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

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Laser and Surgical Procedures Examination (LSPE) — Surgical 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 (Suturing, Chalazion Excision) followed by a computer-based multiple-choice portion covering Suturing, Eyelid Surgery, Injections, and Anesthesia; both portions must be passed
Exam questions: 62 multiple-choice items: 50 scored and 12 unscored pre-test items
Time limit: 30-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

Suturing — multiple-choice portion 19% (approx. 10 items) (19%)
- Suturing — multiple-choice content area of the Surgical Section
Eyelid Surgery — multiple-choice portion 31% (approx. 16 items) (31%)
- Eyelid Surgery — multiple-choice content area of the Surgical Section
Injections — multiple-choice portion 24% (approx. 12 items) (24%)
- Injections — multiple-choice content area of the Surgical Section
Anesthesia — multiple-choice portion 26% (approx. 13 items) (26%)
- Anesthesia — multiple-choice content area of the Surgical Section

Examination sources