MRI Outcomes and Class 2 Medical

S

Skyhaul

Guest
About six months ago I found during a routine eye exam that my left eye has an odd visual field issue no one can diagnosis. I have 20/20 in each eye and 20/20 Binocular. The ONLY way you notice the issue is left eye monocular test or if I happen to notice it while reading and it gets stuck in my head.

The neuro optometrist ordered an MRI to rule out MS and to make sure my optical nerves were okay. Well the MRI came back negative for MS lesions but a 1x1cm arachnoid cyst was found around my pineal gland with no damage to the surrounding brain matter. Additionally, a Rathke’s Cleft Cyst was found on my pituitary. My optical nerves sheaths have minor distention but no gross tortusity. Both the neuro docs said everything is benign and doesn’t explain the odd visual field issues. My AME agrees as all visual test come back normal with 20/20 vision. My normal eye doc is ex USAF and says to stop while I’m a head and just deal with the minor visual issue before I screw myself over employment wise.

Everything I can find is that once the cysts were found the FAA point of view is I’m screwed even though they are benign. The AME just says to document it as an multiple eye exam for visual issues with a notation saying “20/20 vision no issues found and released for normal duty”. My normal eye doc is ****ed I had an MRI completed as he said it’s over diagnosing and that will be a major determinate to my FAA medical.

So what are y’all’s thoughts?
 
Skyhaul said:
About six months ago I found during a routine eye exam that my left eye has an odd visual field issue no one can diagnosis. I have 20/20 in each eye and 20/20 Binocular. The ONLY way you notice the issue is left eye monocular test or if I happen to notice it while reading and it gets stuck in my head.

The neuro optometrist ordered an MRI to rule out MS and to make sure my optical nerves were okay. Well the MRI came back negative for MS lesions but a 1x1cm arachnoid cyst was found around my pineal gland with no damage to the surrounding brain matter. Additionally, a Rathke’s Cleft Cyst was found on my pituitary. My optical nerves sheaths have minor distention but no gross tortusity. Both the neuro docs said everything is benign and doesn’t explain the odd visual field issues. My AME agrees as all visual test come back normal with 20/20 vision. My normal eye doc is ex USAF and says to stop while I’m a head and just deal with the minor visual issue before I screw myself over employment wise.

Everything I can find is that once the cysts were found the FAA point of view is I’m screwed even though they are benign. The AME just says to document it as an multiple eye exam for visual issues with a notation saying “20/20 vision no issues found and released for normal duty”. My normal eye doc is ****ed I had an MRI completed as he said it’s over diagnosing and that will be a major determinate to my FAA medical.

So what are y’all’s thoughts?
Click to expand...
You've already spoken to your AME, he said it's OK, and told you how to document it. What is your question for the SGOTIs here? What don't you like about the AME's answer?
 
Skyhaul said:
My normal eye doc is ****ed I had an MRI completed as he said it’s over diagnosing and that will be a major determinate to my FAA medical.

So what are y’all’s thoughts?
Click to expand...
1) Why did he send you to a neuroophthalmologist (presumably, not an optometrist) and then complain when the doctor did what they do?

2)IMHO, as someone who’s had a visual field problem, your regular eye doctor is dead wrong. And the proof is that they found lesions, one of which has the potential to affect vision. If could just as easily have been a pituitary adenoma requiring a referral to a neurosurgeon.

3)Venting can be cathartic, but SGOTI isn’t going to be helpful.

4)Good luck with this.
 
OneCharlieTango said:
1) Why did he send you to a neuroophthalmologist (presumably, not an optometrist) and then complain when the doctor did what they do?

2)IMHO, as someone who’s had a visual field problem, your regular eye doctor is dead wrong. And the proof is that they found lesions, one of which has the potential to affect vision. If could just as easily have been a pituitary adenoma requiring a referral to a neurosurgeon.

3)Venting can be cathartic, but SGOTI isn’t going to be helpful.

4)Good luck with this.
Click to expand...

1)He sent me to a Retina specialist to make sure it wasn’t a retina issue. The specialist found nothing wrong so he sent me to a neuro specialist because he said it was the only possibility left.

2) No lesions were found. My optical nerves sheaths are slightly swollen like I have heightened pressure. But I have no other symptoms of heightened pressure. Also the Cyst in my pituitary could be adenoma but it’s so small on the images it’s 50/50.

3) Just making sure my AME suggestion is the best course. Everything I can find it’s 5 yr to permanent denial. I fly for a living so I need a valid medical and not have to worry that in 6 months I’ll get a denial letter or a revocation.

4) Thanks
 
No MS lesions. But “lesions” refers to anything abnormal.

I recently had a pituitary tumor resected after my optometrist explained my symptoms away for two years.
 
Old Thread: Hello . There have been no replies in this thread for 365 days.
Content in this thread may no longer be relevant.
Perhaps it would be better to start a new thread instead.
Back
Top