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Distant Vision - Item 50

FAA Guidance on the Aviation Medical Exam

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Guide for Aviation Medical Examiners
Application Process for Medical Certification


Exam Techniques and Criteria for Qualification
Item 50. Distant Vision

    Code of Federal Regulations
    1. First-Class: 14 CFR 67.103(a)
    2. Second-Class: 14 CFR 67.203(a)
    3. Third-Class: 14 CFR 67.303(a)

FAA Approved Examination Techniques
Item 50. Distant Vision

  1. Each eye will be tested separately, and both eyes together.
  2. Snellen 20-foot eye chart may be used as follows:
    1. The Snellen chart should be illuminated by a 100-watt incandescent lamp placed 4 feet in front of and slightly above the chart.
    2. The chart or screen should be placed 20 feet from the applicant's eyes and the 20/20 line should be placed 5 feet 4 inches above the floor.
    3. A metal, opaque plastic, or cardboard occluder should be used to cover the eye not being examined.
    4. The examining room should be darkened with the exception of the illuminated chart or screen.
    5. If the applicant wears corrective lenses, the uncorrected acuity should be determined first, then corrected acuity. If the applicant wears contact lenses, see the recommendations in Items 31-34, Eye, Contact Lenses.
    6. Common errors:
      1. Failure to shield the applicant's eyes from extraneous light.
      2. Permitting the applicant to view the chart with both eyes.
      3. Failure to observe the applicant's face to detect squinting.
      4. Incorrect sizing of projected chart letters for a 20-foot distance.
      5. Failure to focus the projector sharply.
      6. Failure to obtain the corrected acuity when the applicant wears glasses.
      7. Failure to note and to require the removal of contact lenses.
  3. Directions furnished by the manufacturer or distributor should be followed when using substitute devices for the above testing.
Acceptable Substitutes for Distant Vision Testing: Projector with screen; Keystone Orthoscope; Bausch & Lomb Orthorator; AOC Site-Screener; Titmus Vision Tester; Keystone Telebinocular; OPTEC 2000 Vision Tester.

The AME must personally conduct the physical examination. This section provides guidance for completion of Items 21-58 of the Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate, FAA Form 8500-8.

The AME must carefully read the applicant's history page of FAA Form 8500-8 (Items 1-20) before conducting the physical examination and completing the Report of Medical Examination. This alerts the AME to possible pathological findings.

The AME must note in Item 60 of the FAA Form 8500-8 any condition found in the course of the examination. The AME must list the facts, such as dates, frequency, and severity of occurrence.

When a question arises, the Federal Air Surgeon encourages AMEs first to check this Guide for Aviation Medical Examiners and other FAA informational documents. If the question remains unresolved, the AME should seek advice from a RFS or the Manager of the AMCD.

After all routine evaluations and tests are completed, the AME should make a complete review of FAA Form 8500-8. If the form is complete and accurate, the AME should add final comments, make qualification decision statements, and sign the declaration. The medical history page of FAA Form 8500-8 must be completed in the handwriting of and signed and dated by the applicant. Upon completion of the physical examination, the entire FAA Form 8500-8, Items 1 through 64, must be electronically transmitted to the FAA.


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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

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Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

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