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Military Laser Eye Surgery Policy
 
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• Navy/Marine Laser Eye Surgery Policy
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• Waiver Policy for New Recruits
 

With only a few exceptions, active duty soldiers, sailors, airmen and Marines are allowed to have their vision corrected with laser eye surgery and not worry about it affecting their careers.

Service officials have been studying photorefractive keratectomy, or PRK, and laser in-situ keratomileusis, commonly called LASIK, the two most common procedures, almost since their outset and are convinced they're safe for military members in most career fields.

PRK involves correcting vision by using a laser to remove surface corneal tissue. In LASIK, the surgeon cuts a flap in the cornea, flips it aside, removes corneal tissue with a laser, and flips the corneal flap back into place.

Members do need to be evaluated by a medical board after receiving the now-rare radial keratotomy, RK, the first common vision-correction surgical procedure. RK involved shaping the cornea with spoke-like scalpel cuts that, service medical officials insisted, weakened the eye structure and put members at risk in military operating environments.

Service officials outlined the restrictions on their active duty members.

Laser eye surgery accomplished before a member enters active duty continues to be a medical disqualifier. However, medical waivers are possible. See the Laser Eye Surgery Medical Waiver Policy page for more information.

Currently, the Air Force allows free laser eye surgery (PRK) only to those in a limited number of jobs (AFSC). Other Air Force personnel are allowed to have the surgery space-available, or civilian surgery at their own expense, if they get permission from their Air Force Medical Facility and Commander, first. See the Air Force Laser Eye Surgery Page.

Navy policy disqualifies its aviators from flying duty if they have either procedure, Capt. Charles Barker said. Barker is the director of aerospace medicine for the Navy's Bureau of Medicine and Surgery here. "If they go out and get this on their own, don't tell anybody and get caught, they're not physically qualified and they would have to be reassigned to some other general duty to finish their obligation," he said.

Barker said Navy policy may be affected, however, by two ongoing studies into the effects of laser eye surgery on aviators. Navy pilots enrolled in these studies can receive a waiver to remain on flying status.

Navy SEALs and divers are allowed to receive PRK, but not LASIK. "LASIK continues to be disqualifying with no waiver recommended for SEALs and divers," he said.

Sailors and Marines are required to have their commander's approval before having either procedure done and they must be cleared by service medical personnel before they can return to duty, Barker said.

For more details, see the Navy and Marine Corps Laser Eye Surgery Policy Page.

Army aviators will flunk their flight physicals if they have PRK and LASIK, but the Army is different from the other services in that it's providing PRK free to certain soldiers, said Army Dr. (Lt. Col.) Vernon Parmley, director of the Cornea Service at Madigan Army Medical Center, Fort Lewis, Wash. Womack Army Medical Center at Fort Bragg, N.C., has been performing free PRK laser eye surgery on active duty soldiers since June 1 (2000). The highest priority there goes to Special Forces soldiers, Rangers and soldiers in some frequently deployed units (See Army Policy)

Army medical officials say the service plans to offer the procedure at four more centers by mid-2001. See the Army Laser Eye Surgery Page for more information.

Officials from all the services stressed the importance of research before having any elective procedure. "This is surgery on your eyes," said the Air Force's Saenger. All surgery carries inherent risks, she said, and that fact is unfortunately downplayed or ignored in PRK and LASIK ads.

"Don't rely on any one person, any one Web site, any one source to give you the entire story about the risks and the benefits," Saenger said. "People really, really need to make an informed decision. It's not like glasses or contacts that you can change if they're not quite right."

Information Courtesy of American Forces Information Service

 

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