Laser surgery for astigmatism vs flight medical

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Laser surgery for astigmatism vs flight medical

Unread post by Induna » Tue Nov 17, 2020 11:36 am

Hi,

I would like to know the do's and don'ts for a class 2/4 medical wrt laser eye surgery to correct astigmatism.

Is this allowed according to the aviation medical regulations and what period will the medical certificate be invalid after such surgery?
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Re: Laser surgery for astigmatism vs flight medical

Unread post by Werner.B » Tue Nov 17, 2020 5:47 pm

Hi Induna,

I have very bad astigmatism in my eyes and my flight doc convinced me to do it. I went to Dr. Jan Thalma at the Pretoria Eye Institute and found that I was eligible to do the surgery. I went in 2018, was not allowed to fly for 6 weeks, Dr. wrote a report and I went back to my flight doc and everything was cleared. I still got my class 1 flight medical after the surgery.

From my point of view, do it! It is expensive, as my medical aid did not cover the surgery. But is was worth it.

Only negative part, my eyes are still a bit sensitive to dust and sunlight, I wear my sunnies almost all the time. :lol:
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Re: Laser surgery for astigmatism vs flight medical

Unread post by Induna » Tue Nov 17, 2020 5:54 pm

Werner.B wrote:
Tue Nov 17, 2020 5:47 pm
Hi Induna,

I have very bad astigmatism in my eyes and my flight doc convinced me to do it. I went to Dr. Jan Thalma at the Pretoria Eye Institute and found that I was eligible to do the surgery. I went in 2018, was not allowed to fly for 6 weeks, Dr. wrote a report and I went back to my flight doc and everything was cleared. I still got my class 1 flight medical after the surgery.

From my point of view, do it! It is expensive, as my medical aid did not cover the surgery. But is was worth it.

Only negative part, my eyes are still a bit sensitive to dust and sunlight, I wear my sunnies almost all the time. :lol:
Thanks for the reply. Mine is C(both): -0.75 and S(right): +1.25 & S(left) +1.50. My Dr told me that with a positive S it is not feasible to get a LASIK for astigmatism and I am exploring maybe the option for contact lenses, as I am getting tired of wearing spectacles.

During a normal day-to-day routine, I do not need any correction as I can see well far and near, but it is only when looking at books and computer screens that it's a bit blurry.

I wonder if it would be worth it in my case to get more opinions about LASIK.
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Re: Laser surgery for astigmatism vs flight medical

Unread post by krobarza » Tue Nov 17, 2020 11:37 pm

Induna wrote:
Tue Nov 17, 2020 11:36 am
Hi,

I would like to know the do's and don'ts for a class 2/4 medical wrt laser eye surgery to correct astigmatism.

Is this allowed according to the aviation medical regulations and what period will the medical certificate be invalid after such surgery?
“SCHEDULE 22: RADIAL KERATOMY /PRK/LASIK PROTOCOL
[1. Initial requirements:
(1) Waiting period of six months (three] two months after PRK/LASIK) after surgery.
(2) Reports from the treating ophthalmologist immediate post-surgery and after the six month waiting period –
(a) Visual acuity and other visual parameters should be within the standards required for the license type applied for.
(b) There should not be any fluctuation of vision.
(c) There should not be any glare problems.
(d) There should not be any post-operative complications that can jeopardize flight safety.
(e) Should not be on any unacceptable medication.
2. Procedure
(1) After the six month waiting period the applicant should submit the initial report and also the six monthly follow-up report from the treating ophthalmologist to the designated body or institution and his/her case will be presented to the aviation medical panel.
(2) If the reports are favourable, he/she will be declared fit to fly on this protocol.
3. Requirements once on this protocol
(1) Follow-up reports six monthly from the treating ophthalmologist for the first year
after being declared fit to fly.
(2) Yearly reports from the treating ophthalmologist thereafter.
(3) Any change in the status of the visual status will automatically render the applicant unfit, and will require a full investigation before further consideration.
Note: This protocol will be applicable to all licence classes of the civil aviation sector.]
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Re: Laser surgery for astigmatism vs flight medical

Unread post by krobarza » Tue Nov 17, 2020 11:44 pm

I remember this being discussed at a instuctor conference about 2 years ago.

You will basically require a opthamologist report every year till you stop flying, regardless of a favourable report after six months. So be prepared to add that cost to your medical
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Re: Laser surgery for astigmatism vs flight medical

Unread post by Werner.B » Wed Nov 18, 2020 7:55 am

Thanks for the reply. Mine is C(both): -0.75 and S(right): +1.25 & S(left) +1.50. My Dr told me that with a positive S it is not feasible to get a LASIK for astigmatism and I am exploring maybe the option for contact lenses, as I am getting tired of wearing spectacles.

During a normal day-to-day routine, I do not need any correction as I can see well far and near, but it is only when looking at books and computer screens that it's a bit blurry.

I wonder if it would be worth it in my case to get more opinions about LASIK.
[/quote]

Get a second opinion. The optometrist always told me that I can't go for a lasik. Took the chance to go and see a specialist, and two months later I got the surgery.
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Re: Laser surgery for astigmatism vs flight medical

Unread post by Induna » Wed Nov 18, 2020 8:03 am

Werner.B wrote:
Wed Nov 18, 2020 7:55 am
Thanks for the reply. Mine is C(both): -0.75 and S(right): +1.25 & S(left) +1.50. My Dr told me that with a positive S it is not feasible to get a LASIK for astigmatism and I am exploring maybe the option for contact lenses, as I am getting tired of wearing spectacles.

During a normal day-to-day routine, I do not need any correction as I can see well far and near, but it is only when looking at books and computer screens that it's a bit blurry.

I wonder if it would be worth it in my case to get more opinions about LASIK.
Get a second opinion. The optometrist always told me that I can't go for a lasik. Took the chance to go and see a specialist, and two months later I got the surgery.
[/quote]

My concern is the 6 months waiting period before my medical can be reinstated. I don't want to go through more trauma with CAA. For me it is a "nice to have" currently and I might try contact lenses first.
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Re: Laser surgery for astigmatism vs flight medical

Unread post by Werner.B » Wed Nov 18, 2020 12:29 pm

Also true, I was lucky at that stage because I did not have to wait for the 6 months to pass to go for a new medical.
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