Space is often at a premium in a practice. For the practice that wants to add a laser facility, there are several considerations. An adequately sized laser operating suite, with space for the support facilities for sterilization, supply, storage, and used disposables, is critical. In addition, there should be a locker room where surgeons and staff can change. This needn't be as elaborate as it might be at an ASC--if need be, a doctor's office can be used.

     If the laser is to be shared with outside surgeons, the laser center will likely have to be physically separated from the rest of the practice, with its own name, etc. This entails a certain amount of redundancy-a second waiting area, examining rooms, etc. On the other hand, if the LASIK suite is for the practice's exclusive use, then it is simply a matter of finding adequate surgical space, room for the necessary support systems, and space and privacy for the coordinator. Existing exam rooms and waiting areas can be used. If the practice doesn't have corneal topography, approximately 50 square feet of space will have to be found for that function.

     Since an existing practice will already have waiting and examination rooms and probably has corneal topography and a changing area, the necessary new space is approximately 350 square feet for the procedure room and perhaps 200 square feet for the refractive coordinator's office and storage requirements. {Whether it's baseball caps to be given away or the projector for use at seminars, the coordinator will need adequate space. A coat closet won't do.)