Downloaded from https://www.everyspec.com treatment after a reasonable period. This includes intractable allergic conjunctivitis inadequately controlled by medica- tions and immunotherapy. g. Residuals or complications of injury or disease, when progressive or when reduced visual acuity does not meet the criteria stated in paragraph 3–16 e . h. Unilateral detachment of retina if any of the following exists: (1) Visual acuity does not meet the standard stated in paragraph 3–16 e . (2) The visual field in the better eye is constricted to less than 20 degrees. (3) Uncorrectable diplopia exists.
(4) Detachment results from organic progressive disease or new growth, regardless of the condition of the better eye. i. Bilateral detachment of retina, regardless of etiology or results of corrective surgery. 3–16. Vision The causes for referral to an MEB are as follows: a. Aniseikonia, with subjective eye discomfort, neurologic symptoms, sensations of motion sickness and other gastrointestinal disturbances, functional disturbances and difficulties in form sense, and not corrected by iseikonica lenses. b. Binocular diplopia, not correctable by surgery, that is severe, constant, and in a zone less than 20 degrees from the primary position. c.
Hemianopsia, of any type if bilateral, permanent, and based on an organic defect. Those due to a functional neurosis and those due to transitory conditions, such as periodic migraine, are not considered to fall below required standards. d. Night blindness, of such a degree that the Soldier requires assistance in any travel at night. e. Visual acuity. (1) Vision that cannot be corrected with ordinary spectacle lenses (contact lenses or other special corrective devices (telescopic lenses, and so forth) are unacceptable) to at least:
20/40 in one eye and 20/100 in the other eye, or 20/30 in one eye and 20/200 in the other eye, or 20/20 in one eye and 20/800 in the other eye, or (2) An eye has been enucleated. f. Visual field with bilateral concentric constriction to less than 20 degrees. 3–17. Genitourinary system The causes for referral to an MEB are as follows: a. Cystitis, when complications or residuals of treatment themselves preclude satisfactory performance of duty. b. Dysmenorrhea, when symptomatic, irregular cycle, not amenable to treatment, and of such severity as to necessitate recurrent absences of more than 1 day. c.
Endometriosis, symptomatic and incapacitating to a degree that necessitates recurrent absences of more than 1 day. d. Hypospadias, when accompanied by evidence of chronic infection of the genitourinary tract or instances where the urine is voided in such a manner as to soil clothes or surroundings and the condition is not amenable to treatment. e. Incontinence of urine, due to disease or defect not amenable to treatment and of such severity as to necessitate recurrent absence from duty. f. Kidney. (1) Calculus in kidney, when bilateral, resulting in frequent or recurring infections, or when there is evidence of obstructive uropathy not responding to medical or surgical treatment.
(2) Congenital anomaly, when bilateral, resulting in frequent or recurring infections, or when there is evidence of obstructive uropathy not responding to medical or surgical treatment. (3) Cystic kidney (polycystic kidney), when symptomatic and renal function is impaired or is the focus of frequent infection. (4) Glomerulonephritis, when chronic. (5) Hydronephrosis, when more than mild, bilateral, and causing continuous or frequent symptoms. (6) Hypoplasia of the kidney, when symptomatic and associated with elevated blood pressure or frequent infections and not controlled by surgery. (7) Nephritis, when chronic. (8) Nephrosis.
(9) Perirenal abscess, with residuals of a degree that precludes the satisfactory performance of duty. (10) Pyelonephritis or pyelitis, when chronic, that has not responded to medical or surgical treatment, with evidence of hypertension, eye–ground changes, cardiac abnormalities. (11) Pyonephrosis, when not responding to treatment. 26 AR 40–501 • 14 December 2007