Glaucoma AASI : Further FAA Medical Workup

p>AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations (14 CFR) part 67.

An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.

If this is a first-time application for an AASI for glaucoma, and the applicant has all the requisite medical information necessary for a determination, the AME must defer and submit all of the documentation to the AMCD or the Regional Flight Surgeon for the initial determination.

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AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations (14 CFR) part 67.

An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401 (Special Issuance Section). The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.

If this is a first-time application for an AASI for Glaucoma, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or Regional Flight Surgeon for the initial determination.

Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:

• An Authorization granted by the FAA
• Certification only granted for open-angle-glaucoma and ocular hypertension
• The FAA Form 8500-14, Glaucoma Eye Evaluation Form, is filled out by the treating eye specialist, and
• A set of visual fields measurements is provided.

The Examiner must defer to the AMCD or Region if:

• FAA Form 8500-14, Glaucoma Eye Evaluation Form, demonstrates visual acuity incompatible with the eye and vision medical standards, or
• There is a change in visual fields or adverse change in ocular pressure.

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These are ophthalmoscopic instructions for your AME derived from the FAA 2014 AME Guide

OCULAR DISEASE OR CONDITION	CLASS	EVALUATION DATA	DISPOSITION
Chorioretinitis; Coloboma; Corneal Ulcer or Dystrophy; Optic Atrophy or Neuritis; Retinal Degeneration or Detachment; Retinitis Pigmentosa; Papilledema; or Uveitis	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Glaucoma (treated or untreated)	All	Review all pertinent medical information and current status report, including Form 8500-14	See Glaucoma Worksheet. If airman meets all certification criteria – AME Authorized to Issue the Certificate. All others require FAA decision. Submit all evaluation data. Initial Special Issuance - Requires FAA Decision Followup Special Issuance -- See Glaucoma AASI Protocol
Macular Degeneration; Macular Detachment	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Tumors	All	Submit all pertinent medical information and current status report	Requires FAA Decision
Vascular Occlusion; Retinopathy	All	Submit all pertinent medical information and current status report	Requires FAA Decision