Looking for the experts to weigh in! I appreciate the years of knowledge on this form, & will take your logic seriously!
????? what's the reality of 4.7 diaopter astigmatism on 1 eye, stable, with
no keratoplast or croslinking or any ocular pathology or any other issue?????
I have a family member looking to join the coast guard reserves as a
boatswain mate. They have an astigmatism on 1 eye at 4.7 diaopters, they have
been looking into lasik to correct there vision, they wear glasses but
fall within the acceptable perimeters there per the dodi manual, for vision
issues .....except for the "astigmatism" in one eye.
I am scared to have them speak to the Recruiter about this issue,
......they have not met with the recruiter yet...and if they tell the recruiter
they could be totally screwed in general, because now its on file at
MEPS. ****Its like telling g a cop u committed murder, your f**k*d for
They definitely want to do coast guard. I spoke to an army recruiter for
general info, he told me if they did lasik, and did not declare it, MEPS is not
even going to look into there eyes and they could just keep it moving at MEPS as they would then pass the eye exam, so long as they didn't mention it, and
were able to pass the eye chart, they are good to go.
I want them to be honest... but they could go get lasik surgery and just go
read the eye chart and there in .....or get Disqualified for being a
I want them to do the right thing without condemning themselves,....
I saw a 2017 email on line waiver Criteria for astigmatism
saying the coast guard was trying to align itself with the Department of
Defense regs and they were posably allowing waivers for a 5 diaopter
astigmatism, how common is a waiver for An astigmatism? No other issues
""From: CMD-SMB-COMDT-CG1 Sent: Tuesday, April
04, 2017 2:57 PM To: CMD-SMB-CG-HSWL-SC; CMD-SMB-COMDT-CG1 Subject: WAIVER
CRITERIA FOR ASTIGMATISM UNCLAS
//N06010// SUBJ: WAIVER CRITERIA FOR ASTIGMATISM A. Medical Standards for Appointment, Enlistment,
or Induction in the Military Services, DoDI 6130.03 Change 1 B.
Coast Guard Medical Manual, COMDTINST M6000.1 (series) 1. This message revises
the Coast Guard waiver criteria for astigmatism. 2. Astigmatism results from a
cylindrical refractive error causing blurry vision due to the
inability of the eye optics to focus a point object into a sharp
focused image on the retina. Astigmatism with a high cylindrical
refractive error is a risk factor for keratoconus. 3. Potential
military accessions with astigmatism exceeding 3.00 diopters do not
meet medical standards for accession into any military branch per REF
(A). However, the Department of Defense (DoD) considers waivers on
a case by case basis for astigmatism between 3.00 and 5.00 diopters
with normal corneal topography and keratometry studies. 4. To align
with DoD, the Coast Guard Recruiting Command (CGRC)/Coast Guard Academy
(CGA)/Coast Guard Personnel Command (CG‐PSC) should consider a waiver for
potential accessions with
stable astigmatism between 3.00 and 5.00 diopters if the following
conditions are met: a. The potential accession has had
a corneal examination performed by an ophthalmologist or optometrist within
twelve months prior to the waiver request, b. The
corneal topography and keratometry demonstrate no evidence of ocular
pathology, c. There is no history of prior
ocular pathology, keratoplasty or crosslinking and,
d. The potential accession will not apply for an
aviation or diving position. e. The potential accession
meets distant and near visual acuity standards. 5. This waiver consideration
should also apply to potential accessions who otherwise meet
accession post corneal refractive surgery criteria as outlined in chapter
3‐D.8.c of REF (B).
DoDI 6130.03, March 30, 2018
(a) Pre-surgical refractive error in either eye exceeded a spherical equivalent of +8.00
or -8.00 diopters.
(b) Pre-surgical astigmatism exceeded 3.00 diopters.
(c) Within 180 days of accession medical examination.
(d) Complications, ongoing medications, ophthalmic solutions, or any other
therapeutic interventions required beyond 180 days of procedure.
(e) Post-surgical refraction in each eye is not stable as demonstrated by at least two
separate refractions at least 1 month apart, with initial refraction at least 90 days post-procedure,
and the most recent of which demonstrates either more than +/- 0.50 diopters difference for
spherical vision or more than +/- 0.50 diopters for cylinder vision.
(4) Current or recurrent keratitis.
(5) History of herpes simplex virus keratitis.
(6) Current corneal neovascularization, unspecified, or corneal opacification from any
cause that is progressive or reduces vision.
(7) Any history of uveitis or iridocyclitis.