Reportable Events on Application

[GhostRider]

Over the last year I’ve had an eye issue that led down a medical rabbit hole and I don’t know what needs and doesn’t need to be reported on the application for this years Class 1.

I have had a sudden center vision issue in one eye that is due to unknown causes. I’ve been sent for FA tests at a Retina Specialist that came back normal. The Retina doc sent me to a Neuro-Ophthalmologist who couldn’t find any issues so she had be do a Brain MRI to rule out MS. The MRI came back negative for MS but positive for Arachnoid Cyst in my Pineal Gland, optic nerve tortuosity, and a small Cyst or Adenoma in my pituitary.

The Neuro-Ophthalmologist said that the cyst items were of no concern and referred me to an Endocrinologist for a second opinion. The nerve tortuosity is most likely due to OSA and told me to talk with the family doc. The Endocrinologist performed several hormone tests and found that I had Low T due my high BMI. The cysts were of no concern and said most people have them.

The family doctor did not support the OSA follow up recommendation from neuro as I have no other symptoms of OSA. His opinion is supported by the Endocrine on losing weight to fix the nerve tortuosity and hormone issue. I also reported to him that my right knee is becoming weak again due to an old childhood injury.

Every doctor released me for flying duties and said nothing was of concern beyond losing weight. My AME says I only meet the educational result on the OSA Flowchart.

So do I have to report the Left Eye Issue, MRI Findings, OSA Concern, Hormone Issues, and Knee Issue?

Googling the MRI results only leads me to one old 2000s FAA publication that says it’s a permanent denial for the cysts. Which makes no sense as no one is at all concerned and they say it’s extremely common.

 

[bbchien]

No progress will be made until the "sudden center vision issue" is understood.
How big is the pituitary adenoma?

B.

 

[GhostRider]

No progress will be made until the "sudden center vision issue" is understood.
How big is the pituitary adenoma?

B.

“Incidental 3mm T2 hyperintense nonenhancing focus“ is the exact language.

The vision issue has everyone stumped. Even AOPA Medical is declining to recommend anything. The AOPA guy said it’s NOT good to be a medical journal case.

 

[benyflyguy]

Was the loss transient or still persists???

 

[Lindberg]

Over the last year I’ve had an eye issue that led down a medical rabbit hole and I don’t know what needs and doesn’t need to be reported on the application for this years Class 1.

I have had a sudden center vision issue in one eye that is due to unknown causes. I’ve been sent for FA tests at a Retina Specialist that came back normal. The Retina doc sent me to a Neuro-Ophthalmologist who couldn’t find any issues so she had be do a Brain MRI to rule out MS. The MRI came back negative for MS but positive for Arachnoid Cyst in my Pineal Gland, optic nerve tortuosity, and a small Cyst or Adenoma in my pituitary.

The Neuro-Ophthalmologist said that the cyst items were of no concern and referred me to an Endocrinologist for a second opinion. The nerve tortuosity is most likely due to OSA and told me to talk with the family doc. The Endocrinologist performed several hormone tests and found that I had Low T due my high BMI. The cysts were of no concern and said most people have them.

The family doctor did not support the OSA follow up recommendation from neuro as I have no other symptoms of OSA. His opinion is supported by the Endocrine on losing weight to fix the nerve tortuosity and hormone issue. I also reported to him that my right knee is becoming weak again due to an old childhood injury.

Every doctor released me for flying duties and said nothing was of concern beyond losing weight. My AME says I only meet the educational result on the OSA Flowchart.

So do I have to report the Left Eye Issue, MRI Findings, OSA Concern, Hormone Issues, and Knee Issue?

Googling the MRI results only leads me to one old 2000s FAA publication that says it’s a permanent denial for the cysts. Which makes no sense as no one is at all concerned and they say it’s extremely common.

You will report all of the visits to medical professionals (each professional can be listed once) and the reasons for them. You will also report any diagnoses you were given. "You might have OSA, but that's not my thing, go talk to someone else," isn't a diagnosis.... A consultation with your AME prior to conducting the exam would certainly be in order.

 

[GhostRider]

Was the loss transient or still persists???

It comes and goes. It seems to be based on bad fatigue or stress.

It’s not really a loss it’s more like a very tiny fish eye effect on the exact center vision. It’s only noticed on mono-vision tests or if I’m very tired.