Background <p>Laser Peripheral Iridotomy (LPI) is a commonly performed procedure resulting in a reduction in the risk of progression to Acute Angle Closure and subsequent glaucoma. Whilst demand for LPI has varied over the previous 25 years, non-medical clinicians have been increasingly utilised in the delivery of ophthalmic laser procedures. There is, however, a paucity of safety and effectiveness of optometrist-performed LPI.</p> Method <p>This was a retrospective study. The success rate was determined by the presence of a patent LPI at the first appointment post-procedure. Adverse events were captured from electronic patient letters from the procedure until the first appointment post-procedure.</p> Results <p>Two optometrists performed LPI on 105 eyes. Presence of a patent iridotomy was documented in 93% and 89% for optometrist one and two, respectively (<i>n</i> = 95). Transient adverse events were reported in four patients. The remaining 10 eyes underwent a redo LPI.</p> Conclusion <p>Optometrists delivered a safe and effective LPI service with low rate of adverse events and high success rates.</p>