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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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