SDN Members don't see this ad. (About Ads) It seems obvious to me that the only people who should be performing eye surgery, using lasers, or performing intraocular injections are people who have completed ophthalmology residencies. No one else has the training to safely provide this care and handle all of the complications that may arise. The question I have is what is the best pathway to ophthalmology residency? Is medical school the best, in which students acquire a broad overview of the entire field of medicine? Or is optometry school more appropriate, in which the education is heavily focused on the eye? Both seem to have their advantages. Any thoughts? Also, why is there a preliminary year for ophthalmology residencies? It seems like a huge waste of time. Having a year of ophthalmology research or spending that year learning more in-depth knowledge about the eyes seems like it would be much better spent.