AOPA Pilot Magazine - February 2012 - 34

FLYWELL

BY DR. JONATHAN M. SACKIER

Is it a bird? Is it a plane?

W

ho didn’t love Superman and his alter ego, Clark Kent? Flying was my favorite superpower, followed by X-ray vision, depicted by laser beams

Various infections, autoimmune diseases, diabetes, chronic dry eye, or prior surgery may disqualify you, as does participation in high-impact sports. Operation should be deferred during menopause or until eye growth is complete (over age 18). Insurance rarely covers this surgery; although expensive, in this economy prices have dropped. Performed as an outpatient with oral sedatives and local anesthetic drops, surgery is painless, although pressure and dimmed vision occur from application of instruments and while starshooting out of Superman’s eyes. If you cannot see Lois Lane in peril from a hundred yards without ing at a light facilitating laser positioning. LASIK Dr. Jonathan M. spectacles and want to explore options, pop into an (laser-assisted in situ keratomileusis) is most comSackier is a alley, pull your undies over your trousers, and zoom monly performed. First, a corneal flap is lifted, surgeon and having been cut with blade or laser, rather like off to see an ophthalmic surgeon to consider laser private pilot a trap door, exposing the internal corneal layer. eye correction. With advertisements proclaiming, living in Virginia. Laser pulses—programmed from preoperative “Perfect vision or your cash back.” I thought it time evaluation—reshape tissue, changing refraction to shed light on the therapy. The human eye is marvelous; light penetrates the wind- characteristics. A clicking sound is heard during laser firing; shield (cornea) at the pupil, an opening in the iris, which some say they detect a singed-hair aroma. The flap is replaced changes shape rapidly adjusting for lighting conditions. Inside, and the patient discharged wearing an eye patch and with eye the lens thickness varies depending on how light needs to be drops prescribed. Other rarely used options include radial or bent (refracted), further focusing images. An inverted picture photorefractive keratotomy (RK or PRK), where corneal slits is projected on the retina, thence to the brain via the optic are cut or a technique used where laser induces shape change. nerve where it is flipped right-way up allowing you to see that Many have both eyes treated at the same time; others choose tall building you need to leap over. Our eyes have other cool treatment one eye at a time. Recovery is swift with analgesics equipment—lids offering protection from debris, windshield relieving discomfort and irritation. Avoid eye rubbing, which can have negative consequences. washers, and muscles providing mobility. Problems seeing distant taxiway signs imply nearsightNo therapy is risk-free, so ensure you are fully informed. edness (myopia)—the eye is too long for its optical system. Perfect uncorrected vision may not result, requiring eyeglasses Others cannot see close up (hyperopia), while corneal warp- postoperatively and, if formerly myopic, you may find near vision ing (astigmatism) causes distortions in the horizontal and/or deteriorates necessitating reading glasses; eventually, visual vertical planes—the kind you see, not fly. All can be addressed keenness may regress. Quality and acuity must be considered, with eyeglasses or contact lenses. Overnight “training lenses” and some will develop dry eye, requiring treatment. With age, (orthokeratology) improve sight but are not comfortable or accommodation failure develops (presbyopia), impairing near acceptable for all patients. vision. Monovision correction by contact lens or laser involves If you pursue activities such as flying, skiing, scuba diving, or one eye set up for reading, the other for distance. However, depth others requiring good sight, eyeglasses or contact lenses may perception and image quality suffer. If considering laser monovinot suit you. If avoiding outer lenses appeals, consider laser sion correction consider a contact lens trial period first. refractive surgery. Gary Crump, AOPA’s director of medical certification, stated, “All Find a good eye surgical practice, talk to others, and research FDA-approved refractive procedures are FAA allowable.Postoperaweb assets such as the FDA and consumer-scoring sites. tively,self-grounduntilrecoveredandvisualacuitystabilizes,meeting Ascertain your doctor’s experience and results, but do not be standards for the class of medical privileges being exercised. The pressured into going ahead. Some centers engage ophthalmol- FAA requests, but does not require, Form 8500-7 Eye Evaluation ogists to evaluate your suitability. If you wear contact lenses, completed by the treating eye doctor, submitted after vision has switch to glasses for several weeks before examination to pre- stabilized.Alternatively, present it to the AME during your next FAA vent lens-induced corneal shaping interfering with accurate physical allowing office issuance, assuming no other issues.” surgical planning. Assessment includes measuring degree of Do your homework, put your glasses on, and read the fine correction required, building a 3-D map of your cornea, and print. For some people, quality of life is enhanced. I appreciate the advice I received from Dr. John Corboy. measuring its thickness; if too thin, surgery is not safe. Pupil size is noted and if too large, surgery may not be recommended as halos around bright lights or double vision may ensue. Email the author at jonathan.sackier@aopa.org. 34 • FEBRUARY
2012

