a. Corneal Refractive Surgery sometimes known as excimer laser treatment, for correction of myopia (short-sightedness) is becoming much more widespread and available on the high street. The procedure, remains relatively new and, even drawing on world-wide experience, there is only limited evidence on the long term effects. There is the potential for disturbances of night vision in some individuals, particularly
in the presence of glare. However, the following methods of surgical correction of myopia or hypermetropia are now considered compatible with service on an individual case by case basis for non-specialist employment groups.
(1) Photo reactive keratectomy (PRK).
(2) Laser epithelial keratomileusis (LASEK).
(3) Laser insitu keratomileusis (LASIK).
(4) Intrastromal corneal rings (ICRs) otherwise known as intrastromal corneal segments (ICSs).
Incisional refractive surgery such as radial keratotomy or astigmatic keratotomy is not acceptable for service.
b. The standards for new recruits are covered in JSP 346 Paras 0305 and 0306.
c. Serving personnel who wish to have such treatment are to be informed that these procedures are not available from Service sources, and if carried out privately, could have an adverse effect on their future Service career by rendering them unfit for duty. It is also not currently acceptable for Aircrew.
d. Service personnel who have had corneal surgery (conventional or laser) carried out, may remain P2 but are to be referred to a Service consultant ophthalmologist for assessment. If their vision has deteriorated below the necessary standard for their branch they will require to be brought before a Naval Service Medical Board of Survey (NSMBOS).