Guide for Aviation Medical Examiners

Special Issuance
AME Assisted - All Classes - Glaucoma

AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations (14 CFR) part 67.

An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.

If this is a first-time application for an AASI for the above disease/condition, and the applicant has all the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.

Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:

  • An Authorization granted by the FAA;
  • Certification only granted for open-angle-glaucoma and ocular hypertension;
  • The FAA Form 8500-14, Glaucoma Eye Evaluation Form is filled out by the treating eye specialist; and
  • A set of visual fields measurements is provided.


The Examiner must defer to the AMCD or Region if:

  • The FAA Form 8500-14 Glaucoma Eye Evaluation Form demonstrates visual acuity incompatible with the medical standards; or
  • There is a change in visual fields or adverse change in ocular pressure.


Last updated: Thursday, March 9, 2023