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Contact Lens Waiver

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trantn

Registered User
Good news for you contact lens people that just recently hit. Hopefully we can get more good aviators to protect me on the ground.

Contact Lens Waiver:
http://www.nomi.med.navy.mil/NAMI/WaiverGuideTopics/ophthalmology.htm#contact

12.15 Student Naval Aviator Contact Lens Policy Rev APRIL 05


Major Changes:

1. Student Naval Aviator (SNA) Applicants will meet the vision requirements of the SNA program with the use of soft contact lenses.

AEROMEDICAL CONCERNS: Photorefractive keratectomy (PRK) has thus far proven to be an acceptable procedure for entrance into the SNA program. Student Naval Aviator Applicants must meet the visual requirements outlined below. USNA students are eligible for PRK through the Navy Medical Treatment Facilities. NROTC and OCS personnel are required to undergo PRK in the civilian sector at their own expense should they desire vision correction.

Properly fit soft contact lenses (SCL) allow for a similar reduction in the refractive error. Class I, II, III are currently allowed to wear contact lenses in the performance of their aviation duties. This contact lens program originally designed for designated aviation personnel has met great success. There is no waiver requirement for designated aviators who meet the requirements and guidelines of the USN/USMC SCL Program.

SNA APPLICANTS: SNA applicants with excessive refractive error and disqualifying uncorrected distant visual acuity (UCDVA), no worse than 20/400, who demonstrate successful fit and habitual wear (at least six months) of approved soft contact lenses and meet all other visual standards can apply for a waiver. Uncorrected Visual Acuity (UCVA) should be measured by the Armed Forces Vision Tester (AFVT), Optec 2300, B-VAT, or similar charts with multiple 20/400 letter capabilities. Using the Snellen 20/200 “E” is not an acceptable method of assessing uncorrected visual acuity of 20/400. A history of successful contact lens wear does not guarantee the granting of waiver.

Medical Requirements:

No history of ocular, periocular or medical condition that would require or
contraindicate SCL wear, including giant papillary conjunctivitis and keratitis sicca or other dry eye syndrome.

2. Uncorrected visual acuity of no worse than 20/400 in each eye

3. Visual acuities at distance of 20/20 -0, by Goodlite letters, with spectacle correction , immediately after removing SCL.

4. Visual acuities of 20/20 -0, by Goodlite letters, while wearing SCL.

5. Best Corrected Visual Acuities, at near, of 20/20 in each eye.

Refractive error of no more than -8.00D of myopia, +6.00D of hyperopia, -2.00D of astigmatism or any total refractive error of -8.00D or +6.00D along anyone meridian.
Free of visual symptoms such as fluctuating vision, reduction in vision at night or under glare conditions and/or discomfort symptoms with contact lens use.
An over-refraction, with contact lenses on, of no more than +/-0.50 diopters.
Must meet all other requirements of SNA applicants of depth perception, color vision, phorias and intraocular pressures.
Information Required and Waiver Process:

1. Use the SNA Contact Lens Checklist as a guideline to the requirements.

2. The applicant must remove the contact lenses thirty (30) days prior to the physical examination.

3. Applicants must wait for a minimum of six months after an initial contact lens fit before the physical examination.

4. A copy of a “pre-fit” manifest refraction, contact lens parameters, and proof of adequate six-month follow-up care must be submitted for waiver consideration.

5. At the time of waiver consideration, an Aviation PRK consult will be completed in the event that the SNA can no longer wear SCL successfully. If the SNA is later deemed not adaptable to successful contact lens wear, the continuation of the waiver will be denied.

6. Submit the SNA Contact Lens Checklist with the applicant SF-88 with all records pertaining to the contact lens fit.

Approved SCLs
Extended wear disposables and frequent replacement lenses are the preferred lenses of choice. SCLs are not to be worn on an extended wear basis during the training period. Cosmetically tinted SCLs are not allowed, but all approved lenses may have a handling or visibility tint.

Hard or Rigid Gas Permeable (RGP), combination of hard and soft contact lenses and/or bifocal/multifocal contact lenses are not approved for any SNA applicant. SCLs worn for therapeutic reasons other than refractive error, such as keratoconus, basement membrane dystrophies, or other ocular conditions are not authorized.
 

Jolly Roger

Yes. I am a Pirate.
Well, this bat is still gonna have to have PRK. Now, the question is: can you have PRK and wear contacts to reach 20/20? That is if you don't quite reach 20/20, but say 20/50
 

Flash

SEVAL/ECMO
None
Super Moderator
Contributor
What if one of your lenses slips out of place when you are in the groove (on a dark and stormy night of course :eek: )?
 

E6286

OCC 191 Select
Yeah, I dont get the waiver. They will take someone that is 20/400 with contacts but not 20/50 with glasses? Doesn't make sense..... I better pass my flight phys. lol......
 

Kolja

Git-r-done
Flash said:
What if one of your lenses slips out of place when you are in the groove (on a dark and stormy night of course :eek: )?

Have worn lenses for 800 hours and 270 traps (granted, not all of them in front) but have never had any such problem. Falls in the "not so likely" part of my ORM matrix.
 

E6286

OCC 191 Select
So if they are required to have glasses as their backup, then why can't people that just wear glasses get the waiver? I am currently 20/40 and worry that even if I pass my flight physical that a year from now (after OCS and TBS) my vision will be at 20/60 or so. Not quite bad enough to warrant full time contacts but past the 20/40 limit.
 

Brett327

Well-Known Member
None
Super Moderator
Contributor
E6286 said:
So if they are required to have glasses as their backup, then why can't people that just wear glasses get the waiver? I am currently 20/40 and worry that even if I pass my flight physical that a year from now (after OCS and TBS) my vision will be at 20/60 or so. Not quite bad enough to warrant full time contacts but past the 20/40 limit.
I don't pretend to know what the actual rationale is, but as a matter of experience, glasses have horrible peripheral vision and are uncomfortable to wear with flight gear. Contacts are the way to go, what's the big deal?

Brett
 

E6286

OCC 191 Select
I have no problem with contacts I was just asking because I don't have contacts since my vision is only 20/40. The waiver says you must have worn them for 6 months to be eligible. If I take my flight physical and I test at 20/50 or something I am out.

Sorry to bring it up. Was just investigating/hoping that glasses were allowed. Wish I had been wearing contacts. We will see what happens at the flight phys. and go from there. Sorry to hijack the thread.
 

Flash

SEVAL/ECMO
None
Super Moderator
Contributor
Kolja said:
Have worn lenses for 800 hours and 270 traps (granted, not all of them in front) but have never had any such problem. Falls in the "not so likely" part of my ORM matrix.

As a NFO though, right? I am not that sure about a pilot doing it, but that is the blind M\NFO in me talking. Even with the waiver, I still would not have been able to be an SNA, my eyes are worse than 20/400.
 

Kolja

Git-r-done
I THINK I see what you're getting at - that it would suck most heniously for a pilot to loose a lens or whatnot - and you're right. What I was getting at is that I've never had a problem and I don't think a pilot would be any more likely to have a problem either.
 

NavyOCS

Registered User
What about a waiver for having had PRK and then having to wear contacts and then glasses on top of the contacts to reach 20/20 in specific lighting conditions?
 

Kolja

Git-r-done
if it were me, I'd be asking for my money back on the PRK....

But seriously, I've flown with several pilots who seem to need glasses at night, but I'm not sure if their condition was there before they started the pipeline or not.
 
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