Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Optometry
 
chapter
Regulations of the Virginia Board of Optometry [18 VAC 105 ‑ 20]
Action Regulations for laser surgery certifications
Stage Proposed
Comment Period Ended on 10/25/2024
spacer
Previous Comment     Next Comment     Back to List of Comments
10/25/24  10:50 pm
Commenter: Katrina Chin Loy, MD, immediate past-president WDCMOS

Oppose legislature for patient safety
 

Lasers are used to treat a variety of eye disease processes including glaucoma, diabetic retinopathy and secondary cataracts. During ophthalmology residency, physicians learn not only how to perform laser procedures for optimal patient safety and outcomes but also the nuances of pre-procedural patient selection and counseling, and post-procedural management of any potential complications. This is learned through hours of hands-on time with patients with graduated autonomy, beginning from observing an attending physician perform a procedure to direct, and eventually indirect, supervision by the attending physician. Over the course of 4 years, residents typically participate in over one hundred laser procedures as the primary surgeon, and dozens more as the assistant. As a former Ophthalmology Residency Program Director locally, I have first-hand experience in this rigorous training process and evaluation. A brief unsupervised course or a couple of proctored sessions (potentially on a model eye even) cannot replace the extensive, supervised, hands-on training that ophthalmologists receive on these lasers in residency. As an eye physician and surgeon, if the need ever arose, I would only want a fellow trained surgeon to perform these delicate procedures on my friends, family, or myself.

CommentID: 228693