AOPA PILOT •



AOPA Pilot Magazine - February 2012

Table of Contents for the Digital Edition of AOPA Pilot Magazine - February 2012

AOPA Pilot Magazine - February 2012
Contents
President’s Position
Hangar Talk
AOPA Media
AOPA Action
Letters
Waypoints
Proficient Pilot
Safety Pilot
License to Learn
Pilot Counsel
Fly Well
Pilot Briefing
Rally GA: Pay Up
Budget Buy: Classically Quick
Percival Provost: Fine Englishman
Flying Wild in Alaska
On Brand-New Wings
B-Ball to Biplane
2012 Tougher Than a Tornado Sweepstakes: Water Dog
The Bird and the Leprechaun
Avionics: Pilot Friendly
Technique: Wind Warrior
Wx Watch: The Problem with Pireps
Products: Anywhere Map Septa
Never Again
Fly-Outs
Fly by Wire
Pilots
AOPA Pilot Magazine - February 2012 - AOPA Pilot Magazine - February 2012
AOPA Pilot Magazine - February 2012 - Cover2
AOPA Pilot Magazine - February 2012 - 1
AOPA Pilot Magazine - February 2012 - Contents
AOPA Pilot Magazine - February 2012 - 3
AOPA Pilot Magazine - February 2012 - President’s Position
AOPA Pilot Magazine - February 2012 - 5
AOPA Pilot Magazine - February 2012 - Hangar Talk
AOPA Pilot Magazine - February 2012 - 7
AOPA Pilot Magazine - February 2012 - 8
AOPA Pilot Magazine - February 2012 - 9
AOPA Pilot Magazine - February 2012 - AOPA Media
AOPA Pilot Magazine - February 2012 - 11
AOPA Pilot Magazine - February 2012 - AOPA Action
AOPA Pilot Magazine - February 2012 - 13
AOPA Pilot Magazine - February 2012 - 14
AOPA Pilot Magazine - February 2012 - 15
AOPA Pilot Magazine - February 2012 - 16
AOPA Pilot Magazine - February 2012 - 17
AOPA Pilot Magazine - February 2012 - 18
AOPA Pilot Magazine - February 2012 - 19
AOPA Pilot Magazine - February 2012 - Letters
AOPA Pilot Magazine - February 2012 - 21
AOPA Pilot Magazine - February 2012 - 22
AOPA Pilot Magazine - February 2012 - 23
AOPA Pilot Magazine - February 2012 - Waypoints
AOPA Pilot Magazine - February 2012 - 25
AOPA Pilot Magazine - February 2012 - Proficient Pilot
AOPA Pilot Magazine - February 2012 - 27
AOPA Pilot Magazine - February 2012 - Safety Pilot
AOPA Pilot Magazine - February 2012 - 29
AOPA Pilot Magazine - February 2012 - License to Learn
AOPA Pilot Magazine - February 2012 - 31
AOPA Pilot Magazine - February 2012 - Pilot Counsel
AOPA Pilot Magazine - February 2012 - 33
AOPA Pilot Magazine - February 2012 - Fly Well
AOPA Pilot Magazine - February 2012 - 35
AOPA Pilot Magazine - February 2012 - Pilot Briefing
AOPA Pilot Magazine - February 2012 - 37
AOPA Pilot Magazine - February 2012 - 38
AOPA Pilot Magazine - February 2012 - 39
AOPA Pilot Magazine - February 2012 - 40
AOPA Pilot Magazine - February 2012 - Rally GA: Pay Up
AOPA Pilot Magazine - February 2012 - 42
AOPA Pilot Magazine - February 2012 - 43
AOPA Pilot Magazine - February 2012 - Budget Buy: Classically Quick
AOPA Pilot Magazine - February 2012 - 45
AOPA Pilot Magazine - February 2012 - 46
AOPA Pilot Magazine - February 2012 - 47
AOPA Pilot Magazine - February 2012 - 48
AOPA Pilot Magazine - February 2012 - 49
AOPA Pilot Magazine - February 2012 - 50
AOPA Pilot Magazine - February 2012 - 51
AOPA Pilot Magazine - February 2012 - Percival Provost: Fine Englishman
AOPA Pilot Magazine - February 2012 - 53
AOPA Pilot Magazine - February 2012 - 54
AOPA Pilot Magazine - February 2012 - 55
AOPA Pilot Magazine - February 2012 - 56
AOPA Pilot Magazine - February 2012 - 57
AOPA Pilot Magazine - February 2012 - Flying Wild in Alaska
AOPA Pilot Magazine - February 2012 - 59
AOPA Pilot Magazine - February 2012 - 60
AOPA Pilot Magazine - February 2012 - 61
AOPA Pilot Magazine - February 2012 - 62
AOPA Pilot Magazine - February 2012 - 63
AOPA Pilot Magazine - February 2012 - On Brand-New Wings
AOPA Pilot Magazine - February 2012 - 65
AOPA Pilot Magazine - February 2012 - 66
AOPA Pilot Magazine - February 2012 - 67
AOPA Pilot Magazine - February 2012 - 68
AOPA Pilot Magazine - February 2012 - 69
AOPA Pilot Magazine - February 2012 - 70
AOPA Pilot Magazine - February 2012 - 71
AOPA Pilot Magazine - February 2012 - B-Ball to Biplane
AOPA Pilot Magazine - February 2012 - 73
AOPA Pilot Magazine - February 2012 - 74
AOPA Pilot Magazine - February 2012 - 75
AOPA Pilot Magazine - February 2012 - 2012 Tougher Than a Tornado Sweepstakes: Water Dog
AOPA Pilot Magazine - February 2012 - 77
AOPA Pilot Magazine - February 2012 - 78
AOPA Pilot Magazine - February 2012 - 79
AOPA Pilot Magazine - February 2012 - 80
AOPA Pilot Magazine - February 2012 - 81
AOPA Pilot Magazine - February 2012 - The Bird and the Leprechaun
AOPA Pilot Magazine - February 2012 - 83
AOPA Pilot Magazine - February 2012 - 84
AOPA Pilot Magazine - February 2012 - 85
AOPA Pilot Magazine - February 2012 - 86
AOPA Pilot Magazine - February 2012 - 87
AOPA Pilot Magazine - February 2012 - 88
AOPA Pilot Magazine - February 2012 - Avionics: Pilot Friendly
AOPA Pilot Magazine - February 2012 - 90
AOPA Pilot Magazine - February 2012 - 91
AOPA Pilot Magazine - February 2012 - 92
AOPA Pilot Magazine - February 2012 - Technique: Wind Warrior
AOPA Pilot Magazine - February 2012 - 94
AOPA Pilot Magazine - February 2012 - 95
AOPA Pilot Magazine - February 2012 - 96
AOPA Pilot Magazine - February 2012 - Wx Watch: The Problem with Pireps
AOPA Pilot Magazine - February 2012 - I1
AOPA Pilot Magazine - February 2012 - I2
AOPA Pilot Magazine - February 2012 - 98
AOPA Pilot Magazine - February 2012 - 99
AOPA Pilot Magazine - February 2012 - 100
AOPA Pilot Magazine - February 2012 - Products: Anywhere Map Septa
AOPA Pilot Magazine - February 2012 - 102
AOPA Pilot Magazine - February 2012 - 103
AOPA Pilot Magazine - February 2012 - Never Again
AOPA Pilot Magazine - February 2012 - 105
AOPA Pilot Magazine - February 2012 - 106
AOPA Pilot Magazine - February 2012 - Fly-Outs
AOPA Pilot Magazine - February 2012 - Fly by Wire
AOPA Pilot Magazine - February 2012 - 109
AOPA Pilot Magazine - February 2012 - 110
AOPA Pilot Magazine - February 2012 - 111
AOPA Pilot Magazine - February 2012 - Pilots
AOPA Pilot Magazine - February 2012 - Cover3
AOPA Pilot Magazine - February 2012 - Cover4
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