Ophthalmic Technologist IV

Rochester, NY


In addition to those listed in Ophthalmic Technologist III; provides intermediate to advanced diagnostic testing and imaging. Works closely with a Physician and spends most of the time working with patients and supporting the physicians.


May perform as Lead Technician.


In addition to those listed in Ophthalmic Technologist III; Phoropters (plus and minus cylinders); Prisms; Goldman and Perkins tonometers; sit lamp; Keratometer; Exophthalmometer; D-15 color vision equipment; IOLMaster; A-SCAN, B-SCAN, UBM, ERG, mERG, OCT, fundus camera.

TYPICAL DUTIES : In addition to those listed for Ophthalmic Technologist III:

  1. Able to perform visual acuity testing in newborns, infants, and small children or non-verbal adults by matching methods such as HOTV cards. Measures prisms using a lensometer. Performs manifest refractions using a phoropter, automated refractions if necessary, to properly measure a patient’s refractive error and obtain best corrected visual acuity. Works in both plus and minus cylinders. Measures the intraocular pressure using a tonopen, a Goldmann tonometer or a Perkins tonometer. Performs a basic slit lamp examination and has the ability to check anterior chamber depth using the slit lamp. Takes external ocular measurements including keratometry, exopthalmometry and levator measurements.

  2. Intermediate color vision screening using Ishihara or HRR plates and D-15 color chips. Inserts and removes contacts lenses or teach a patient insertion and removal techniques and contact lens care. Possess intermediate knowledge of contact lens uses for medical use including keratoconus. Understands out to insert and remove special lenses and how to take care of them. Is able to use the IOL Master in taking measurement of the eyes including axial length, K-readings and anterior chamber depth (automated readings).

  3. Trains other Technologists. This includes training both for skill sets that will be required while working in the department, help to prepare for certifications in studies, as well as helping technicians prepare for certification tests (COA, COT, and COMT). The Technologist may also be requested to lecture. Helps to set up additional training with other qualified personnel or physicians, prepare study materials, or order materials and books for fellow Technologists.


  1. Possesses basic knowledge of optics including plus and minus lenses and their use with patients who are myopic, hyperopic, and have astigmatism. Understands the problems of presbyopia and how to correct for this and age values associated with this.

  2. Has intermediate ocular pharmacology knowledge of drops and medications used for eye examinations. Is able to identify the purpose of these commonly used medications including proper administration, dosage, durations, common side effects, and know hospital policy about shelf life of these medications. Knows common drugs used for ocular diseases such as glaucoma, infections, retina problems and steroid use. Has the understanding on how these medications work both within the eye and systemically.


  • 4 year college education, including related optometry, ophthalmology and/or technical training; or

  • 2 year college education in an appropriate science and 2 years of closely related laboratory/clinical experience; or

  • High school diploma and 4 years of closely related laboratory/clinical experience; or

  • An equivalent combination of education and experience.

Certification by the registry of the Joint Commission of Allied Health in Personnel Ophthalmology, or other nationally recognized professional certifying body preferred.

NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 23.00 - $ 29.90 Hourly

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: The College
Full/Part Time: TAR