Health Technician (Ophthalmology) Advance Level support Optometrists in diagnosis, treatment, prevention, follow-up care, and patient counseling. At the advanced level, performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgement and range of variety as described in this standard and to be performed by the incumbent at least 25% of the time.
The health technician (ophthalmology) at the advanced level performs difficult ophthalmic technical duties with considerable latitude of the exercise of independent judgement. In addition to the duties expected of the GS-08 level, the following clinical duties and responsibilities are expected at the GS-09 advanced technician assignment: Refractometry utilizing retinoscopy to determine spectacle prescription. Kinetic visual field testing (Goldman).
lntraocular pressure measurements by applanation tonometry and other current methods. Pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. Basic slit lamp biomicroscope evaluation to check for abnormalities prior to dilation, i.e., anterior chamber depth, iris anomalies, etc.
May perform advanced color vision testing of the entire visual spectrum to detect complex color vision defects such as monochromats, dichromats, and anomalous trichromats. Measures eye glass prescriptions using manual lensometer, recording sphere, cylinder, axis and prism in both plus and minus cylinder.
Performs A-scan ultrasonography, including intra-ocular lens calculations, using immersion A-scan on eyes with complex pathology such as corneal scarring, irregular and/or high astigmatism, zonular weakness, high refractive error that requires multiple alternative calculating formulas. Performs 8-scan ultrasonography to identify intraocular masses or abnormalities. Determines the corneal curvature by either manual keratometry or automated topography.
Performs fluorescein or indocyanine green (ICG) angiography, with diagnostic photography of retinal vessels. Performs slit lamp photography. May perform anterior segment OCT, confocal microscopy, electroretinography, electrooculography, and visual evoked potential. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections.
May assist as a scrub technician in the main operating room for surgical procedures, set up of sterile fields, operation and maintenance of phacoemulsification and vitrectomy units, cryosurgery, endolaser units, all of which require a thorough understanding of complex instrumentation and the ability to troubleshoot problems quickly and efficiently during surgical procedures and care of instruments.
Assists with the microbiology testing of patients with sight threatening ocular infections, preparing instrumentation and media for intraocular biopsy and/or culture. Performs thorough preparatory cleaning of critical reusable medical equipment used in surgical procedures. Responsible for the training of other health technicians ( ophthalmology) Work Schedule: 7:30am-4:00pm, compressed tour may be available Telework: Not available Virtual: This is not a virtual position.
Functional Statement #: 82705F
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $61722 – $80243/yr.
Applications close on 2026-09-22.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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