Pilots with glaucoma or ocular hypertension need an ophthalmologist's report before an AME or the FAA can certify them, and Form 8500-14 is that report. It covers family history, glaucoma type and how it was found and confirmed, surgery, response to therapy, current treatment, pressure control, visual fields and acuity, and it supports the AME's glaucoma CACI worksheet.
An ophthalmologist completes Items 1 to 18 on the two form pages and signs as the eye specialist. The first page is an applicant information cover sheet that is torn off before submission.
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Ophthalmological Evaluation for Glaucoma
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An ophthalmologist, who signs as the eye specialist in Item 18. The glaucoma CACI worksheet asks for the treating ophthalmologist's finding that the condition is stable, and it accepts Form 8500-14 or an equivalent report. Form 8500-7 is the general eye report for other conditions.
The worksheet requires age 40 or older at diagnosis, an accepted type such as stable open angle glaucoma or ocular hypertension, no nerve damage or trabeculectomy, pressures of 23 mm Hg or less in both eyes, accepted eye drops only and no defects on formal visual field testing.
Not within 2 hours after the pilot uses glaucoma medication, unless the ophthalmologist also completes Item 10.B, the maximum pressures in relation to daily medication. Item 10.C records pressure in each eye, the test method used and the time since the last dose.