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NAVY REFRACTIVE SURGERY CENTER, SAN DIEGO. ? Dr. James Newacheck, an optometrist with the Navy Refractive Surgery Center, San Diego, does a routine pre-operation, eye exam here April 4. The Navy will offer 70,000 eye surgeries next year to eligible service members.

Photo by Cpl. James B. Hoke

Marines, sailors eligible for Lasik surgery at no cost

2 Apr 2007 | Lance Cpl. George J. Papastrat Marine Corps Air Station Miramar-EMS

Active duty Marines and sailors have the opportunity to receive the Cadillac of eye surgery, laser-assisted in situ keratomileusis, also known as Lasik, free-of-charge.

In the civilian sector, a person could pay up to $7,000, but service members will be provided the quick fix at seven naval hospitals at no cost.

The Bureau of Medicine and Surgery officials are in the final stages of approving the surgery for Navy and Marine Corps pilots and aviation candidates, according to a recent Navy Times article written by Chris Amos.

In the article, Navy Capt. Christopher Armstrong, director of aerospace medicine for the Navy, explains how recommendation waivers for Lasik surgery for naval and Marine aviators will begin this fall.

This year’s budget supports 70,000 surgeries for the service members prior to the end of the fiscal year.

Currently in the civilian world, Lasik, the newest eye-enhancement surgery, is a 10-minute procedure and accounts for 95 percent of all eye surgeries. The older, photorefractive keratectomy, known as PRK, process now accounts for less than three percent in the civilian world.

PRK, acknowledged in 2000 by the Bureau of Medicine and Surgery as an acceptable surgery for pilots, is an in-depth procedure where the protective covering of the eye is rubbed off, and the cornea is reshaped, explained Armstrong. The patient must wait for the covering to grow back — a painful process that can last for several days.

During the Lasik vision-enhancement surgery, the doctor cuts a small flap in the patients protective covering of the eye, reshapes the cornea and reattaches the flap. The procedure leaves the patient with a quicker, less painful recovery than PRK, explained Dr. James Newacheck, an optometrist with the surgery center.

Prior to the new vision-enhancement program, service members who received the Lasik surgery would not be eligible for a spot as an aviator because of the fear that harsh environments and gravitational forces could loosen the flap and possibly blind the pilot.

However, after new studies, naval doctors found that the flap can only be dislodged by direct manual pressure on the eye.

Locally at Miramar, service members have the opportunity to be screened for either the PRK or Lasik surgery.

Service members who wish to have the procedure performed must first go through an eye exam at the branch medical clinic and fill out an application for the process.

The service members’ command rates them on their priority level. Applications must be faxed to the Navy Refractive Surgery Center, Liberty Station, San Diego.

Once a patient completes the required screening at the surgery center, they will consult with an optometrist to set a date for surgery, added Newacheck. The priority level of the patients depends on their military occupational specialty and their deployment status.

During the past three years, the center treated more than 1,500 patients a year and provided service members with vision-enhancement surgery to help them serve the country with perfect vision.

POLICY

The most important starting point for an EMS* is the development of an environmental policy. ISO14001 requires local governments to implement their own environmental policy. The environmental policy acts as a basis for the environmental management system.

PLANNING

ISO14001 requires that an environmental management system is planned properly. It requires the organization to consider the following carefully: Environmental Aspects; Legal and Other Aspects; Objectives and Targets; and an Environmental Management Program.

IMPLEMENTATION

The two requirements for implementation of an EMS is to define, document, and communicate roles, responsibilities and authorities, and to allocate the resources needed to implement and control the EMS.

CHECKING

The key requirement in this EMS step is to regularly monitor and measure key characteristics of activities and operations that could have a significant impact on the environment. Changes to EMS procedures may become necessary in order to deal with nonconformances with the EMS, with mitigating environmental impacts, or corrective and preventive action.

REVIEW

The management review process ensure that information is collected to enable management to carry out proper review. Top management review the need for changes to policy, objectives and targets, and ensure that a commitment to continual improvement is being demonstrated.

Marine Corps Air Station Miramar-EMS