TY - JOUR TI - Superotemporal Quadrantanopia and Central Serous Chorio-Retinopathy: Aeromedical Disposition AU - B,Bhowmick AB - Background: Optimal vision is crucial in aviation related tasks. In aircrew, the diagnostic work up for rare visual disabilities affecting vision has to be exhaustive. The need for using newer diagnostic modalities cannot be disregarded, when there is a massive implication on the correctness of diagnosis. Vision corrected with lenses can be accepted safely and effectively in aviation. However, there is a need to understand the future course of a particular visual defect for appropriate disposition. Case Summary: 38 years old fighter aircrew of IAF with a flying experience of approximately 1350 hours was detected to have visual field defect- Right Supero-temporal quadrantanopia (B/E) while undergoing review for Ureteric Colic (Lt) in Feb 14. He was also found to have optic disc features suggestive of Glaucoma. In subsequent reviews the aircrew maintained normal visual acuity while in non-flying category. Later his diagnosis was changed from Rt Supero-temporal Quadrantanopia (B/E) to Central Scotoma (B/E)-Old CSCR. He has been observed adequately in non-flying medical category for a period exceeding one year and gradually upgraded to restricted flying category for another one year period of observation before considering him for awarding full flying category. Discussion: The guidelines for aeromedical disposition in Indian Air Force, IAP 4303 (4th Ed-Revised) is silent about the disposition of a case of CSCR. In case of any field loss detected in automated perimetry, aircrew is unfit for flying duties in fighter stream as per the same guidelines. The fact and figures about the visual conditions have been brought out in this paper after extensive literature review. The international consideration on various waiver and aeromedical certification also has been discussed for future reference on such cases. Aeromedical disposition: All possible associated conditions need to be diagnostically excluded; once satisfied, the benefit of doubt should definitely go to the aircrew after the recovery is complete. Once reflighted, a close and regular follow up to assess the disease progress is essential in such cases. If the actual aetiology is unknown, it becomes a challenge to predict the disease prognosis as well as chance of recurrence and the possibility of sudden incapacitation, thus the aeromedical decision. VL - 62 T2 - Indian Journal of Aerospace Medicine JO - Indian Journal of Aerospace Medicine J2 - Indian Journal of Aerospace Medicine SN - 0970-6666 SN - 2582-5348 ER -