I have nothing against optometrists and consider the ones I work with dear colleagues. However optometry is not a surgical specialty. When the question of patient safety comes into play advocacy for extended periods of training especially procedural training is absolutely and undoubtedly imperative. Expansion of scope of practice to include laser use without rigorous training in its clinical indications and the proper use of said laser therapy can result in tragic and more importantly preventable unfavorable outcomes. As someone who regularly screens for ROP and treats the most vulnerable of patients, I shudder to think of the slippery slope this will lead  to. I believe the current proposal needs a major revision to include direct supervision and training under qualified physicians in real clinical settings.   No ands ifs or buts.