Strabismus in Military Service Regulations - Ophthalmology

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The issue of strabismus in military service?


The term "alternating strabismus greater than 57 degrees" in the Military Service Act refers to the measurement of the angle of deviation in one eye, not the total amount for both eyes.

Chen Shih-wei, 10~19 year old female. Ask Date: 2016/03/21

Dr. Wang Zhishun reply Ophthalmology


It refers to the total volume of both eyes.

Reply Date: 2016/03/21

More Info


Strabismus, commonly known as squint or crossed eyes, is a condition where the eyes do not properly align with each other when looking at an object. In military service regulations, the specific mention of "alternating strabismus greater than 57 degrees" raises important questions regarding its implications for enlistment and service eligibility.

To clarify your question, the term "greater than 57 degrees" typically refers to the angle of deviation of the eyes when they are misaligned. This measurement is usually assessed using a method called the Hirschberg test or by using a prism cover test. The angle is measured in degrees, and it indicates how far off the eyes are from their normal alignment. In this context, the measurement is generally taken from the perspective of the individual eye that is deviating, rather than a cumulative measurement of both eyes. Therefore, if one eye deviates more than 57 degrees from the center, it would be considered significant strabismus.

In military regulations, such a degree of strabismus can be a disqualifying factor for service. This is because significant misalignment can affect depth perception, coordination, and overall visual acuity, which are critical for many military tasks. The military requires a certain level of visual performance to ensure that personnel can effectively perform their duties, especially in combat or high-stakes environments.

From a medical standpoint, strabismus can be caused by various factors, including muscle imbalances, neurological conditions, or even trauma. Treatment options vary depending on the underlying cause and severity of the condition. They may include corrective lenses, vision therapy, or surgical intervention to realign the eyes.

In terms of military service, individuals with strabismus may be evaluated on a case-by-case basis. If the strabismus is mild and does not significantly impair vision or function, some individuals may still qualify for service. However, those with more severe cases, particularly those exceeding the 57-degree threshold, are likely to face disqualification.

If you or someone you know is concerned about strabismus in relation to military service, it is advisable to consult with an eye care professional or a military recruiter. They can provide specific guidance based on the individual's condition and the latest military regulations. Additionally, if there are concerns about the impact of strabismus on daily life or military duties, seeking treatment from an ophthalmologist or optometrist can be beneficial. They can assess the condition and recommend appropriate interventions to improve visual alignment and function.

In summary, the reference to "alternating strabismus greater than 57 degrees" in military regulations pertains to the degree of deviation of the affected eye, and it is crucial for determining eligibility for service. Understanding this condition and its implications can help individuals make informed decisions regarding their military aspirations and health management.

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