PARRIS N. GLENDENING, Governor                                 Ch. 521

(II)     MAY CONTINUE TO RENDER TREATMENT UNDER THE JOINT
TREATMENT PLAN UNTIL THE PATIENT IS EXAMINED BY AN OPHTHALMOLOGIST;

(III)    SHALL CONSULT WITH AN OPHTHALMOLOGIST IF:

1. THE PATIENT DOES NOT HAVE THE EXPECTED RESPONSE
TO TREATMENT;

2.        THE TARGET INTRAOCULAR PRESSURE IS NOT REACHED;
OR

3.        THERE IS WORSENING IN A PATIENT'S VISUAL FIELD OR
OPTIC NERVE HEAD; AND

(IV)    MAY PERFORM AND EVALUATE VISUAL FIELD TESTS, NERVE
FIBER LAYER PHOTOS, AND OPTIC DISC PHOTOS. THE TESTS OR PHOTOS SHALL BE
PROVIDED TO AN OPHTHALMOLOGIST FOR REVIEW BY THE OPHTHALMOLOGIST.

(D) (1) EXCEPT AS PROVIDED IN PARAGRAPHS (2) AND (3) OF THIS
SUBSECTION, A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY NOT
ADMINISTER OR PRESCRIBE ANY ORAL PHARMACEUTICAL AGENT FOR ANY
PURPOSE.

(2) (I) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY
ADMINISTER AND PRESCRIBE ORAL TETRACYCLINE AND ITS DERIVATIVES ONLY
FOR THE DIAGNOSIS AND TREATMENT OF MEIBOMITIS AND SEBORRHEIC
BLEPHARITIS.

(II) IF A THERAPEUTICALLY CERTIFIED OPTOMETRIST
ADMINISTERS OR PRESCRIBES ORAL TETRACYCLINE OR ITS DERIVATIVES TO A
PATIENT IN ACCORDANCE WITH SUBPARAGRAPH (I) OF THIS PARAGRAPH AND THE
PATIENT DOES NOT IMPROVE WITHIN 3 WEEKS OF TREATMENT, THE OPTOMETRIST
SHALL REFER THE PATIENT TO AN OPHTHALMOLOGIST.

(3) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY ADMINISTER
OR PRESCRIBE NONPRESCRIPTION DRUGS THAT ARE COMMERCIALLY AVAILABLE.

(E) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION, A
THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY NOT PERFORM ANY
PROCEDURE ON THE EYELID OF A PATIENT.

(2) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY EPILATE WITH
FORCEPS AN EYELASH FROM THE EYELID, ADNEXA, OR LACRIMAL SYSTEM OF A
PATIENT.

(F) A THERAPEUTICALLY CERTIFIED OPTOMETRIST MAY REMOVE
SUPERFICIAL FOREIGN BODIES FROM THE HUMAN EYE ONLY IF:

(1) THE FOREIGN BODY MAY BE REMOVED WITH A COTTON-TIPPED
APPLICATOR OR BLUNT SPATULA; AND

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