{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:15:38Z","timestamp":1728360938928},"reference-count":8,"publisher":"Aerospace Medical Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>\n<jats:bold>BACKGROUND:<\/jats:bold> This report presents a unique case that illustrates the importance of ocular history and photo documentation of ophthalmologic pathology when waivers are granted.<\/jats:p>\n<jats:p>\n<jats:bold>CASE REPORT:<\/jats:bold> A United States Navy pilot applicant was granted a waiver for a corneal scar of unknown etiology. He chose not to pursue Navy pilot training and reenrolled as a United States Marine Corps pilot applicant. He did not mention the previous waiver or subsequent civilian surgical corneal treatment for Salzmann\u2019s nodular degeneration and was diagnosed with gelatinous drop-like corneal dystrophy. Eventually all information was disclosed, and the diagnosis was changed to postoperative changes from previous Salzmann\u2019s nodule removal, which is disqualifying for Marine Corps pilot applicants.<\/jats:p>\n<jats:p>\n<jats:bold>DISCUSSION:<\/jats:bold> Corneal dystrophy and degeneration are disqualifying conditions for military pilot applicants. A detailed history, to include surgical history, must be disclosed by the applicant. Photo documentation and appropriate topographic studies should also be completed and reviewed when waivers for corneal pathology are considered.<\/jats:p>\n<jats:p>\n<jats:bold>Thorgrimson JL, Hessert DD. <jats:italic>Salzmann\u2019s nodular degeneration in a pilot applicant<\/jats:italic>. Aerosp Med Hum Perform. 2023; 94(5):400\u2013403.<\/jats:bold>\n<\/jats:p>","DOI":"10.3357\/amhp.6184.2023","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T04:36:52Z","timestamp":1681792612000},"page":"400-403","source":"Crossref","is-referenced-by-count":0,"title":["Salzmann\u2019s Nodular Degeneration in a Pilot Applicant"],"prefix":"10.3357","volume":"94","author":[{"given":"Joelle L.","family":"Thorgrimson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David D.","family":"Hessert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"2","key":"B1","series-title":"Eye","first-page":"198","article-title":"Gelatinous drop-like corneal dystrophy in a child with developmental delay: clinicopathological features and exclusion of the M1S1 gene","volume":"19","author":"Akhtar S","year":"2005","unstructured":"Akhtar S\n\n, \n\nBron AJ\n\n, \n\nQin X\n\n, \n\nCreer RC\n\n, \n\nGuggenheim JA\n\n, \n\nMeek KM\n\n\n. \nGelatinous drop-like corneal dystrophy in a child with developmental delay: clinicopathological features and exclusion of the M1S1 gene\n. \nEye\n. \n2005\n; \n19(2):198\u2013204. \n10.1038\/sj.eye.6701453"},{"year":"2021","key":"B2","unstructured":"Department of National Defence. Annex A \u2013 Medical Standards: Potential causes for medical disqualification of aircrew. In: AMA Directive 100-01: Medical standards for CAF aircrew. Aerospace Medical \u00adAuthority; 2021: Section 4.2.c. Accessed January 9, 2023. \nhttps:\/\/www.aerospacemedicine.ca\/AMA100-01.pdf\n."},{"year":"2022","key":"B3","unstructured":"Federal Aviation Administration. Decision considerations \u2013 aerospace medical dispositions. In: Guide for aviation medical examiners. Federal Aviation Administration; 2022: Item 32. Ophthalmoscopic. Accessed \u00adJanuary 9, 2023. \nhttps:\/\/www.faa.gov\/about\/office_org\/headquarters_offices\/avs\/\n."},{"key":"B4","series-title":"Clinical Eye Atlas","first-page":"236","article-title":"Degenerations and dystrophies of the cornea","year":"2011","unstructured":"Gold DH\n\n, \n\nLewis RA\n\n, eds. Degenerations and dystrophies of the cornea. In: Clinical Eye Atlas\n. \n2nd ed. Oxford University Press\n; \n2011. p. 236\u2013257."},{"key":"B5","series-title":"Clinical Ophthalmology: A Systematic Approach","article-title":"Corneal degenerations","author":"Kanski JJ","year":"2003","unstructured":"Kanski JJ\n\n\n. \nCorneal degenerations. In: Clinical Ophthalmology: A Systematic Approach\n. \n5th ed. Butterworth-Heinemann\n; \n2003."},{"year":"2022","key":"B6","unstructured":"Naval Aerospace Medical Institute. 12.21 Corneal dystrophies and \u00addegenerations. In: U.S. Navy aeromedical reference and waiver guide. Naval Aerospace Medical Institute; 2022. Accessed August 14, 2022. \nhttps:\/\/www.med.navy.mil\/Navy-Medicine-Operational-Training-Command\/\n."},{"year":"2023","key":"B7","unstructured":"Oculus, Inc. The measurement principle. OCULUS USA. (n.d.). Accessed January 9, 2023\n. \n\nhttps:\/\/www.pentacam.com\/us\/technology\/\n."},{"key":"B8","series-title":"External Disease and Cornea 2010-2011","article-title":"American Academy of Ophthalmology, Bouchard CS, \u00adFlorakis GJ, Goins KM. Salzmann nodular degeneration","author":"Reidy JJ","year":"2011","unstructured":"Reidy JJ\n\n\n, \nAmerican Academy of Ophthalmology, Bouchard CS, \u00adFlorakis GJ, Goins KM. Salzmann nodular degeneration. In: External Disease and Cornea 2010-2011\n. \nAmerican Academy of Ophthalmology\n; \n2011."}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/5\/article-p400.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/5\/article-p400.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/5\/article-p400.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:35:23Z","timestamp":1728304523000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/5\/article-p400.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":8,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3357\/amhp.6184.2023","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"type":"print","value":"2375-6314"},{"type":"electronic","value":"2375-6322"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}