Non-Aircrew
Preferred Procedures
9. Photo Refractive Keratectomy (PRK) and Laser Epithelial Keratomileusis (LASEK) are the two laser procedures currently recommended by the CF. Laser-Assisted in-Situ Keratomileusis (LASIK) even though not encouraged, is acceptable.
Restricted Procedures
10. Due to the lack of predictability or lack of structural maintenance of the eye, RK (Radial Keratotomy) INTACS (Stromal Rings), Phakic Implants, Phakic IOL and Orthokeratology are not permitted. These procedures are considered incompatible with the safe performance of military duties.
Enrolment Candidates
11. Candidates for enrolment who have received laser eye surgery must report so during the enrolment medical process. A final report from the Ophthalmic Surgeon or consultant optometrist must be made available as evidence of the candidates fitness and that no further follow-up is required. Restrictions for the procedures detailed above also apply to candidates for enrolment. Candidates treated for Ortho-K will be disqualified until the practice has been stopped for a period of six months. A letter from the caregiver is also required to confirm this period.
Aircrew
Recommended Procedures
6. Acceptable refractive surgery procedures for serving CF pilots are as follows: Wavefront Guided (WFG) Photorefractive Keratectomy (PRK), WFG surface ablation procedures such as LASEK and Epi-LASIK and WFG Laser Assisted In-Situ Keratomileusis (LASIK). The best options for creating the flap should be discussed with the surgeon, including current generation mechanical keratome, the use of a femtosecond laser and the use of IntraLase SBK (Sub-Bowman's Keratomileusis) that is a hybrid procedure that employs an infrared beam to make an ultra-thin flap.
7. Conventional (non WFG) refractive surgery and LASIK using a mechanical keratome are not recommended for pilots but may be acceptable for non-pilot aircrew.
Non-Approved Procedures
8. Radial Keratotomy (RK) is not approved for entry to, or transfer within, the CF.
9. Corneal reshaping with contact lenses is not a form of refractive surgery, however it has been addressed in this directive as it may be offered as an alternative to refractive surgery. Orthokeratology (Ortho-K) and corneal refractive therapy (CRT) are procedures using special rigid gas permeable contact lenses to reshape the cornea for the temporary reduction of myopia. Ortho-K and CRT are not acceptable procedures for any CF Aircrew
The CF tends to lean towards the side of caution on this topic, so they will most likely use the higher standard (ie; Aircrew Standards) when assessing you. Follow-up varies depending on the reason for treatment but expect to wait for at least "6-months" afterwards and before being processed further.
***** - I'm not a member of the CF Health Services, so the information above is to be considered as a "GUIDELINE ONLY" and something that can/should be discussed with the Medical Staff at your local Recruiting Detachment. If someone from CFHS sees any "bad" information in this post, please PM me and I will remove/clean it up for accuracy.