I have practiced in Virginia since 1977. During that time our regulations have been changed a number of times to expand the treatments and procedures that doctors of optometry can perform for their patients. I served two terms on the State Board of Optometry so I am well aware of the safeguards that are put in place with every scope of practice expansion. Each time the scope of practice has been expanded the public has benefitted from improved availability of care. In no case has care been compromised.  With twice as many Doctors of Optometry in Virginia as ophthalmologists this expansion wil further improve care for the citizens of Virginia .