Optometry practice in Saudi Arabia: Optometrists’ current status and future perspectives

Background: There is a paucity of research evidence on the status, future directions and practice of optometry in Saudi Arabia. Aim: This study assesses the current status of optometric practice in Saudi Arabia, identifies the range of services provided by optometrists and explores their perspectives on future developments in the field. Setting: Licensed optometrists across Saudi Arabia. Methods: Data were gathered using an online self-administered questionnaire. The data collection instrument was a validated structured questionnaire, adapted from similar studies and modified to fit the specific context of Saudi Arabia. Results: A total of 228 optometrists completed the survey, with a mean age of 30.7 ± 5.2 years. Almost 59% worked in hospital-based settings, while 32% were employed in private optical centres. About 82% reported that refractive services and prescribing optical appliances were their primary roles. However, only 6% provided comprehensive eye care services, including prescribing topical therapeutics. More than two-thirds (70%) expressed high confidence in performing advanced ocular procedures. Approximately 62% suggested expanding their role to provide more independent primary eye care services directly to the community. Additionally, 24% supported advancing various sub-specialities of optometry. Conclusion: Optometric practice in Saudi Arabia is advancing, but systemic, regulatory and educational barriers need addressing to fully realise its potential. Overcoming these challenges will enhance care quality, reduce visual impairments and significantly improve the health and well-being of the Saudi population. Contribution: This study examines the expanding roles of optometrists in primary care, focussing on improving distribution and fostering specialisation.