We use necessary cookies to make our website work. We'd also like to use optional analytics cookies to help us improve it.
For more information, please read our cookie policy.

UK – EU Transition, and UK Civil Aviation Regulations

To access current UK civil aviation regulations, including AMC and GM, CAA regulatory documents, please use this link to UK Regulation. Please note, if you use information and guidance under the Headings below, the references to EU regulations or EU websites in our guidance will not be an accurate information or description of your obligations under UK law. These pages are undergoing reviews and updates.

Pilots with RVO should be declared unfit. The subsequent aeromedical fitness assessment needs to take into account both the effect on visual function and the cardiovascular incapacitation risk. RVO reduces visual acuity and field of vision in the affected eye, sometimes permanently.

RVO is usually associated with an increased cardiovascular mortality. High blood pressure is a cardinal risk factor for RVO and satisfactory blood pressure control is therefore essential before re-certification.

Assessment of visual function

Class 1 & 2 Certification

A report must be obtained from the treating ophthalmologist, to include:

visual acuity in each eye separately visual field results in each eye separately and together in a binocular Esterman test. evidence that intraocular pressure is stable

If the pilot develops substandard vision in one eye following a vascular event then they should be assessed:

  • a) For Class 1, in conjunction with the AMS. Review with a specialist advisor in aviation ophthalmology is likely to be required.
  • b) For Class 2, in accordance with the substandard vision in one eye (PDF) guidance.

Assessment of cardiovascular risk

All pilots must undergo a cardiovascular review with a cardiologist to include:

  • confirmation that blood pressure is stable (assessed by 24-hour ambulatory blood pressure recording)
  • assessment and appropriate management of other cardiovascular risk factors.
  • Exercise ECG, symptom limited and performed to the Bruce protocol.

Aeromedical Disposal

Class 1

If both ophthalmic and cardiological assessments are satisfactory, the pilot can be assessed by the AMS as fit with an OML applied to the certificate. Abnormal findings may require further investigation/assessment.

Class 2

If ophthalmic and cardiological assessments are satisfactory, an unrestricted fit assessment can be made. Where there are visual field defects and/or cardiovascular risks, an OSL may need to be applied to the certificate. This can be done by an AeMC or AME in consultation with the AMS.

Provide page feedback

Please enter your comments below, or use our usual service contacts if a specific matter requires an answer.

Fields marked with an asterisk (*) are required.

Latest from UK Civil Aviation Authority

  1. Continued focus on change for GA Team
  2. Virtual aviation work experience partnership with Springpod
  3. Helicopter pilot sentenced for forging licence

View all latest news