Central Serous Retinopathy with Permanent Visual Deficit in a Commercial Air Transport Pilot: A Case Report

David G. Newman
Aviat Space Environ Med 2002; 73:1122-6

Abstract

This report describes a case of central serous retinopathy (CSR) in the right eye of a commercial air transport pilot, which resulted in a permanent reduction in visual acuity and the loss of his license. The previously fit and well pilot developed sudden loss of central vision, which resolved spontaneously. He then went on to experience recurrent episodes of fluctuating visual acuity (down to 6/60) and visual dysfunction in the right eye. His left eye remained unaffected. Eventually his condition stabilized, and he was left with a permanent reduction in right visual acuity (6/36) with intact peripheral visual fields and a completely normal left eye. After a period of grounding of 12 mo, he sought to have his license reinstated. He was considered to be a functionally monocular pilot, and as such was granted a conditional Class 1 medical category. The aeromedical disposition of this pilot and the issues involved in determining the fitness to fly of pilots with permanent visual defects arising from CSR are discussed.

Keywords: visual, scotoma, pilot, monocular, eye, ophthalmology, retina, disposition, aeromedical.

---

Information on subscribing, and on obtaining copies of an article or of an entire issue.

Table of Contents for Volume 73, Number 11 of the ASEM journal.