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
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10/24/24  10:55 pm
Commenter: Concerned Physician and Ex Professor

Skills must be earned, not legislated
 

Having done more than 20k intraocular laser procedures, I've learned the most important part of the procedure is to know when NOT to do it and the second most important part is recognizing unforeseen consequences in a timely manner and address them.

Without a proper surgical residency, it is extremely difficult to execute these two tasks.Thus our first year residents, second or even third years don't do these lasers alone in residency.
If an OD is wanting to do these safely, there should be a 2-3 year mentoring system in place with local surgeons to help them address above issues.

I would not allow my 3rd year surgical resident to perform this unsupervised. Why then an OD without any surgical training.

please, for your patients' sake, train skills and not just legislate them into being.

CommentID: 228260