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Military Medical Standards for Enlistment & Commission

Eyes and Vision

By

Updated June 10, 2009
The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

Lids.

Current blepharitis (373), chronic or acute, until cured (373.00), is disqualifying.

Current blepharospasm (333.81) is disqualifying.

Current dacryocystitis, acute or chronic (375.30) is disqualifying.

Deformity of the lids (374.4), complete or extensive lid deformity, sufficient to interfere with vision or impair protection of the eye from exposure is disqualifying.

Current growths or tumors of the eyelid, other than small, non-progressive, asymptomatic, benign lesions, are disqualifying.

Conjunctiva.

Current chronic conjunctivitis (372.1), including, but not limited to trachoma (076) and chronic allergic conjunctivitis (372.14), is disqualifying.

Current or recurrent pterygium, (372.4), if condition encroaches on the cornea in excess of 3 mm, or interferes with vision, or is a progressive peripheral pterygium (372.42), or recurring pterygium after two operative procedures (372.45), is disqualifying.

Current xerophthalmia (372.53) is disqualifying.

Cornea.

Current or history of corneal dystrophy of any type (371.5), including but not limited to keratoconus (371.6) of any degree is disqualifying.

Current keratitis (370), acute or chronic, including, but not limited to recurrent corneal ulcers (370.0), erosions (abrasions), or herpetic ulcers (054.42) is disqualifying.

Current corneal vascularization (370.6) or corneal opacification (371) from any cause that is progressive or reduces vision below the standards prescribed under "Vision" (below) is disqualifying.

Refractive Eye Surgery

This includes (but is not limited to) a history of lamellar surgury, penetrating keratoplasty, LASEK, and LASIK.

Radial Keratotomy and Astigmatic Keratotomy is disqualifying.

LASEK and LASIK is disqualifying if any of the following conditions are present:

(1) Pre-surgury refractive error in either eye exceeds + 8.00 to - 8.00 diopters.

(2) At least 6 months recovery period has not occurred between last refractive surgery or augmenting procedure and MEPS medical examination.

(3) There have been complications, and/or medications or ophthalmic solutions are required.

(4) Post-surgical refraction in each eye is not stable as demonstrated by (a) At least two separate refractions at least one month apart, the most recent of which demonstrates more than +/- 0.50 diopters difference for spherical vision and/or more than +/- 0.25 diopters for cylinder vision; and (b) At least 3 months recovery has not occurred between the last refractive surgery or augmenting procedure and one of the comparison refractions.

Uveitis or iridocyclitis.

Current or history of uveitis or iridocyclitis (364.3) is disqualifying.

Retina.

Current or history of retinal defects and dystrophies, angiomatoses (759.6), retinoschisis and retinal cysts (361.1), phakomas (362.89), and other congenito-retinal hereditary conditions (362.7) that impair visual function or are progressive, are disqualifying.

Current or history of any chorioretinal or retinal inflammatory conditions, including, but not limited to conditions leading to neovascularization, chorioretinitis, histoplasmosis, toxoplasmosis, or vascular conditions of the eye to include Coats’ disease, or Eales’ disease (363) is disqualifying.

Current or history of degenerative changes of any part of the retina (362) is disqualifying.

Current or history of detachment of the retina (361), history of surgery for same, or peripheral retinal injury, defect (361.3), or degeneration that may cause retinal detachment is disqualifying.

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