US versus UK
Upon qualification in 1990, Dr Narayan had become bored with the restrictions on what a UK optometrist might be able to do and moved to the US. Here he undertook the US conversion course and went on to practise in California and Arizona. He stayed for 12 years but was eventually lured back, in part because of the perceived movement regarding therapeutic involvement by UK optometrists. 'In the US people see optometrists as treating their eye conditions,' Dr Narayan explains. Optometrists have access to drugs, including steroids, 'and Californian optometrists recently got glaucoma meds,' he continues.
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