The Refractive Surgery program at the Duke Eye Center and the Duke Center for Vision Correction successfully completed the 14th annual VISX Laser Certification Course making it now the longest running “in house” program in the nation for training and certifying surgeons to perform PRK and LASIK using the VISX Laser. Alan Carlson, M.D., Professor of Ophthalmology at Duke has given this program each year at Duke which begins with a 5 hour didactic session reviewing 252 slides and quizzing the participants along the way to make sure they grasp the concepts. There is strict adherence to the FDA guidelines for certification and subsequent use of the laser. The didactic portion is followed by an extensive “wet lab” teaching both PTK and PRK techniques with application to LASIK to each person in attendance. Dr. Carlson is one of only two surgeons in North and South Carolina with the qualifications to certify other doctors wanting to become refractive surgeons.