Back to Top Skip to main content Skip to sub-navigation

MHS refractive surgery experts discuss warfighter readiness

Image of Mr. McCaffery looking at a monitor with an eye on it Assistant Secretary of Defense for Health Affairs Thomas McCaffery observes the beginning stages of a refractive surgery at the Warfighter Refractive Surgery Center at Joint Base San Antonio-Lackland, Oct. 21. The center is the largest refractive training program in the Department of Defense and has trained and certified more than 150 refractive surgeons. (Photo by Air Force Staff Sgt. Amanda Stanford, 59th Medical Wing.)

Recommended Content:

Health Readiness | Vision Loss | Readiness Capabilities

More than 200 participants from around the military ophthalmology and optometry communities gathered virtually on Jan. 8 to share ideas for the first time since the beginning of the transition to the Defense Health Agency.

The group participated in the “Refractive Surgery – Excellence for the Warfighter” virtual meeting where they discussed the latest techniques, safety protocols, and standards for refractive surgery. The meeting provided an opportunity for colleagues to share their experiences and get advice from experts, and was held in place of the annual Military Surgery Safety and Standards Symposium.

“We’ve been meeting since 2007 to talk about our best practices, our standards, lessons learned and safety,” said Army Maj. (Dr.) Gary Legault, Army Refractive Surgery Program manager and refractive surgery consultant to the Army surgeon general. “We emphasize key safety issues with the laser platforms and with our treatments and share the latest and greatest technology and updates.”

Refractive surgery is any surgery that eliminates the need for glasses or contact lenses. Refractive surgeries include LASIK (laser-assisted in situ keratomileusis), PRK (photorefractive keratectomy), ICLs (implantable contact lenses), and SMILE (small incision lenticule extraction).

Within the Military Health System, these procedures are designed to improve the functionality, lethality, and combat readiness of the warfighter through improving their visual system. Refractive surgery is offered at no cost to qualifying service members with conditions including nearsightedness, farsightedness, and astigmatism.

Legault explained that his hope was for the meeting to produce practical lessons that those in attendance could use on a regular basis.

“We hope this helps the people in attendance from around the world of military ophthalmology and refractive surgery learn something new that they can apply to improving their practice with their patients,” Legault said.

Among the positive outcomes from the MHS’s transition to the DHA is a tri-service effort to standardize refractive surgery across the DOD.

“For us, it’s a benefit as the DHA helps us improve our standardization and create a standard experience across the board as well as become more efficient,” Legault said. “I think the DHA can help us improve our outcomes by sharing best practices and working together as a group.”

Navy Lt. Cmdr. (Dr.) Tyler Miles, research director and division officer for Naval Medical Center San Diego’s Refractive Surgery Center, agreed.

“This is an opportunity for us to all come together and share what we’re doing. We have different flavors amongst the different services, and it’s nice to be able to share our gains across the board,” Miles said.

Paramount among the improvements resulting from the transition, is having a refractive surgery board at the DHA level, he explained.

“We now have a formal voice at that tri-service level, so that might bring some formal processes that empower our programs more than before,” Miles said.

As with many other areas of military medicine, COVID-related impacts to refractive surgery include a shift to a more virtual-heavy way of conducting consultations and pre-surgery briefs.

Legault said that the most important aspect what they do is improving combat readiness.

“We want to improve the warfighter in order for them to be better at their occupation, and we want commanders and leaders to know that we are here to help,” he said. “We’re here to assist.

“It can literally mean life and death where you can see your enemy through improved visual function versus your glasses fogging up or falling off,” Legault said. “These are procedures that can make a huge difference and occur within minutes.”

Miles agreed, saying, “This is one of the few instances where we’re actually enhancing the warfighter. We’re not just fixing them up and keeping them healthy, we’re making them better. We’re providing an enhancement by making them less reliant on glasses and contact lenses, which, although they’re effective in giving you clearer vision, may be a liability in certain areas where our folks are operating.”

