Clear Vision, Clear Skies: Flying in Japan After LASIK

Foreign pilots considering careers in Japan and pursuing JCAB medical certification should know that prior refractive eye surgery such as LASIK is generally not automatically disqualifying, but individual circumstances vary. Final determination is always made by the JCAB medical examiner.

Procedures such as LASIK, PRK (Photorefractive Keratectomy), RK (Radial Keratotomy), and ICL (implantable Collamer lens) may be acceptable if vision is stable and meets JCAB standards.

What JCAB Examiners Evaluate Examiners typically focus on: • Stable postoperative vision • Absence of complications • Functional vision performance

For LASIK and similar procedures, candidates are usually expected to be at least six months post-surgery with stable vision and no symptoms such as glare or halos. Additional functional data may be requested, including: • Day-to-day variation in visual acuity • Contrast sensitivity • Glare testing • Corneal topography

Recommended Documentation Pilots are encouraged to provide documentation that supports a clear medical review: • Operative records (type of surgery, date, surgeon notes) • Pre- and postoperative refractive data • Functional vision test results (contrast, glare, topography) • A current ophthalmologist's report confirming stability and absence of adverse symptoms

Best Practices and Follow-Up Aviation medical literature highlights that pilots post corneal refractive surgery should show no complications such as corneal haze, unstable refraction, or reduced contrast sensitivity. Follow-up evaluations are recommended: • After returning to duty • Annually thereafter

With complete, well-organized documentation, pilots can support the JCAB medical review process and demonstrate a commitment to safety. CReW guides pilots through the JCAB medical certification process, helping prepare materials, advising on additional testing, and ensuring that vision documentation is thorough and clear. Disclaimer

The information is provided for general informational purposes only and is based on publicly available information. It does not constitute medical, regulatory, or legal advice. Individual medical circumstances vary, and aviation medical certification outcomes depend on a case-by-case assessment.

All determinations regarding medical fitness and certification rest solely with the Japan Civil Aviation Bureau (JCAB)or its designated aviation medical examiners. JCAB determinations are final and authoritative. Applicants should consult directly with a qualified aviation medical examiner for advice specific to their personal medical history and circumstances.