Go Flight Medicine

Vision

LASER Eye Injuries in Aircrew

LASER eye injuries are an ever-present threat to pilots and aircrew. This blog post covers the pathophysiology to these very unique threats to a pilot's vision.

By Rocky Jedick MD, MBA · · 8 min read

LASER glare in cockpit

The crux of aerospace medicine is the identification of medical conditions that lead to sudden and unanticipated incapacitation of the flyer. One common source for potential in-flight incapacitation is acute ocular injury secondary to LASER exposure.

LASERS

L.A.S.E.R. stands for Light Amplification by Stimulated Emission of Radiation. Each LASER operates within its unique wavelength based on the optical spectrum.

LASER colors by wavelength Laser Classes

PATHOPHYSIOLOGY

Lasers cause tissue injury through mechanical, thermal, or phototoxic mechanisms. The retina is most at risk due to its absorptive pigment epithelium.

INJURY INCIDENCE & POLICY

Distance & LASER Eye Injury

The FAA reported 5,352 exposures in 2015. The DoD has established a 24/7 Tri-Service Laser Hotline (1-800-473-3549).

Recommendations:

  1. Incidental, non-sustained laser pointer exposure poses no concern for long-term injury
  2. Rapid ocular assessment is required for any exposed aircrew member
  3. LASER eye protection (LEPs) should be used when exposure to powerful lasers is possible
  4. Return to flying duty without waiver is reasonable with no symptoms and benign evaluation

Need an FAA Medical Exam?

Schedule at One of Our Clinic Locations