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Optometric Management

Article

Viewpoint: Time to Prepare to Offer In-Office Laser Care?

To borrow a phrase from the Magic 8 Ball toy, “All signs point to yes.”

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

Clinical Scorecard: Time to Prepare to Offer In-Office Laser Care?

At a Glance

CategoryDetail
ConditionAge-related eye diseases (e.g., cataract, glaucoma)
Key MechanismsIn-office laser procedures such as yttrium aluminum garnet capsulotomy and selective laser trabeculoplasty
Target PopulationAmericans aged 65 and older, particularly in rural areas
Care SettingOptometric practices offering in-office laser procedures

Key Highlights

  • Low negative outcome rate (2 out of 146,403 procedures) for optometrists performing laser procedures
  • Projected increase in older adult population needing eye disease interventions by 2050
  • Significant shortage of ophthalmology workforce anticipated by 2035
  • Recent legislative changes expanding optometric scope of practice for laser procedures
  • In-office laser care can provide a new revenue stream for practices

Guideline-Based Recommendations

Diagnosis

  • Identify age-related eye diseases prevalent in the target population

Management

  • Implement in-office laser procedures as a treatment option

Monitoring & Follow-up

  • Track outcomes and patient satisfaction post-procedure

Risks

  • Consider potential complications and ensure proper training for optometrists

Patient & Prescribing Data

Older adults, particularly those in rural areas with limited access to ophthalmologists

In-office laser procedures are effective and can address the growing demand for eye care

Clinical Best Practices

  • Prepare optometric practices for the integration of laser procedures
  • Educate optometrists on the latest laser technologies and techniques
  • Advocate for legislative support to expand the scope of practice for optometrists

References