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Military Medical Standards for Enlistment & Appointment

The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.
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The causes for rejection for appointment, enlistment, and induction are:

a. Lids.

(1) Blepharitis (373), chronic, of more than mild degree.

(2) Blepharospasm (333.81).

(3) Dacryocystitis, acute or chronic (375.3).

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

b. Conjunctiva.

(1) Conjunctivitis, chronic (372.1), including trachoma (076) and allergic conjunctivitis (372.13).

(2) Pterygium, (372.4), if encroaching on the cornea in excess of 3 millimeters (mm), interfering with vision, progressive (372.42), or recurring after two operative procedures (372.45).

(3) Xerophthalmia (372.53).

c. Cornea.

(1) Dystrophy, corneal, of any type (371.5), including keratoconus (371.6) of any degree.

(2) Keratorefractive surgery, history of lamellar (P11.7) and/or penetrating keratoplasty (P11.6). Laser surgery or appliance utilized to reconfigure the cornea is also disqualifying.

(3) Keratitis (370), acute or chronic, which includes recurrent corneal ulcers, erosions (abrasions), or herpetic ulcers (054.42).

(4) Vascularization (370.6) or opacification (371) of the cornea from any cause that is progressive or reduces vision below the standards prescribed in the section on vision requirements.

d. Uveitis (364) or iridocyclitis.

e. Retina.

(1) Angiomatosis (759.6), or other congenitohereditary retinal dystrophy (362.7) that impairs visual function.

(2) Chorioretinitis or inflammation of the retina (363), including histoplasmosis, toxoplasmosis, or vascular conditions of the eye to include Coats’ disease, Eales’ disease, and retinitis proliferans, unless a single episode of known cause that has healed and does not interfere with vision.

(3) Congenital or degenerative changes of any part of the retina (362).

(4) Detachment of the retina (361), history of surgery for same, or peripheral retinal injury or degeneration that may cause retinal detachment.

f. Optic nerve.

(1) Optic neuritis (377.3), neuroretinitis, secondary optic atrophy, or documented history of attacks of retrobulbar neuritis.

(2) Optic atrophy (377.1), or cortical blindness (377.7).

(3) Papilledema (377.0).

g. Lens.

(1) Aphakia (379.3), lens implant, or dislocation of a lens.

(2) Opacities of the lens (366) that interfere with vision or that are considered to be progressive.

h. Ocular mobility and motility.

(1) Diplopia (386.2), documented, constant or intermittent.

(2) Nystagmus (379.5).

(3) Strabismus (378), uncorrectable by lenses to less than 40 diopters or accompanied by diplopia.

(4) Strabismus, surgery (P15) for the correction of, within the preceding 6 months.

(5) For entrance into the USMA or ROTC programs, the following conditions are also disqualifying: esotropia of over 15 prism diopters; exotropia of over 10 prism diopters; hypertropia of over 5 prism diopters.

i. Miscellaneous defects and conditions.

(1) Abnormal visual fields due to disease of the eye or central nervous system (368.4), or trauma (368.9). Meridianspecific visual field minimums are as follows:

(a) Temporal, 85 degrees.

(b) Superior-temporal, 55 degrees.

(c) Superior, 45 degrees.

(d) Superior nasal, 55 degrees.

(e) Nasal, 60 degrees.

(f) Inferior nasal, 50 degrees.

(g) Inferior, 65 degrees.

(h) Inferior-temporal, 85 degrees.

(2) Absence of an eye, congenital (743) or acquired (360.8).

(3) Asthenopia (368.13), severe.

(4) Exophthalmos (376), unilateral or bilateral, non–familial.

(5) Glaucoma (365), primary, or secondary, or pre-glaucoma as evidenced by intraocular pressure above 21 millimeters of mercury (mmHg), or the secondary changes in the optic disc or visual field loss associated with glaucoma.

(6) Loss of normal pupillary reflex reactions to accommodation (367.5) or light (379.4), including Adie’s syndrome.

(7) Night blindness (368.6).

(8) Retained intraocular foreign body (360).

(9) Growth or tumors of the eyelid, other than small basal cell tumors which can be cured by treatment, and small nonprogressive asymptomatic benign lesions.

(10) Any organic disease of the eye (360) or adnexa (376) not specified above, that threatens vision or visual function.

Derived from Department of Defense (DOD) Directive 6130.3, Physical Standards for Appointment, Enlistment, and Induction, and DOD Instruction 6130.4, Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces.

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