Aeromedical Certification of the Visual System

Question 1

List key questions for the ocular history.

Answer 1

1. Glasses and visual issues.
2. Childhood
   - - Glasses, patching, crossing, lazy eye, surgery (history of patch/cross important in pt who fails OVT)
3. Adolescent/Adult:
   - - Glasses (incl readers/cheaters)
   - - diplopia
   - - Flashes/floaters (everyone gets at some point, myopics get earlier)
   - - disturbances (CSR, ocular migraine)
   - - Eye injury/trauma
   - - Laser exposure
   - - Eye disease

Question 2

What is the role of optometry?

Answer 2

First line.

Handle refractions.

Question 3

What is the role of ophthalmology?

Answer 3

Handles ocular manifestations of ocular disease.
Surgery/treatment.
Enhance ophtho exam (esp in pt who failed exam without clear etiology)

Question 4

List 7 key items for ophtho AMS report.

Answer 4

1. List all ocular conditions.
2. List how IOP measured
3. List all prior exams chronologically with dates
4. Visual acuity meeds to indicate if corrected/uncorrected. List prescription with date.
5. Color and stereovision– indicate if correction worn (how old)– can only fail at best correction, incl for astigmatism as it can affect CCT
6. Copies of ancillary testing are legible.
7. Do not submit waiver until all testing complete

Question 5

What if a patient fails OCT but passes AO hectograph?

Answer 5

means passed alternate testing but still needs waiver. Does not mean that they have normal steropsis. They still need a work-up with resultant diagnosis.