Smith Pamela, Ivan Douglas, LoRusso Frank, MacKersie Deborah, Tredici Thomas
U.S. Air Force School of Aerospace Medicine, Brooks AFB, TX 78235-5117, USA.
Aviat Space Environ Med. 2002 Dec;73(12):1230-4.
Prior to 1967, military aviators who developed visually significant cataracts that affected visual performance were grounded. Those that ultimately required surgical removal were permanently grounded because of significant optical effects post-operatively. With the advent of contact lenses, a limited number of aircrew were returned to the cockpit because of improved optical factors provided by contacts post-cataract surgery. However, development of the intraocular lens (IOL) in the 1970s marked a major technological breakthrough that provided the potential to restore post-cataract surgical vision to near normal conditions. This case report is the first known occurrence of ejection from a high performance militaryaircraft by an aviator with an IOL. The success and stability of the IOL through this event provided additional clinical and operational information relative to the overall USAF experience with certain types of IOL approved for use in USAF aircrew. The aviator also sustained unexpected corneal foreign bodies due to the canopy fragmentation system.
1967年以前，出现影响视觉性能的明显白内障的军事飞行员会停飞。那些最终需要手术摘除白内障的飞行员因术后明显的光学影响而永久停飞。随着隐形眼镜的出现，由于白内障手术后隐形眼镜提供了改善的光学因素，有限数量的机组人员重返驾驶舱。然而，20世纪70年代人工晶状体（IOL）的发展标志着一项重大技术突破，它有可能将白内障手术后的视力恢复到接近正常的状态。本病例报告是已知的首例装有IOL的飞行员从高性能军用飞机弹射的事件。通过这一事件，IOL的成功与稳定性为美国空军在批准用于美国空军机组人员的某些类型IOL方面的总体经验提供了额外的临床和操作信息。该飞行员还因座舱盖破碎系统而意外遭遇角膜异物。
