Preplacement ophthalmologic exams are available to laser users at the Stanford Medical Center Eye Clinic. (See Appendix A for other information on eye exams). Alternatively, prospective laser users have the right to decline preplacement exams by signing a waiver. (See Appendix A.1)

The advantages of the eye examination include discovery of an eye condition that might make working with a laser more hazardous, e.g., conditions which could make it difficult for the worker to observe warning signals, and establishment of a baseline to make evaluation easier in the event of a suspected injury. As with any medical procedure, there is potential hazard associated with having an eye examination, though eye exams are "remarkably free of risk." Potential risks include: corneal abrasions resulting from tonometry for glaucoma testing, which occurs approximately less than 1:10,000; risk of producing angle closure glaucoma as a result of dilation of pupil of the order of 1:1000 in persons under 40, 1:100 in elderly; allergy to eye drops (very rare, no incidence figures available); and minimal discomfort associated with the photographic examination (bright light may produce temporary afterimages). The inclusion of a fundus photograph in the preplacement eye examination is strongly recommended by the ophthalmologists, but isn't required in the ANSI Standard.

Laser workers are to be informed that, as with any other injury, they may consult a physician, if they believe that they may have been injured. This should be done after reporting the incident or symptoms to their supervisor (if possible). (See instructions in the "Assistance in Laser-Related Problems", above.)