Hi All, Reading through some of the older posts and what not, I think it's very fortunate that the profession has such strong influences in the US. Here in Ontario, the OMA (Ontario Medical Association .. which my girlfriend is a member of) is a very strong political body. As such, the scope of practice of Optometry in Ontario is decades behind that of the states, and other provinces as well. Currently, the only DPA OD's can use is Tropicamide, proparacain, and benoxinate ... if memory serves me. What about TPA's?? Fuggetaboutit! OD's in Ontario can not prescribe any Topicals/orals/injectables etc. Managing glaucoma? You wish! The laws about FB removal are a little wishy-washy. But most OD's feel that anything more that using the "spongy spear" will fall outside the scope of practice. It's funny because my girlfriend after her first year of med school was removing FB's with a needle in the OR. There are hopes that OD's will get TPA's sometime next year ... but I've been hearing the same song and dance since I was in first year. The college thinks that TPA's are more likely to come in about 5 years. We haven't even touched upon the issue of dispensing. Here in Ontario OD's are limited to a "cost plus" system. Under this law we must dispense everything "at cost" (frames, lenese, CL, etc) but we charge a fixed "dispensing fee/professsional fee" to the bill. Trying to explain this to the patients is a real PITA, because most are used to the retail system. Have pity all!