eye surgery

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alright chaps...basically i know that LASEK is the acceptable laser eye surgery to be elegible for the RMs (after 1 yr) but as my eyes are past -4.00, I have to have LASIK. The difference is that in LASEK, the upper surface of the cornea is scrpaed, the cornea lasered and the upper payer grows back (once healed, the eye is like new, its not visible that surgery has occured. LASEK is when a small cut is made in the upper layer, its pulled back, cornea lasered, then its put back down. Basically what im asking is if your still elegible after LASIK-i mean, I asked someone at the laser eye surgery place and she said the armed forces were uneasy about LASIK as the cutting to make the flap to pull used to be done with a knife, now its a laser and so that flap is much more secure, and it becoming loosened is now much more unlikely, unless you get a knock to the eye, a big one, which would cause an eye injury anway!

so, if anyone whos been in this situation before, or if a MO sees this, would appreciate some advice-i call careers countless times and the guy i need to speak to is never in, and though i leave my number, i never get called.

cheers
 

Ninja_Stoker

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Hi, welcome to the site.

The current advice has recently been updated & you are advised to take the transcript below to an opthalmic surgeon investigate whether paragraph C) below alters your potential to join or not.

BEFORE you have ANY surgery ask for an appointment to see the Medical Examiner at your AFCO for definitive clarification. The Medical Examiners seldom have time to return phonecalls for queries, however if you have a dedicated appointment you should be able to gain definitive advice.

First of all you need to be fully aware that the Naval Service does not endorse the use of laser surgery as a method to gain entry and there is no guarantee that such treatment will improve vision to an acceptable standard.

The Naval Service requires individuals to serve anywhere in the world, in extremes of climate and operational situations, which are remote from primary and secondary care. Therefore, even minor conditions such as the use of correcting lenses can take on much greater significance when even basic support is limited. As a consequence, medical screening is stringent and to a higher standard than might be expected for normal civilian employment.

In general, any defect or weakness of sight will be a bar to entry if these defects render an individual incapable of, or likely to be incapable of performing general duties in the Naval Service. The tri-Service standard for uncorrected visual acuity is right eye 6/60 and left eye> 6/60.

With regard to surgical correction of myopia or hypermetropia, it is acknowledged that the following methods are now considered suitable for entry on an individual case by case basis for non-specialist employment groups and subject to single Service requirements:

(a) Photorefractive Keratectomy (PRK)

(b) Laser Epithelial Keratomileusis (LASEK)

(c) Laser in-situ Keratomileusis

(d) Intrastromal Corneal Rings (ICRs), otherwise known as Intrastromal
Segments (ICS).


Entry will not be considered for Radical Keratotomy (RK), or Astigmatic Keratotomy (AK), or any other form of incisional refractive surgery, other than those procedures listed above. All invasive intraocular surgical procedures will remain a bar to entry.

In order to be considered a candidate must fulfil the following criteria and provide documentary evidence to support that:

(a) The pre-operative refractive error was not more than +6.00 or 6.00diopter (spherical equivalent) in either eye and;

(b) The best spectacle corrected visual acuity is 6/9 or better in each eye and;

(c) At least 12 months have elapsed since the date of the last surgery or enhancement procedure and;

(d) There has been no significant visual side effects secondary to the surgery affecting daily activities and;

(e) Refraction is stable; as defined by two refractions performed on each eye at least 6 months apart, with no more than 0.50 diopter difference in the spherical equivalent in each eye.

(f) Specialist visual function testing has been carried out with satisfactory results at least 12 months following surgery, including assessment of refraction, symmetry of visual acuity, high and low contrast sensitivity (with and without glare sources), astigmatism, glare, corneal clarity, masked mild hypermetropia and night vision.

An applicant who has undergone eyesight corrective laser surgery must supply evidence of the above and may be subject to evaluation by a Service Ophthalmic Consultant. Each case is considered on an individual basis and if all the criteria are met it may be possible to consider an application to enter the Naval Service.

Decisions regarding any kind of ophthalmic surgery should be discussed with an Ophthalmic Consultant. This text should be taken to ophthalmic consultations where eyesight corrective laser surgery is to be discussed with a view to achieving the necessary eyesight standards for entry.

Good luck.
 

francis666

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hi ninja,

but with regards to this part...

(a) The pre-operative refractive error was not more than +6.00 or 6.00diopter (spherical equivalent) in either eye and;

your saying if your eyes were over this, your screwed, even after surgery?? How does that make sense? Both LASEK and LASIK are named on the list-if you are above -4.00, you have to have LASIK anyway...so whats the difference if some one has eyes at -6.00 and gets LASIK and someone over this prescription, e,g. -6.50....surly laser surgery is all the same at these prescriptions-are you able to explain this part please?

how can someone willing to fight for queen and country encounter so much trouble, when theyre physically fit, and their eyes are 100% after surgery?

one more thing mate-whats the medical examination like-what does it entail with regards to eyes...how detailed is it?-im taking it your a RM/EX RM so know the details.

thanks mate, appreciate it
 

francis666

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ninja...have you ever heard of anyone to have had over the prescription -7.00 before eye surgery, and after eye surgery with 20 20 vision, appealing to the navy? if not, would this be possible? ta
 

Ninja_Stoker

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Apologies, I missed the original post.

The above extract is taken directly from the medical advice written with regard the medical standards for entry, so is most definitely correct with regard the current rules and regulations.

As stated you need to talk to the Medical Examiner for clarification if required. As I'm not qualified to offer definitive medical advice, my only assumption with regard the pre-operative criteria that must be met is that it is in case the laser surgery is not successful, but again I'm only guessing.

With regard medical appeals, you may only appeal against the incorrect diagnosis of a condition rather than the definite medical standards for entry. I have heard tell that certain trades in other services may accept differing eyesight standards (again you would need to confirm this with the relevant service expert), however for the RN & RM the minimum acceptable standard is Visual Acuity standard 3 and unfortunately there is no accepted compromise.

It's appreciated this isn't the answer you wished to hear and it is much regretted, however it's worth perhaps at least enquiring on the eyesight standards for RAF or Army in the infantry roles also. Good luck.
 

Jimmy

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hiya ninja
my eyes arent amazing and ive worn glasses and contacts since i was about 7. looking at my contact lense box now, its says 'POWER +5.00' which i assume means i have -5.00 vision? this is in my right eye as well - very unlucky. i took in most of what you said, but im still worried. i think im just *text deleted**text deleted** have to go down to the careers office to get the situation checked out. is this a good idea?

james
 

Mowgli

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Hi

Ninja, with regards to the 12 month wait after any form of surgery, does that mean 12months up untill you can apply, or 12 months up untill PRMC or RT assumming a candidate got that far into the process?

Thanks for your time
 
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