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Binocular Multifocal & Accommodating Devices
FAA Decision Considerations - Disease Protocols

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This Protocol establishes the authority for the Examiner to issue an airman medical certificate to binocular applicants using multifocal or accommodating ophthalmic devices.

Devices acceptable for aviation-related duties must be FDA approved and include:

  • Intraocular Lenses (multifocal or accommodating intraocular lens implants)
  • Bifocal/Multifocal contact lenses

Examiners may issue as outlined below:

  • Adaptation period before certification: - Surgical lens implantation – minimum 3 months post-operative - Contact lenses (bifocal or multifocal) – minimum one month of use
  • Must provide a report to include the FAA Form 8500-7, Report of Eye Evaluation, from the operating surgeon or the treating eye specialist. This report must attest to stable visual acuity and refractive error, absence of significant side effects/complications, need of medications, and freedom from any glare, flares or other visual phenomena that could affect visual performance and impact aviation safety
  • The following visual standards, as required for each class, must be met for each eye:
    Visual Standards for Pilots with Intraocular Lenses or Bifocal/Multifocal Contact Lenses
    Distant

    First- and Second-Class: 20/20 or better in each eye separately, with or without correction

    Third-Class: 20/40 or better in each eye separately, with or without correction

    Near

    All Classes

    20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches

    Intermediate

    First- and Second-Class: 20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches

    Third-Class : No requirement

Note: The above 2014 Protocol does not change the (then) current certification policy on the use of monofocal non-accommodating intraocular lenses.

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