Unique medical question re phoria (eyes)

riot shields

Well-Known Member
I have a rather unique question that I can’t seem to get any answers to and any information would be greatly appreciated.

For a CFI that I know a medical issue has been noticed when getting examined for a medical certificate. For part of the medical exam a phoria test is given(the info is at the bottom of the post). The person does fine on all parts of the exam except the vergence-phoria. The person can obtain a first class medical, however it seems the doctor looks over this part of the examination, but this problem will soon have to be noted to the doctor and/or FAA. He has seen an optometrist and he has written a letter saying “When fusion is broken he does not experience diplopia. I see no reason to disqualify him from a first class physical on the basis of his eye examination. The doctor noted the amount off which exceeds what the FAA requires to pass the medical. But he is in a bind on what to do on the next medical. He will be going for his first class medical again in a month or two, he is sure he can get the first class medical from his normal doctor, but he is not sure how much longer he will be able to do so. He is about ready to apply for some sort of airline job in the coming months, but is told that if he has the information forwarded to the FAA, Oklahoma will take about 6 months to even look at the information. So, he is thinking about doing one of the following….

1. Get the first class medical and see the optometrist to see if the vergence is getting less or if it is staying the same. If it is getting better, or if the optometrist says he can pass the REAL way, then there won’t really be a problem. But if he says he can not pass then he may forward the information to the FAA so that the problem can get fixed and possibly get issued a SODA.
2. Get the first class medical and not forward the info to the FAA, then get a job in the regionals or something, but if he ends up not passing the medical exam somewhere down the line and gets denied, he may loose his job.

I know this is a rather unique problem, but any information would help a lot. Has anyone ever heard of this, or know of anyone who has obtained a SODA regarding this type of thing?

Thanks so much,
Below is the information about vergence-phoria.



******
67.103 Eye

Sufficient bifoveal fixation and vergence-phoria.


B. First- and Second-Class
If an applicant exceeds the heterophoria standards (1 prism diopter of hyperphoria, 6 prism diopters of esophoria, or 6 prism diopters of exophoria) but shows no evidence of diplopia or serious eye pathology, and all other aspects of the examination are favorable, the Examiner should not withhold or deny the medical certificate. The applicant should be advised that the FAA may require further examination by a qualified eye specialist.
C. Diplopia
Any applicant with a history of diplopia should be denied or deferred unless the applicant provides written evidence that the FAA has previously considered and determined that this condition is not adverse to flight safety
 
Pretty simple, the airline does not know the results of the specific portions of the flight physical (unless they have their own medical department). It is private and protected by HIPPA.

As long as there is no diplopia and the AME does not identify other significant eye or neurological pathology, the FAA will not even ask for other studies. I have yet to see (been doing these since 1976 for the FAA) the FAA ask for any other tests in this circumstance (no diplopia).

The standards are the same for 1st & 2nd class exams. In the military the phoria standards are tighter and they tend to disqualify more readily.

Relax:)
 
I have a problem with the phoria test as well. I've got six medical exams in the past (all first class) without any problems. The only thing I've had to do was take an eye exam form (FAA Form) to an optomotrist and he had to fill in the blanks. Take it back to your AME---and he/she types up your 1st class.

I was really stressed about this for a while, but my last AME said not to worry about it, because he's seen guys get a 1st class with a glass eye.

Needless to say, I've never worried about it again!
 
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