Aviation_Opthalmology_Checklist.docx
DOCX document 16 KB Posted
- Attached to
- Ohio National Guard Vision Exam Services BPA
- Solicitation number
- W91364-20-Q-0018
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Other files
| File | Type | Posted |
|---|---|---|
| Vision Examination Statement of Work - Draft.pdf | ||
| W91364-20-Q-0018 VISION BPA.pdf | ||
| Vision Exam BPA terms.pdf |
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Flight Physical (Class I, II, III) Checklist
Report of Medical Vision Checklist
· 3. Distant Vision:
· 4. Near Vision:
· 5. Refraction Vision: (Block 62)
· Cycloplegic refraction required for Class I only
· Class II, III require Manifest refraction if uncorrected distant OR near vision is worse than 20/20
· 6. Depth Perception (annotate test conducted (Randot, Titmus or AFVT)
· Results listed as “# arc sec”
· Ex Randot 25 arc sec
· 7. Phorias by AFVTA: Requires: Eso, Exo, Hyper,
· Cover-uncover test : No detectable movement = ORTHO
· Near point convergence (measured in mm)
· 8. Intraocular Tension (>4mmHg between eyes = FAIL)
· 9. Color Vision: Must use PIP (scoring = plates missed/plates tested)
· 10. Field of Vision: Record findings for each eye (ex OD:NTC OS:NTC)
· 11. Night Vision: “NIBH” or annotate abnormalities
· 12. Corneal Topography:
· CLASS I Only
· State “Normal” or annotate abnormalities
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