Department of the Army AR 40–501 — Army Regulation 40–501 Standards of Medical Fitness Manual PDF (EN)

Downloaded from https://www.everyspec.com military uniform, and/or is subject to easy trauma, is disqualifying (V53.7). Retained hardware (733.99) (including plates, pins, rods, wires, or screws used for fixation) is not disqualifying if fractures are healed, ligaments are stable, there is no pain, and it is not subject to easy trauma. e. Current devices, including, but not limited to silastic or titanium, implanted to correct orthopedic abnormalities (V43), are disqualifying. f.

Current or history of contusion of bone or joint; an injury of more than a minor nature that will interfere or prevent performance of military duty, or will require frequent or prolonged treatment without fracture nerve injury, open wound, crush or dislocation, which occurred within the preceding 6 weeks (upper extremity (923), lower extremity (924), ribs and clavicle (922)) is disqualifying. g. History of joint replacement (V43.6) of any site is disqualifying. h.

Current or history of muscular paralysis, contracture, or atrophy (728), if progressive or of sufficient degree to interfere with or prevent satisfactory performance of military duty or if it will require frequent or prolonged treatment, is disqualifying. i. Current osteochondritis dessicans (732.7) is disqualifying. j. Current or history of osteochondromatosis or multiple cartilaginous exostoses (727.82) are disqualifying. k. Current osteoporosis (733) is disqualifying. l. Current osteomyelitis (730), or history of recurrent osteomyelitis is disqualifying. (See also paras 2–9 and 2–10.) 2–12. Eyes a. Lids.

(1) Current blepharitis (373), chronic or acute, until cured (373.00), is disqualifying. (2) Current blepharospasm (333.81) is disqualifying. (3) Current dacryocystitis, acute or chronic (375.30) is disqualifying. (4) Deformity of the lids (374.4), complete or extensive lid deformity, sufficient to interfere with vision or impair protection of the eye from exposure is disqualifying. (5) Current growths or tumors of the eyelid, other than small, non-progressive, asymptomatic, benign lesions, are disqualifying. b. Conjunctiva. (1) Current chronic conjunctivitis (372.1), including, but not limited to trachoma (076) and chronic allergic conjunc- tivitis (372.14), is disqualifying.

(2) Current or recurrent pterygium, (372.4), if condition encroaches on the cornea in excess of 3 mm, or interferes with vision, or is a progressive peripheral pterygium (372.42), or recurring pterygium after two operative procedures (372.45), is disqualifying. (3) Current xerophthalmia (372.53) is disqualifying. c. Cornea. (1) Current or history of corneal dystrophy of any type (371.5), including but not limited to keratoconus (371.6) of any degree is disqualifying. (2) History of refractive surgery including, but not limited to: Lamellar (P11.7) and/or penetrating keratoplasty (P11.6). Radial Keratotomy and Astigmatic Keratotomy is disqualifying.

Refractive surgery performed with an Excimer L a s e r , i n c l u d i n g b u t n o t l i m i t e d t o , P h o t o r e f r a c t i v e K e r a t e c t o m y ( c o m m o n l y k n o w n a s P R K ) , L a s e r E p i t h e l i a l Keratomileusis (commonly known as LASEK), and Laser-Assisted in situ Keratomileusis (commonly known as LASIK) (P11.7) is disqualifying if any of the following conditions are met: (a) Pre-surgical refractive error in either eye exceeds + 8.00 to - 8.00 diopters. (b) At least 6 months recovery period has not occurred between last refractive surgery or augmenting procedure and accession medical examination.

(c) There have been complications, and/or medications or ophthalmic solutions are required. (d) Post-surgical refraction in each eye is not stable as demonstrated by— 1. At least two separate refractions at least one month apart, the most recent of which demonstrates more than +/- 0.50 diopters difference for spherical vision and/or more than +/- 0.25 diopters for cylinder vision; and 2. At least 3 months recovery has not occurred between the last refractive surgery or augmenting procedure and one of the comparison refractions. (e) Pre-surgical and post-surgical refractive error does not meet the standards for the Military Service to which the candidate is applying.

(3) Current keratitis (370), acute or chronic, including, but not limited to recurrent corneal ulcers (370.0), erosions (abrasions), or herpetic ulcers (054.42) is disqualifying. (4) Current corneal vascularization (370.6) or corneal opacification (371) from any cause that is progressive or reduces vision below the standards prescribed in paragraph 2–13 is disqualifying. 8 AR 40–501 • 14 December 2007