulation is to ensure that those

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In Part I of the Schedule of the Optometrists &

In Part II of the Schedule of the Optometrists

'Grandfathering' allows opticians and optometrists to

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Opticians without approved qualifications and are

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On successful application, you will be issued with a

Table 1: Acts or Activities Constituting Optometry/Opticianry

Part I: ACTS OR ACTIVITIES Part II: ACTS OR ACTIVITIES

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1. The duty of care is a legal obligation imposed on an

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1. Negligence means conduct that is culpable because

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1. Every registered dispensing optician has a statutory

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