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Navy SEALs PRK or Lasik Requirements

Lasik and PRK are allowed for US Navy SEALs, however special waivers may be required.


Image of Navy ophthalmologits performing Bladeless Lasik  
US military allows PRK and Lasik, however there are some limitations.
Image courtesy US Navy.
 
   

SEALs are required to perform a variety of tasks that require a high vision aptitude. SEAL candidates may qualify for PRK Refractive Surgery to correct their vision. You can read more about the PRK policy on the BUMED PRK Refractive Surgery web site http://navymedicine.med.navy.mil.

Eyesight Requirements

Uncorrected vision can be no worse than 20/200 in each eye. Both eyes must be correctable to 20/20 (Reference; Manual of the Medical Department, P-117, Chapter 15-105, Paragraph 7a(c)). No waivers for deficiencies. (Reference; Manual of the Medical Department, P-117, Chapter 15-105, Paragraph 7a(c).

BUMED waiver request: Reference Manual of the Medical Department, P-117, Chapter 15-102, Paragraph 3 and 3a. For more information on current requirements, contact your local recruiter or reference Manual of the Medical Department, P-117, Chapter 15-102, Paragraph 3 and 3a, or http://navymedicine.med.navy.mil.

Eye Waivers

Ref: (a) COMNAVCRUITCOMINST 1130.8 (SERIES) (b) Manual of the Medical Department P-117 I.

Eye Sight waivers (Active Duty/Reservist)

a. Per the references, Eyesight Requirements: Uncorrected vision can be no worse than 20/200 in each eye. Both eyes must be correctable to 20/20.

b. BUMED waiver request: Reference Manual of the Medical Department, P-117, Chapter 15-102, Paragraph 3 and 3a.

c. The eyesight waiver must be included with the medical package per reference (a) to the SPECWAR Assignments (PERS 401D) for review. d. The eyesight waiver request must be included with the completed BUD/S package for final approval from the SPECWAR Assignments (PERS-401D).

II. Photorefractive keratectomy (PRK) or In-Situ Keratomileusis (Lasik) surgery (Active Duty/Reservist)

a. IAW reference (b) PRK or Lasik surgery waivers are granted case by case by BUMED.

b. An approved PRK or Lasik surgery waiver must be included with your medical package per reference (a) to the Naval Special Warfare Center Medical Department for review.

c. The PRK or Lasik surgery waiver must also be included with the completed BUD/S package for final approval from the SPECWAR Assignments (PERS-401D).

NOTES

Navy personnel or prospective recruits to the Navy who choose to have surgery performed by a civilian surgeon, they should complete the following checklist items: Review the Navy message that outlines refractive surgery policy for the Navy and Marine Corps (R 101331Z APR 00).

If planning to apply for BUD/S training, review the Navy message that outlines the requirements for new accessions into training (BUMED/30MAR2000/SER 25/NOTAL; refractive surgery policy in the Navy and Marine Corps for new accessions) and as specified by approved LASIK study protocols. Complete the pre-op counseling form for active duty service members prior to getting PRK from a civilian provider (This document is posted as a link on the BUMED home page: http://www-nmcp.mar.med.navy.mil/Ophthal/PRKSurgery.asp (Appendix 3).

Complete the post-op medical clearance for return to duty form after having PRK. (This document is posted as a link on the BUMED home page: http://www-nmcp.mar.med.navy.mil/Ophthal/PRKSurgery.asp

Clearance for return to full and unrestricted duty.

Questions regarding corrective eye surgery can be directed to the following department: Deputy Research Director, Navy Refractive Surgery Center Ophthalmology, NMCSD 2650 Stockton Road San Diego, CA 92106 (619)524-6733, FAX (619)524-1731 Clinic (619)524-5515

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

Personalized Answers

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Recent Military and Refractive Surgery Medical Journal Articles...

Related Articles

Polymorphism in THBS1 gene is associated with post-refractive surgery chronic ocular surface inflammation.

Ophthalmology. 2014 Jul;121(7):1389-97

Authors: Contreras-Ruiz L, Ryan DS, Sia RK, Bower KS, Dartt DA, Masli S

Abstract
PURPOSE: To determine the association of single nucleotide polymorphisms (SNPs) of the thrombospondin 1 (THBS1) gene with development of chronic ocular surface inflammation (keratoconjunctivitis) after refractive surgery.
DESIGN: Retrospective cohort study.
PARTICIPANTS: Active duty U.S. Army soldiers (n = 143) who opted for refractive surgery.
METHODS: Conjunctival impression cytology samples collected from participants before the surgery were used to harvest DNA for genotyping 5 THBS1 SNPs (rs1478604, rs2228262, rs2292305, rs2228262, and rs3743125) using the Sequenom iPLEX Gold platform (Sequenom, San Diego, CA). Samples collected after surgery were used to harvest RNA for gene expression analysis by real-time polymerase chain reaction (PCR). Participants were followed for 1 year after surgery to monitor the status of keratoconjunctivitis.
MAIN OUTCOME MEASURES: Genetic basis of the development of chronic keratoconjunctivitis after refractive surgery.
RESULTS: Carriers of minor alleles of 3 SNPs each were found to be more susceptible to developing chronic keratoconjunctivitis (rs1478604: odds ratio [OR], 2.5; 95% confidence interval [CI], 1.41-4.47; P = 2.5 × 10(-3); rs2228262 and rs2292305: OR, 1.9; 95% CI, 1.05-3.51; P = 4.8 × 10(-2)). Carriers of the rs1478604 minor allele expressed significantly reduced levels of thrombospondin 1 (TSP1) (P = 0.042) and increased levels of an inflammatory cytokine associated with keratoconjunctivitis, interleukin-1β (P = 0.025), in their ocular surface epithelial cells compared with homozygous major allele controls.
CONCLUSIONS: Genetic variation in the THBS1 gene that results in decreased expression of the encoded glycoprotein TSP1 in ocular surface epithelial cells significantly increases the susceptibility to develop chronic ocular surface inflammation after refractive surgery. Further investigation of THBS1 SNPs in a larger sample size is warranted.

PMID: 24679443 [PubMed - indexed for MEDLINE]

 


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