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USNAC 2015 Eye Department Update Vision Enhancement and Protection CAPT MATT RINGS, MC, FS, USN AEROSPACE OPHTHALMOLOGY.

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Presentation on theme: "USNAC 2015 Eye Department Update Vision Enhancement and Protection CAPT MATT RINGS, MC, FS, USN AEROSPACE OPHTHALMOLOGY."— Presentation transcript:

1 USNAC 2015 Eye Department Update Vision Enhancement and Protection CAPT MATT RINGS, MC, FS, USN AEROSPACE OPHTHALMOLOGY

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: 


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