Preparing to Offer In-Office Laser Procedures

Follow these specific action steps to ready yourself for providing these life-changing services.

By: Brooke Major, OD, Emma Strunks, OD, Nathan Lighthizer, OD, FAAO, FAAOMS

Optometric Management January 2, 2026 Vol 61, Issue January-February 2026 Page(s): 7-9

Clinical Report: Preparing to Offer In-Office Laser Procedures

Overview

This report outlines essential steps for optometrists preparing to offer in-office laser procedures, including legal considerations and training requirements. With 14 states permitting such practices, the integration of laser procedures can enhance patient care and provide additional revenue streams.

Background

The ability to perform in-office laser procedures represents a significant advancement in optometric practice, allowing for improved patient outcomes in conditions such as glaucoma and cataracts. As all accredited optometry schools now include training for these procedures, new graduates are equipped to meet the evolving demands of patient care. Understanding the legal and operational frameworks is crucial for successful implementation.

Data Highlights

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Key Findings

14 states currently allow optometrists to perform specific laser procedures.
Training for in-office laser procedures is now included in all 25 accredited optometry school curricula.
Optometrists must verify legal permissions and malpractice coverage before offering laser services.
Proper training and certification in laser safety and procedures are essential for all staff involved.
Combination YAG/SLT lasers are commonly purchased by optometrists, costing between $40,000 and $55,000.
Contraindications for laser procedures must be carefully considered to ensure patient safety and treatment effectiveness.

Clinical Implications

Optometrists should ensure compliance with state regulations and obtain necessary training to safely perform laser procedures. Establishing a well-trained team and adhering to safety protocols will enhance patient care and mitigate risks associated with in-office laser treatments.

Conclusion

Incorporating in-office laser procedures into optometric practice can significantly benefit patient care and practice revenue, provided that practitioners are adequately prepared and informed about legal and operational requirements.

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