Virginia Laser Surgery Certification Regulations Effective May 2025
Summary
The Virginia Board of Optometry has issued new laser surgery certification regulations under 18 VAC 105-20-100 and 18VAC105-20-110. Certified optometrists must report laser surgery data to the Board for the period May 1 through July 1, 2025, including procedure counts, types, conditions treated, and adverse outcomes requiring ophthalmologist referral. Beginning July 1, 2025, laser-certified optometrists must maintain three years of documentation including procedure counts, types, and adverse outcomes, subject to Board random audits with 30-day response requirements.
What changed
The Board of Optometry has implemented new laser surgery certification requirements effective May 1, 2025. During the initial reporting period (May 1-July 1, 2025), laser-certified optometrists must submit detailed reports including the number, type, and conditions treated for each procedure, as well as any adverse outcomes requiring ophthalmologist referral. Following this initial period, subsection 18VAC105-20-110 establishes an ongoing quality assurance process requiring practitioners to maintain records for a minimum of three years. The Board retains authority to conduct random audits of licensees and may require submission of documentation within 30 days of audit notification.
Affected parties include all Virginia-licensed optometrists seeking or holding laser surgery certification. These practitioners must implement documentation systems to track procedures and outcomes, ensure compliance with the initial reporting deadline of July 1, 2025, and establish procedures for responding to potential Board audits. The three-year record retention requirement represents a sustained compliance obligation that will require ongoing administrative processes.
What to do next
- Report laser surgery counts, types, and conditions treated to the Board for procedures performed May 1 through July 1, 2025
- Report adverse outcomes requiring ophthalmologist referral for procedures performed May 1 through July 1, 2025
- Maintain documentation of laser surgeries performed and adverse outcomes for at least three years beginning July 1, 2025
- Provide documentation to the Board within 30 days of receiving an audit notification
Archived snapshot
Apr 18, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
New Regulations for Laser Surgery Certification Page 2
ADDITIONAL APPLICATION DOCUMENTS NEEDED: Please note that all optometrists seeking laser surgery certification must have an educational attestation and evidence of proctored sessions submitted directly to the Board on two separate board-approved forms found here: https://www.dhp.virginia.gov/Boards/Optometry/PractitionerResources/Forms/ APPLICATION ASSISTANCE: If questions remain after reading the application instructions found here, contact the Board of Optometry at optbd@dhp.virginia.gov for assistance. REPORTING REQUIREMENTS FOR LASER SURGERY Subsection 18 VAC 105-20-100 of the regulations requires an optometrist certified to perform laser surgery by the board to report the following information to the board for procedures performed between May 1, 2025, and July 1, 2025:
The number and type of laser surgeries performed by the optometrist;
The conditions treated for each laser surgery performed; and
Any adverse treatment outcomes associated with such procedures that required
a referral to an ophthalmologist for treatment. This requirement does not apply to procedures performed after July 1, 2025, which under subsection 18VAC105-20-110 provides for a quality assurance review process beginning July 1, 2025, that requires a laser-certified optometrist to maintain documentation of the following for not less than three years:The number and type of laser surgeries performed by the optometrist; and
Any adverse treatment outcomes associated with such procedures that
required referral to an ophthalmologist for treatment. The board may conduct a random audit of licensees requiring a licensee to provide this documentation to the board within 30 days of notification of the audit.
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