Vision Disqualification

[GoCubbies]

Your refraction is pretty bad.

The formula:

spherical equivalent = sphere + 1/2(cylinder)

Someone who has high myopia (worse than -6 diopters) is at increased risk for retinal detachments and other retinal pathology. Your exam will probably consist of a look into your retina (back of your eye) for abnormalities like retinal holes, tears, and lattice degeneration.

You’ve got a high degree of astigmatism too which means you probably can’t be corrected to 20/20 with soft contacts. Right now, you’ve probably got glasses or hard contacts.

 

[WolverineX]

Your refraction is pretty bad.

The formula:

spherical equivalent = sphere + 1/2(cylinder)

Someone who has high myopia (worse than -6 diopters) is at increased risk for retinal detachments and other retinal pathology. Your exam will probably consist of a look into your retina (back of your eye) for abnormalities like retinal holes, tears, and lattice degeneration.

You’ve got a high degree of astigmatism too which means you probably can’t be corrected to 20/20 with soft contacts. Right now, you’ve probably got glasses or hard contacts.

Question,
Son has 20/15 in both eyes
Fail Tropia ESO 11
Pass Vivid Red Green
Fail Red lens (Diplopia Supression) Left Gaze
No glasses No contacts
DODMERB says Q remedial required for WP
Not sure how what to think of this.

 

[kp2001]

Question,
Son has 20/15 in both eyes
Fail Tropia ESO 11
Pass Vivid Red Green
Fail Red lens (Diplopia Supression) Left Gaze
No glasses No contacts
DODMERB says Q remedial required for WP
Not sure how what to think of this.

Does he have a history of eye misalignment or strabismus surgery? History of needing to patch an eye?

This smells of a condition called monofixation syndrome.

 

[WolverineX]

Question,
Son has 20/15 in both eyes
Fail Tropia ESO 11
Pass Vivid Red Green
Fail Red lens (Diplopia Supression) Left Gaze
No glasses No contacts
DODMERB says Q remedial required for WP
Not sure how what to think of this.

Does he have a history of eye misalignment or strabismus surgery? History of needing to patch an eye?

This smells of a condition called monofixation syndrome.

No. My son has never had any issues.

 

[GoCubbies]

I agree with kp2001.

Sounds like microstrabismus microesotropia or monofixation syndrome.

Just out of curiosity, did he fail depth perception screening or another test caught it during the eye exam?

 

[WolverineX]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

 

[GoCubbies]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I'm not quite sure what to make of this since it's only WP that requested the remedial.

We need to take a step back a moment.

Your DS is medically qualified for USAFA and USNA? No remedials were requested from them?

If your DS failed the Red Lens test, then that tells me he has double vision at certain positions of his eye. I know the Army Regulation 40-501 (Standards of Medical Fitness) says diplopia is DQ.

What remedials is WP asking for exactly? Is it just a rest of tropias/phorias? Your DS esotropia is 11 but the standard is <15 so he meets the standard there. Extropia standard is <10.

 

[GoCubbies]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I forgot to ask in my last post.

The ESO is 11. Does your DS have a obvious inward turn of one of his eyes?

 

[WolverineX]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I forgot to ask in my last post.

The ESO is 11. Does your DS have a obvious inward turn of one of his eyes?

The way the Dr. described it is brief diplopia on the left gaze followed by suppression. His left eye has difficulty turning outward.
DODMERB has changed to remedial requested. Docs submitted. We shall see.

 

[GoCubbies]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I forgot to ask in my last post.

The ESO is 11. Does your DS have a obvious inward turn of one of his eyes?

The way the Dr. described it is brief diplopia on the left gaze followed by suppression. His left eye has difficulty turning outward.
DODMERB has changed to remedial requested. Docs submitted. We shall see.

Ok. That makes sense now.

So when your DS looks to the left, he sees 2 objects. However, the brain doesn't like that (our body doesn't like to get confused) so it "suppresses" the picture from one eye which allow the brain to process the picture only from the other eye. The primary concern when our brain processes a picture from only one eye, stereopsis (in short, ability to perceive depth) is reduced. However, having binocular vision isn't the only thing that allows humans to have stereopsis. There are other visual cues that allow us to judge depth and distance.

The other concern is at night. Without the other visual cues available when it's dark, the brain may not suppress the other picture and your son is at risk for continuing to see 2 objects when looking left.

Probably not an issue for commissioning because he does have the ability to suppress, but certainly an issue should he want to go into aviation.

