PPRuNe Forums - View Single Post - Laser eye surgery now accepted for aircrew
Old 30th Jan 2012, 01:46
  #11 (permalink)  
Vortex5
 
Join Date: Aug 2011
Location: scotland
Posts: 13
Likes: 0
Received 0 Likes on 0 Posts
Stumbled across this;

"I have had laser eye surgery. How will this affect my application?

Until quite recently Corneal Refractive Surgery (CRS) was not permitted in either existing aircrew or recruits, however increasing evidence has emerged, much of it from the USA, of the safety of CRS in the military flying environment. There are still hazards and problems associated with CRS which must be considered before embarking on surgery.

CRS may be performed by a number of methods. Photorefractive Keratectomy (PRK) involves the reshaping of the anterior corneal surface by photoablation using an ultraviolet excimer laser. The corneal epithelium is removed prior to treatment and grows back over the treated zone within 4-6 days. Laser Epithelial Keratomileusis (LASEK) is a modification of PRK where a thin flap of corneal epithelium is created. The underlying corneal stroma is ablated in the same way as PRK but the flap of epithelium is replaced and acts as a bandage lens. The visual outcome is very similar to PRK but pain and haze are reduced. Laser In-Situ Keratomileusis (LASIK) involves the cutting of an actual flap of corneal stromal tissue and ablating the underlying stromal bed, before replacing the flap. Disruption of the epithelial layer is kept to a minimum and this avoids the aggressive healing response that leads to the formation of haze. Pain is also minimised and visual recovery occurs within 1-2 days. For those with low levels of myopia, outcomes in terms of visual performance for all of these techniques are very similar.

It is impossible to guarantee the result of surgery as healing and scar formation vary however the final uncorrected visual acuity after PRK and LASEK is comparable 12 months after treatment; LASEK is associated with less pain and visual recovery is more rapid although LASEK does produce more intra-operative pain. The most common complications following surgery include dry eyes, haze and reduced best corrected visual acuity; more serious complications include infection, inflammation and problems with the corneal flap. Postoperative best uncorrected visual acuity has been reported at 6/12 or better (the minimum standard for pilot selection is 6/12 or better uncorrected in each eye) in 46-100% of eyes depending on the degree of initial short sightedness. It should be noted that postoperative 6/6 vision may be subjectively different from preoperative best corrected 6/6 vision due to a reduction in contrast sensitivity.

Aircrew are normally recruited at an age before ocular maturity when CRS may not provide long-term refractive stability. CRS is not recommended below the age of 21 for this reason; however aircrew recruits may be accepted subject to the following criteria:

(a) CRS by PRK, LASEK and LASIK only.

(b) A minimum of one year to have elapsed since surgery

(c) Minimum age at application of 22.

(d) Subject’s refraction to have been stable for at least 6 months.

(e) Recorded pre-operative refractive error must not exceed –5.00 to +2.00 dioptres in any meridian

(f) Post operative visual acuity within current aircrew visual recruitment limits

If the preceding criteria are met candidates are to be referred to the Consultant Adviser in Ophthalmology (RAF) for assessment by the Officer and Aircrew Selection Centre. OASC will continue to screen RAF candidates via corneal topography to identify those who have had undeclared CRS."



RAF College Cranwell - FAQs

Seems like Laser eye surgery is possibly accepted now?
Vortex5 is offline