USNAC 2015 Eye Department Update Vision Enhancement and Protection CAPT Matt Rings, MC, FS, USN Aerospace Ophthalmology Vision Fit for Flight and the Fight
Objectives New PRK & LASIK Policies MANMED updates Color Vision Testing Research CVN Aerospace Optometrist Study
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
Refractive Surgery Applicants: Class II, III: LASIK +6D hyperopia Active Duty applicants and students: Astigmatism up to 6D
Refractive Surgery Designated Waiver times: LASIK (any myopia): 2 weeks LASIK (up to +4D): 4 weeks LASIK (+4D to +6D): 8 weeks
Refractive Surgery LASIK: Designated personnel +6D hyperopia 6D of astigmatism
MANMED Updates Proprietary Term Elimination Goodlite eye chart: “Sloan Letter Crowded Chart” MacBeth Lamp: “True Daylight Illuminator” Titmus/Randot “Circle Stereogram”
Color Vision in Aviation
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
Color Vision Deficiency Current NAMI policy Fail PIP = Color Vision Deficiency Computerized Testing for Type & Degree CVD Pass Falant = “information only” CVD waiver
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
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
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
CVN Optometry: Proof of Concept USS Carl Vinson
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
NAMI Contact Info CAPT Matt Rings, MC, FS CDR Ken Whitwell, MSC, AO LCDR Chris DeAngelis, MSC, AO Phone: 850-452-2933 Email: nomi-eyedept@med.navy.mil