Proof for him that their programs are headed in the right direction, he said, is in the outcomes he’s seen.

“You just have to spend a day in a clinic seeing post-operative patients,” Miles said. “They’ll tell you that it is life-changing to be able to wake up in the morning and open their eyes and see clearly, aside from the performance advantage that it’s giving our military.”

You also may be interested in...

MSMR Vol. 28 No. 07 - July 2021

Report
7/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Long-acting reversible contraceptive use, active component service women, U.S. Armed Forces, 2016–2020; Oral cavity and pharynx cancers, active component, U.S. Armed Forces, 2007–2019; The evolution of military health surveillance reporting: a historical review.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 06 - June 2021

Report
6/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: The cost of lower extremity fractures among active duty U.S. Army soldiers, 2017; Early identification of SARS-CoV-2 emergence in the Department of Defense via retrospective analysis of 2019–2020 upper respiratory illness samples; Brief report: Medical encounters for snakebite envenomation, active and reserve components, U.S. Armed Forces, 2016–2020; Department of Defense mid-season vaccine effectiveness estimates for the 2019–2020 influenza season.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 05 - May 2021

Report
5/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2020; Hospitalizations, active component, U.S. Armed Forces, 2020; Ambulatory visits, active component, U.S. Armed Forces, 2020; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2020; Surveillance snapshot: Illness and injury burdens, recruit trainees, U.S. Armed Forces, 2020; Medical evacuations out of the U.S. Central Command, active and reserve components, U.S. Armed Forces, 2020; Morbidity burdens attributable to various illnesses and injuries, deployed active and reserve component service members, U.S. Armed Forces, 2020; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member beneficiaries of the Military Health System, 2020.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 04 - April 2021

Report
4/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Disparities in COVID-19 vaccine initiation and completion among active component service members and healthcare personnel, 11 December 2020–12 March 2021; Update: Heat illness, active component, U.S. Armed Forces, 2020; Update: Exertional rhabdomyolysis, active component, U.S. Armed Forces, 2016–2020; Update: Exertional hyponatremia, active component, U.S. Armed Forces, 2005–2020; Skin and soft tissue infections, active component, U.S. Armed Forces, January 2016–September 2020.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 03 - March 2021

Report
3/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Influenza surveillance trends and influenza vaccine effectiveness among Department of Defense beneficiaries during the 2019–2020 influenza season; Influenza outbreak during Exercise Talisman Sabre, Queensland, Australia, July 2019; Update: Sexually transmitted infections, active component, U.S. Armed Forces, 2012–2020; A retrospective cohort study of blood lead levels among special operations forces soldiers exposed to lead at a firing range in Germany.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 02 - February 2021

Report
2/1/2021

A monthly publication of the Armed Forces Health Surveillance Division. This issue of the peer-reviewed journal contains the following articles: Update: Malaria, U.S. Armed Forces, 2020; Historical perspective: The evolution of post-exposure prophylaxis for vivax malaria since the Korean War; Surveillance for vector-borne diseases among active and reserve component service members, U.S. Armed Forces, 2016–2020.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 28 No. 01 - January 2021

Report
1/1/2021

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Attrition rates and incidence of mental health disorders in an attention-deficit/hyperactivity disorder (ADHD) cohort, active component, U.S. Armed Forces, 2014–2018; The prevalence of attention-deficit/hyperactivity disorder (ADHD) and ADHD medication treatment in active component service members, U.S. Armed Forces, 2014–2018; Exertional rhabdomyolysis and sickle cell trait status in the U.S. Air Force, January 2009–December 2018.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 12 - December 2020

