Eyes, General Clinical Issues

eyes-general
Eyes, General Clinical Issues
Index for Instructions for the General Eye Portions of the Pilot Medical Exam: Eye Conditions and Procedures such as Lens Implants and Keratoplasty
Page Summary
<h4> Anatomy (Eyes)</h4> <ul> <li> 31. Eyes, general (vision under Items 50 to 54)</li> <li> 32. Ophthalmoscopic</li> <li> 33. Pupils (Equity and reaction)</li> <li> 34. Ocular motility (Associated parallel movement nystagmus)</li> </ul> <h4> Physiology (Vision)</h4> <ul> <li> 50. Distant Vision</li> <li> 51.a. Near Vision</li> <li> 51.b. Intermediate Vision</li> <li> 52. Color Vision</li> <li> 53. Field of Vision</li> <li> 54. Heterophoria</li> </ul>

Content Section

For guidance regarding the conduction of visual acuity, field of vision, heterophoria, and color vision tests, please refer to Items 50-54.

The Eye exam has many components and will be directed toward the discovery of diseases or defects that may cause a failure in visual function while flying or discomfort sufficient to interfere with safely performing airman duties.

The AME should personally explore the applicant's history by asking questions concerning any changes in vision, unusual visual experiences (halos, scintillations, etc.), sensitivity to light, injuries, surgery, or current use of medication. Does the pilot report inordinate difficulties with eye fatigue or strain? Is there a history of serious eye disease such as glaucoma or other disease commonly associated with secondary eye changes, such as diabetes?

The AME will consider the following signs during the initial phase of the eye inspection:

  1. Color: redness or suffusion of allergy, drug use, glaucoma, infection, trauma, jaundice, ciliary flush of Iritis, and the green or brown Kayser-Fleischer Ring of Wilson's disease.
  2. Swelling: abscess, allergy, cyst, exophthalmos, myxedema, or tumor.
  3. Other External Eye Findings: clarity, discharge, dryness, ptosis, protosis, spasm (tic), tropion, or ulcer.

Please see the related pages listed below for information on the other detailed portions of the eye and vision exam

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