1. USNAC 2015 Eye Department Update Vision Enhancement and Protection
CAPT Matt Rings, MC, FS, USN
Aerospace Ophthalmology
Vision Fit for Flight and the Fight

2. Objectives New PRK & LASIK Policies MANMED updates
Color Vision Testing Research
CVN Aerospace Optometrist Study

3. Refractive Surgery Active Duty Applicants:
Only 3 month wait for waivers for most patients:
…all LASIK, or PRK less than -6D myopes
Civilian Applicants: Six Month wait for waivers

4. Refractive Surgery Applicants: Class II, III: LASIK +6D hyperopia
Active Duty applicants and students:
Astigmatism up to 6D

5. Refractive Surgery Designated Waiver times:
LASIK (any myopia): 2 weeks
LASIK (up to +4D): 4 weeks
LASIK (+4D to +6D): 8 weeks

6. Refractive Surgery LASIK: Designated personnel +6D hyperopia
6D of astigmatism

7. MANMED Updates Proprietary Term Elimination Goodlite eye chart:
“Sloan Letter Crowded Chart”
MacBeth Lamp:
“True Daylight Illuminator”
Titmus/Randot
“Circle Stereogram”

8. Color Vision in Aviation

9. MANMED Color Vision Proposals to BUMED & CNAF
Phase out FALANT (Optec 900)
MEPS/DODMERB Request
No longer produced
Troublesome Administration
“creative memorization”
Grandfather current aviators
Substitute: Computerized Color Vision Testing

10. Color Vision Deficiency Current NAMI policy
Fail PIP = Color Vision Deficiency
Computerized Testing
for Type & Degree CVD
Pass Falant = “information only” CVD waiver

11. Color Vision Deficiency Research
NAMRU-Dayton
PIP, Falant and 3 computerized testing devices
Non-redundant aviation signals
PAPI lights, F/A-18 AMPCD Missile Icons
Reaction time and Accuracy
‘Mild’ CVD performed nearly as well as Normal
‘Moderate’ / ‘Severe’ CVD: much slower, many more mistakes

12. Color Vision Deficiency: Aviation Practical Examination
Safety Officer, NATOPS Evaluator, Model Manager
Flight Surgeon
Simulator: Internal/External lights
Ship deck, runway, gauges, warning/caution, moving map overlays, terrain banding, etc.)
ALDIS Lamps from tower
FLIR color imagery identification
YUMA example w/ control group

13. Color Vision Research
Validation of two commercial color vision tests (PC-based)
Cone Contrast Test Netbook (USAF)
ColorDx Laptop
Tablet Color Vision Devices
Hardware accuracy, calibration requirements
iPad Air, Samsung Tab Pro, MS Surface Pro 3
Clinical validation, best-practices

14. CVN Optometry: Proof of Concept USS Carl Vinson

15. CVN Optometry Preliminary Data
Embarked Aerospace Optometrist for Six Months available to the entire Strike Group
Efficacy:
> 1,100 vision and eye encounters in 5 months
>400 Occupational and Laser Safety Eye exams: Aviation/Ordnance/Security
>250 failed physicals due to vision (flight deck, etc.) requiring new spectacles
No medevac for eye injuries and disease

16. NAMI Contact Info
CAPT Matt Rings, MC, FS
CDR Ken Whitwell, MSC, AO
LCDR Chris DeAngelis, MSC, AO
Phone: