Page 407 - UK AirCrew Regulations (Consolidated) March 2022

Part MED - ANNEX IV - Medical

assessment should be required until stability is confirmed.
(e) Applicants with a psychiatric condition, such as:
(1) mood disorder;
(2) neurotic disorder;
(3) personality disorder;
(4) mental or behavioural disorder
should undergo satisfactory psychiatric evaluation before a fit assessment may be
considered.
(f) Applicants with a history of significant or repeated acts of deliberate self-harm should
undergo satisfactory psychiatric or psychological evaluation or both before a fit
assessment may be considered.
(g) Psychiatric evaluations and reviews may include reports from the applicant’s flight
instructor.
(h) Applicants with a psychological disorder may need to be referred for psychological opinion
and advice.
(i) In case a specialist evaluation is needed, following the evaluation, the specialist should
submit a written report to the AME, AeMC, GMP or medical assessor of the licensing
authority as appropriate, detailing their opinion and recommendation.
MED.B.095 AMC12 Medical examination and assessment of applicants for LAPL medical certificates
NEUROLOGY
(a) Epilepsy and seizures
(1) Applicants with an established diagnosis of and under treatment for epilepsy should
be assessed as unfit. A re-assessment after all treatment has been stopped for at
least 5 years should include a review of neurological reports.
(2) Applicants may be assessed as fit if:
(i) there is a history of a single afebrile epileptiform seizure considered to have a
very low risk of recurrence;
(ii) there has been no recurrence after at least 5 years off treatment;
(iii) a cause has been identified and treated and there is no evidence of
continuing predisposition to epilepsy.
(b) Neurological disease
Applicants with any disease of the nervous system which is likely to cause a hazard to
flight safety should be assessed as unfit. However, in certain cases, including cases of
functional loss associated with stable disease, a fit assessment may be considered after
full evaluation including, if necessary, a medical flight test.
(c) Migraine
Applicants with an established diagnosis of migraine or other severe periodic headaches
likely to cause a hazard to flight safety should be assessed as unfit. A fit assessment may
be considered after full evaluation. The evaluation should take into account at least the
following: auras, visual field loss, frequency, severity, therapy. Appropriate limitation(s)
may apply.
(d) Head injury
Applicants with a head injury which was severe enough to cause loss of consciousness
or is associated with penetrating brain injury may be assessed as fit if there has been a
full recovery and the risk of epilepsy is sufficiently low. An evaluation by a neurologist may
be required depending on the staging of the original injury.
(e) Spinal or peripheral nerve injury
Applicants with a history or diagnosis of spinal or peripheral nerve injury or a disorder of
the nervous system due to a traumatic injury may be assessed as fit if neurological
evaluation is satisfactory and the conditions of AMC10 MED.B.095 are satisfied.
(f) Vascular deficiencies
Applicants with a disorder of the nervous system due to vascular deficiencies including
haemorrhagic and ischaemic events should be assessed as unfit. A fit assessment may
be considered if neurological evaluation is satisfactory and the conditions of AMC10
MED.B.095 are satisfied. A cardiological evaluation and medical flight test should be
undertaken for applicants with residual deficiencies.
MED.B.095 AMC13 Medical examination and assessment of applicants for LAPL medical certificates
VISUAL SYSTEM
(a) Applicants should not possess any abnormality of the function of the eyes or their adnexa
or any active pathological condition, congenital or acquired, acute or chronic, or any
sequelae of eye surgery or trauma, which is likely to interfere with the safe exercise of the
privileges of the applicable licence.
(b) Eye examination
The examination should include visual acuities (near, intermediate and distant vision) and
visual field.
(c) Visual acuity
(1) Visual acuity with or without corrective lenses should be 6/9 (0,7) binocularly and
6/12 (0,5) in each eye.
(2) Applicants who do not meet the required visual acuity should be assessed by an
AME or AeMC, taking into account the privileges of the licence held and the risk
involved.
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