 

[craigm4]

I have completed all of my medical processes. The gentleman at my physical said he would refer me to an Ear, Eyes, and Throat doctor. Does anyone know, since my medical stuff has all been submitted, how long it will take to hear of my status? If I'm DQ or in Remedial status?

 

[WolverineX]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I forgot to ask in my last post.

The ESO is 11. Does your DS have a obvious inward turn of one of his eyes?

The way the Dr. described it is brief diplopia on the left gaze followed by suppression. His left eye has difficulty turning outward.
DODMERB has changed to remedial requested. Docs submitted. We shall see.

Ok. That makes sense now.

So when your DS looks to the left, he sees 2 objects. However, the brain doesn't like that (our body doesn't like to get confused) so it "suppresses" the picture from one eye which allow the brain to process the picture only from the other eye. The primary concern when our brain processes a picture from only one eye, stereopsis (in short, ability to perceive depth) is reduced. However, having binocular vision isn't the only thing that allows humans to have stereopsis. There are other visual cues that allow us to judge depth and distance.

The other concern is at night. Without the other visual cues available when it's dark, the brain may not suppress the other picture and your son is at risk for continuing to see 2 objects when looking left.

Probably not an issue for commissioning because he does have the ability to suppress, but certainly an issue should he want to go into aviation.

So this morning, he looks at DODMERB and says Does Not Meet Medical Standards......
From Qualified to Remedial requested to Under DODMERB Review to Does Not Meet Medical Standards.....Who knows!

 

[GoCubbies]

So this morning, he looks at DODMERB and says Does Not Meet Medical Standards......
From Qualified to Remedial requested to Under DODMERB Review to Does Not Meet Medical Standards.....Who knows!

Ouch. I’d email the DODMERB tech as ask what’s going on.

My DD’s status changed a couple times and the tech said it was because of the new system their implementing. This was August/September.

 

[WolverineX]

So this morning, he looks at DODMERB and says Does Not Meet Medical Standards......
From Qualified to Remedial requested to Under DODMERB Review to Does Not Meet Medical Standards.....Who knows!

Ouch. I’d email the DODMERB tech as ask what’s going on.

My DD’s status changed a couple times and the tech said it was because of the new system their implementing. This was August/September.

I have been reading several posts about kids and parents having all these issues and feeling bad for them. My son goes from Q to DNMMS and I'm wondering WTHeck! IYO is this close to the end of the road? We'll still stay in the process but put it on the backburner.
I hate it, cause he's worked hard, done great at all his interviews, Eagle Scout, etc...

 

[GoCubbies]

Yes. Depth perception screening. Remedial requested only by WP.
How may this affect him? it still shows him as Q.

I forgot to ask in my last post.

The ESO is 11. Does your DS have a obvious inward turn of one of his eyes?

The way the Dr. described it is brief diplopia on the left gaze followed by suppression. His left eye has difficulty turning outward.
DODMERB has changed to remedial requested. Docs submitted. We shall see.

Ok. That makes sense now.

So when your DS looks to the left, he sees 2 objects. However, the brain doesn't like that (our body doesn't like to get confused) so it "suppresses" the picture from one eye which allow the brain to process the picture only from the other eye. The primary concern when our brain processes a picture from only one eye, stereopsis (in short, ability to perceive depth) is reduced. However, having binocular vision isn't the only thing that allows humans to have stereopsis. There are other visual cues that allow us to judge depth and distance.

The other concern is at night. Without the other visual cues available when it's dark, the brain may not suppress the other picture and your son is at risk for continuing to see 2 objects when looking left.

Probably not an issue for commissioning because he does have the ability to suppress, but certainly an issue should he want to go into aviation.

@WolverineX

Just for the record, I got 2 thoughts mixed up in my answer above so want to correct. At night or low light environments, those without stereoposis are at a disadvantage because there are no other visual cues for them to judge distance and depth.

During the test, your DS probably saw 2 lights (diplopia) when looking left and then quickly saw 1 light (suppression). Those with your son's condition can suppress better at night because the "weaker" eye is not stimulated by light. In normal lighting conditions, the weaker eye may "wake up" and see an object. Because the "weaker" eye is not aligned with the other eye, the brain sees 2 objects. Because the brain doesn't like to be confused, it shuts input from one eye so only 1 object is "seen" and processed.

I know it may be confusing and doesn't change what's doing on with DODMERB but just wanted to correct my combination of 2 thoughts above.