- Code of Federal Regulations for Airmen
- First-Class Airman Medical Certificate: 67.103(e), 67.113(b)(c)
- Second-Class Airman Medical Certificate: 67.203(e), 67.213(b)(c)
- Third-Class Airman Medical Certificate: 67.303(e), 67.313(b)(c)
- Medical History: Item 18.,d, Medical History, Eye or vision trouble except glasses.
The applicant should provide history and treatment, pertinent medical records, current status report, and medication and dosage. - Aeromedical Decision Considerations: See Item 32, Ophthalmoscopic
- Protocol: N/A. See Glaucoma Worksheet.
- Pharmaceutical Considerations: A few applicants have been certified following their demonstration of adequate control with oral medication. Neither miotics nor mydriatics are necessarily medically disqualifying. However, miotics such as pilocarpine cause pupillary constriction and could conceivably interfere with night vision.
Although the FAA no longer routinely prohibits pilots who use such medications from flying at night, it may be worthwhile for the AME to discuss this aspect of the use of miotics with applicants. If considerable disturbance in night vision is documented, the FAA may limit the medical certificate: NOT VALID FOR NIGHT FLYING.
Disclaimer: Neither the FAA nor FlightPhysical.com will attempt to publish all-inclusive references. Online guidance does not replace medical advice from your PCP and/or AME. Most doctors are not AMEs, and your regular Primary Care Provider (PCP) or specialist will know more about you and/or your specific medical condition than an AME, but is probably untrained or unfamiliar with aviation medicine. Follow 14 CFR 61.53 (duty to self-ground when ill) for your safety and that of your passengers. Don't fly after taking a new medication for the first time until 48 hours have past without side effects.
When in doubt - DO NOT FLY.
FAA AME Guide Dec 2025 version and FAA.gov