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The below disqualifying conditions are in addition to the disqualifying conditions listed in the Military Medical Accessions Medical Guide. Unlike medical waivers to join the military, medical waivers for aviation duty are much harder to come by.

The causes for medical unfitness for flying duty Classes 1/1A/2/2F/2S/3 are:

a. Lids and conjunctiva.

(1) Epiphora (chronic tearing).

(2) Trachoma, unless healed without cicatrices.

b. Cornea.

(1) Full- or part-time use of contact lenses, including a history of orthokeratologic procedures to correct refractive error. Selected aircrew may be authorized to use contact lenses during flying duties with a waiver.

(2) History of herpetic corneal ulcer or keratitis—acute, chronic, or recurrent.

(3) Pterygium that encroaches on the cornea more than 1 mm or is progressive, or for Classes 1/1A, history of surgical removal of a pterygium within the last 12 months.

(4) History of keratorefractive surgery accomplished to modify the refractive power of the cornea, to include anterior or radial keratotomy, laser keratoplasty.

c. History of intraocular lens implant.

d. Uveal tract.

(1) Coloboma of the choroid or iris.

(2) History of inflammation of the uveal tract, acute, chronic, or recurrent; including anterior uveitis, peripheral uveitis or pars planitis, posteri or uveitis, or traumatic iritis.

e. Retina.

(1) History of central serous retinopathy.

(2) History of chorioretinitis, including evidence of presumed ocular histoplasmosis syndrome.

(3) History of retinal holes or tears.

f. Optic nerve.

(1) Optic nerve drusen or hyaline bodies of the optic nerve.

(2) History of optic or retrobulbar neuritis.

g. Ocular motility.

(1) Convergence insufficiency, including asthenopia of any degree.

(2) History of extraocular muscle surgery after age 4, or history of extraocular muscle surgery before age 4 with other residual ocular abnormalities.

(3) Monofixation syndrome (microtropias).

h. Miscellaneous defects and diseases.

(1) Glaucoma as evidenced by applanation tension 30 mmHg or higher, or secondary changes in the optic disc or visual field associated with glaucoma.

(2) Intraocular hypertension as evidenced by two or more determinations of 22 mmHg or higher, or a persistent difference of 4 or more mmHg tension between the two eyes, when confirmed by applanation tonometry.

(3) History of penetrating trauma to the eye or hyphema.

(4) History of ocular or acephalic migraine with visual disturbance.

Flight Classes

Specific Flight Class Medical Examinations are:

Class 1 - Warrant Officer Aviation Duty Applicants
Class 1A - Commissioned Officer Aviation Duty Applicants
Class 2 - Current Aviators, Current Student Aviators, and Previous Aviators Returning to Aviation Service
Class 2F - Flight Surgeons, Including Those in Flight Surgeon Training
Class 2S - MOS 13F, Assigned to Aerial Fire Support Observer Duty
Class 3 - Non Rated Soldiers who Participate in Regular Flights (Crew Chiefs, Gunners, UAV Operators, etc.)
Class 4 - Air Traffic Control

Derived from Army Regulation 40-501, Standards of Medical Fitness

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