Report
12/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Cases of coronavirus disease 2019 and comorbidities among Military Health System beneficiaries, 1 January 2020 through 30 September 2020; Characteristics of U.S. Army beneficiary cases of COVID-19 in Europe, 12 March 2020–17 April 2020; Air evacuation of service members for COVID-19 in U.S. Central Command and U.S. European Command from 11 March 2020 through 30 September 2020; SARS-CoV-2 and influenza coinfection in a deployed military setting— Two case reports.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 11 - November 2020

Report
11/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Acute respiratory infections among active component service members who use combustible tobacco products and/or e-cigarettes/vaping products, U.S. Armed Forces, 2018–2019; Fibromyalgia: Prevalence and burden of disease among active component service members, U.S. Armed Forces, 2018; Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2015–June 2020.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 10 - October 2020

Report
10/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Characterizing the contribution of chronic pain diagnoses to the neurologic burden of disease, active component, U.S. Armed Forces, 2009–2018; Surveillance snapshot: Influenza immunization among U.S. Armed Forces healthcare workers, August 2015–April 2020; Acute and chronic pancreatitis, active component, U.S. Armed Forces, 2004–2018.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 9 - September 2020

Report
9/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: Routine screening for antibodies to human immunodeficiency virus, civilian applicants for U.S. military service and U.S. Armed Forces, active and reserve components, January 2015–June 2020; Incidence of inguinal hernia and repair procedures and rate of subsequent pain diagnoses, active component service members, U.S. Armed Forces, 2010–2019; Surveillance of spotted fever rickettsioses at Army installations in the U.S. Central and Atlantic regions, 2012–2018.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 8 - August 2020

Report
8/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Commentary: The limited role of vaccines in the prevention of acute gastroenteritis; Diarrhea and associated illness characteristics and risk factors among British active duty service members at Askari Storm training exercise, Nanyuki, Kenya, January–June 2014; Surveillance snapshot: Norovirus outbreaks in military forces, 2015–2019; Update: Incidence of acute gastrointestinal infections and diarrhea, active component, U.S. Armed Forces, 2010–2019.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 7 - July 2020

Report
7/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Hearing conservation measures of effectiveness across the Department of Defense; Alcohol-related emergency department visits, hospitalizations, and co-occurring injuries, active component, U.S. Armed Forces, 2009–2018; Surveillance snapshot: Cervical cancer screening among U.S. military service women in the Millennium Cohort Study, 2003–2015; Epidemiology of functional neurological disorder, active component, U.S. Armed Forces, 2000–2018.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 6 - June 2020

Report
6/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2019; Hospitalizations, active component, U.S. Armed Forces, 2019; Ambulatory visits, active component, U.S. Armed Forces, 2019; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2019; A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Letter to the editor: G6PD deficiency in the Tafenoquine era; Summary of the 2018–2019 influenza season among Department of Defense service members and other beneficiaries; Brief report: Direct care cost of heat illness to the Army, 2016–2018; Animal-related injuries in veterinary services personnel, U.S. Army, 2001–2018.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 27 No. 5 - May 2020

Report
5/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2019; Hospitalizations, active component, U.S. Armed Forces, 2019; Ambulatory visits, active component, U.S. Armed Forces, 2019; Surveillance snapshot: Illness and injury burdens, reserve component, U.S. Armed Forces, 2019; Surveillance snapshot: Illness and injury burdens, recruit trainees, active component, U.S. Armed Forces, 2019; Medical evacuations out of the U.S. Central Command, active and reserve components, U.S. Armed Forces, 2019; Morbidity burdens attributable to various illnesses and injuries, deployed active and reserve component service members, U.S. Armed Forces, 2019; Absolute and relative morbidity burdens attributable to various illnesses and injuries, non-service member beneficiaries of the Military Health System, 2019; Prevalence of selected underlying health conditions among active component Army service members with coronavirus disease 2019, 11 February–6 April 2020; Early use of ICD-10-CM code “U07.1, COVID-19” to identify 2019 novel coronavirus cases in Military Health System administrative data.

Recommended Content:

Health Readiness | Public Health
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 23

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.