Newman David G
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Aviat Space Environ Med. 2002 Nov;73(11):1122-6.
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.
本报告描述了一名商业航空运输飞行员右眼发生中心性浆液性视网膜病变（CSR）的病例，该病变导致其视力永久性下降并失去飞行执照。这位此前身体健康的飞行员突然出现中心视力丧失，随后自行恢复。接着，他右眼反复出现视力波动（降至6/60）和视觉功能障碍，左眼未受影响。最终，他的病情稳定下来，右眼视力永久性下降至6/36，周边视野完整，左眼完全正常。经过12个月的停飞期后，他申请恢复飞行执照。他被视为功能上的单眼飞行员，因此被授予有条件的1类医疗等级。本文讨论了该飞行员的航空医学处置情况以及确定患有因CSR导致永久性视力缺陷的飞行员是否适合飞行所涉及的问题。
