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Laser and Surgical Procedures Examination (LSPE) — Laser Section — Information & Free Practice

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Laser and Surgical Procedures Examination (LSPE) — Laser Section

Provider
National Board of Examiners in Optometry (NBEO); administered at the National Center of Clinical Testing in Optometry (NCCTO), Charlotte, NC
Format
Hybrid section: a clinical skills portion (Selective Laser Trabeculoplasty, Peripheral Iridotomy, YAG Capsulotomy) followed by a computer-based multiple-choice portion; both portions must be passed
Exam questions
62 multiple-choice items: 50 scored and 12 unscored pre-test items
Time limit
40-minute clinical skills portion; 75-minute multiple-choice portion
Passing score
Pass/fail against the cut-off requirement; both the clinical skills portion and the multiple-choice portion must be passed
Exam fee
$1270 (rates for examinations administered beginning August 2026)
Examination outline
  • Selective Laser Trabeculoplasty (SLT) — multiple-choice portion 35% (approx. 18 items); clinical skills portion 31% (35%)
    • Selective Laser Trabeculoplasty (SLT) — the multiple-choice exam can include, but is not limited to: Indications; Contraindications; Complications; Equipment/Settings; Technique; Periprocedural care; Follow-up protocols; Mechanism of action; Efficacy/Outcomes
  • Laser Peripheral Iridotomy (PI) — multiple-choice portion 30% (approx. 15 items); clinical skills portion 31% (30%)
    • Laser Peripheral Iridotomy (PI) — the multiple-choice exam can include, but is not limited to: Indications; Contraindications; Complications; Equipment/Settings; Technique; Periprocedural care; Follow-up protocols; Mechanism of action; Efficacy/Outcomes
  • YAG Capsulotomy — multiple-choice portion 35% (approx. 18 items); clinical skills portion 38% (35%)
    • YAG Capsulotomy — the multiple-choice exam can include, but is not limited to: Indications (Capsular Phimosis; Posterior capsular opacity); Contraindications; Complications; Equipment/Settings; Technique; Periprocedural care; Follow-up protocols; Mechanism of action; Efficacy/Outcomes
Examination sources