Friday, December 14, 2012

What does the future hold for LASIK eye surgery?

Q. I'm going to school to become a commercial pilot. Obviously my career depends on being able to see 20/20 with or without correction (I'm 20/200 without contacts, slight astigmatism). I'm 30 years now but have considered eye surgery my entire life. (even RK back in the day). Obviously technology has improved by leaps and bounds. When LASIK rolled out I thought how could it get better than this? My best friend is a MD and he told me to hold off for a few years (this was 4-5 years ago) and now we have custom wavefront LASIK. I have had friends who've had both done with excellent results. Now with wavefront LASIK advancements, what else is on the horizon??? Are some stellar new techniques currently being developed that will roll out in the next 4-5 years?

My eye doctor is suggesting PRK. Night vision problems could also end my career. I've heard there is less chance of reduced night vision (halos /startbursts) with PRK. The NAVY only allows PRK surgery for their pilots.

A. You are right about the side effects. Thats whats stopping me from doing the procedure so far. There are a lot more but the main side effects are halos and dry eyes. I saw some more mentioned here http://lasereyesurgerytruth.com/vision/latest/be-aware-of-these-laser-eye-surgery-complications-2.html


Is it possible to fly jet in the air force with less than perfect vision?
Q. Just wondering if there is any possibility of someone with near-sightedness to join the air force, with the possibility of becoming a jet-fighter pilot. I've always heard that most, if not all, pilots have perfect 20/20 vision or better. I've also read that those with Lasik eye surgery are not allowed to become jet pilots since there are concerns regarding their safety. Can someone please shed some light. Thank you!

A. It depends on how severe your vision:
Currently it's 20/70 correctable to 20/20.
No colorblindness, astigmatism or nightblindness
Good depth perception.
If you wear hard contacts, quit.
If you wish to surgically correct your vision, PRK is the preferred method. LASIK has the danger of the flap becoming displaced under high negative-G maneuvers.
If you have any other questions please PM me.
OBTW
For the smarta#%$ dissing my bro's, well MAYBE if the Brits used the proper procedures to mark their locations, and MAYBE if they let others in the command chain know what they were doing, friendly fire incidents would be minimized.
Read the friggin' reports


What is the minimum service requirement for a military pilot?
Q. What about a helicopter pilot? Also, if you have had laser eye surgery and have a corrected 20/20 vision are you able to be a pilot? Or do you have to have good uncorrected vision?

A. For a helicopter pilot, you must be either a warrant officer or commisioned officer, eyesight correctible to 20 /40, a US citizen, a GT on the asvab of 110 or higher, and meet Army height / weight requirements.

You also must take the AFAST test and score 90 or higher.
For Warrant Officer school, these are the requirements. http://www.usarec.army.mil/hq/warrant/
Just look through the website. I am assuming you are a civilian? If so, you can still do it. The requirements are there. If you are already in the military, you need to put together a packet.

All the information you need should be on that website. If you would like any more, I would be happy to answer you. Just say so =)

Unless you have a college degree already, the Warrant program is an excellent way to go.
And I can't remember which, but you can be a pilot with either PRK or Lasix, like I said, can't remember which.

EDIT
Just read through the info, this is a quote
"You cannot have had Radial Keratonomy eye surgery."
I'm assuming this is PRK.


Can I become an army helicopter pilot if I have lasik eye surgery?
Q. My uncorrected vision is very bad, over 20/200 I believe. I realize that the worst uncorrected vision you can have to become a helicopter pilot in the army is 20/50, but If I get lasik eye surgery which corrects it to 20/20 would I be eligible for flight school?

A. You are correct in that your uncorrected vision is too bad for you to be a helicopter pilot in the Army as is. However, you are also correct in that you can get LASIK surgery and still be eligible to apply if it corrects your vision to 20/20 or better.

The other poster is incorrect when he says that you have to have 20/20 uncorrected and that you cannot wear glasses at all to fly. You can and many people do. Once you finish flight school, your vision can get as worse as 20/400, but must still be correctable to 20/20. See AR 40-501, Standards of Medical Fitness which I have outlined and linked below:

Chapter 2
Physical Standards for Enlistment, Appointment, and Induction

2�12. Eyes

c. Cornea.

(1) Current or history of corneal dystrophy of any type (371.5), including but not limited to keratoconus (371.6) of any degree is disqualifying.

(2) History of refractive surgery including, but not limited to: Lamellar (P11.7) and/or penetrating keratoplasty (P11.6). Radial Keratotomy and Astigmatic Keratotomy is disqualifying. Refractive surgery performed with an Excimer Laser, including but not limited to, Photorefractive Keratectomy (commonly known as PRK), Laser Epithelial Keratomileusis (commonly known as LASEK), and Laser- Assisted in situ Keratomileusis (commonly known as LASIK) (P11.7) is disqualifying if any of the following conditions are met:

(a) Pre-surgical refractive error in either eye exceeds + 8.00 to - 8.00 diopters.

(b) At least 6 months recovery period has not occurred between last refractive surgery or augmenting procedure and accession medical examination.

(c) There have been complications, and/or medications or ophthalmic solutions are required.

(d) Post-surgical refraction in each eye is not stable as demonstrated by�

1. At least two separate refractions at least one month apart, the most recent of which demonstrates more than +/- 0.50 diopters difference for spherical vision and/or more than +/- 0.25 diopters for cylinder vision; and

2. At least 3 months recovery has not occurred between the last refractive surgery or augmenting procedure and one of the comparison refractions.





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Title Post: What does the future hold for LASIK eye surgery?
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