The below disqualifying
conditions are in addition to the disqualifying conditions listed in
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.
(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.
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
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.
(1) History of central serous retinopathy.
(2) History of chorioretinitis, including evidence of presumed ocular
(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.
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
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.
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 Class Medical Examinations are:
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
Army Regulation 40-501, Standards of Medical Fitness