Crosscheck

Your medical. Crosschecked.

Glaucoma

What the FAA's documents say about glaucoma, in plain words, with the FAA's own words one press away.

FAA term: Glaucoma (treated or untreated)

FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

Short version

The FAA's table sorts it into two rows.

How the FAA's table sorts Glaucoma
SituationWhat the examiner doesPathway
Row AGlaucoma, treated or untreated, all classes. The table's evaluation data is to review all pertinent medical information and a current status report, including Form 8500-14.
Worksheet
CACI
Row BAll others.
Defers to the FAA
Special Issuance
Show the FAA's words: the FAA's table for Glaucoma
  1. Row A · CACI

    Glaucoma, treated or untreated, all classes. The table's evaluation data is to review all pertinent medical information and a current status report, including Form 8500-14. The table sends the examiner to the CACI worksheet for glaucoma. If the airman meets all certification criteria, the examiner issues.

    Glaucoma (treated or untreated) … All … Review all pertinent medical information and current status report, including Form 8500-14 … See CACI – Glaucoma Worksheet ( PDF ) . If airman meets all certification criteria – Issue .

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

  2. Row B · Special Issuance

    All others. The table's line reads required FAA decision, with all evaluation data submitted. An initial Special Issuance requires an FAA decision.

    All others required FAA decision. Submit all evaluation data. … Initial Special Issuance – Requires FAA Decision

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

  3. A note on the table, 1

    Above its rows, the Item 32 table says medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation, without consulting the AMCD or the RFS, and that medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

    Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS . Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

What the pathway names mean

The FAA pathways for glaucoma

Which exam

Your step-by-step plan

  1. Step 1: The progress note from the treating doctor or specialist

    The note the examiner reviews.Within 90 days before the exam

    A current, detailed progress note from a clinic visit with your treating physician or specialist, no more than 90 days before the exam. Your AME reviews it.

    Show the FAA's words: The progress note from the treating doctor or specialist

    the AME must review a current, detailed Clinical Progress Note generated from a clinic visit with the treating physician or specialist no more than 90 days prior to the AME exam.

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

  2. Step 2: The eye report and the visual field test

    FAA Form 8500-14 or an equivalent report, and your visual field testing.Two things to bring
    • FAA Form 8500-14, or an equivalent report

      FAA Form 8500-14, or an equivalent report from your treating physician, documenting the considerations the worksheet lists below it.

    • Visual field testing

      No evidence of defect, and no reported unreliable visual fields.

      Acceptable tests

      • Humphrey 24-2 or 30-2 (either SITA or full threshold)
      • Octopus (either TOP or full threshold)

      Other formal visual field testing may be acceptable, but your AME must call for approval.

      Not acceptable

      • Not: Confrontation or screening visual field testing
    Show the FAA's words: The eye report and the visual field test

    FAA Form 8500-14 or equivalent treating physician report that documents the considerations below: [ ] Yes

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    ANY evidence of defect or reported Unreliable Visual Fields Acceptable visual field tests: Humphrey 24-2 or 30-2 (either SITA or full threshold), Octopus (either TOP or full threshold). Other formal visual field testing may be acceptable but you must call for approval. Confrontation or screening visual field testing is not acceptable. [ ] No

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

  3. Step 3: The worksheet's criteria

    Your eye medications, the type of glaucoma, eye pressure and the other criteria.

    None, or eye medications of the kinds the worksheet lists. Combination eye drops are acceptable.

    The FAA's glaucoma medications sheet has a longer list of its own.

    The kinds the worksheet lists

    • Prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z)
    • Carbonic anhydrase inhibitor (Trusopt and Azopt)
    • Beta blockers (Timoptic, etc)
    • Alpha agonist (Alphagan)

    Not acceptable for CACI

    • Not: Pilocarpine or other miotics
    • Not: Cycloplegics (atropine)
    • Not: Oral medications

    The worksheet's other criteria

    • Stable on the current regimen, with no changes recommended by the treating ophthalmologist
    • Age at diagnosis 40 or older
    • An acceptable type: open angle, ocular hypertension or glaucoma suspect, monitored and stable; or a previous history of narrow angle or angle closure glaucoma treated with iridectomy or iridotomy (surgical or laser) and currently stable
    • No documented nerve damage or trabeculectomy (filtration surgery)
    • No medication side effects
    • Intraocular pressure 23 mm Hg or less in both eyes

    Types the worksheet does not accept

    • Not: Normal tension glaucoma
    • Not: Secondary glaucoma due to inflammation, trauma, or any other significant eye pathology
    Show the FAA's words: The worksheet's criteria

    Medications [ ] None or Prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z), Carbonic anhydrase inhibitor (Trusopt and Azopt), Beta blockers (Timoptic, etc), or Alpha agonist (Alphagan). Combination eye drops are acceptable

    NOT acceptable for CACI: Pilocarpine or other miotics, cycloplegics (Atropine), or oral medications.

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    CACI Glaucoma Medications

    (as a single agent or in a combination product)

    Beta-Blocker

    betaxolol (Kerlone)

    carteolol (Ocupress

    levobunolol (Betagan)

    timolol (Timoptic)

    Carbonic Anhydrase Inhibitor

    brinzolamide (Azopt)

    dorzolamide (Trusopt)

    methazolamide

    Alpha2 Agonist

    apraclonidine (Iopidine)

    brimonidine (Alphagan P)

    Rho Kinase Inhibitor

    netarsudil (Rhopressa)

    Prostaglandin

    bimatoprost (Latisse; Lumigan)

    latanoprost (Xalatan)

    latanoprostene bunod (Vyzulta)

    omidenepag isopropyl (Omlonti)

    tafluprost (Zioptan)

    travoprost (Travatan)

    Combination

    brimonidine + timolol (Combigan)

    brinzolamide + brimonidine tartrate (Simbrinza)

    netarsudil + latanoprost (Rocklatan)

    dorzolamide + timolol (Cosopt)

    FAA source: Glaucoma and Ocular Hypertension Medications. FAA date 27 August 2025; checked by Crosscheck 14 October 2026.

    CONDITIONALLY ACCEPTABLE Glaucoma Medications (Requires SI)

    (as a single agent or in a combination product)

    Oral medications

    e.g. acetazolamide (Diamox)

    UNACCEPTABLE Glaucoma Medications

    Cycloplegics

    e.g. atropine

    Cholinergic Agonist

    e.g. pilocarpine (Salagen, Isopto Carpine)

    FAA source: Glaucoma and Ocular Hypertension Medications. FAA date 27 August 2025; checked by Crosscheck 14 October 2026.

    Treating ophthalmologist finds the condition stable on current regimen and no changes recommended. [ ] Yes

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    Age at diagnosis [ ] 40 or older

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    Acceptable types of glaucoma [ ] Open Angle being monitored and stable, Ocular Hypertension or Glaucoma Suspect being monitored and stable, or previous history of Narrow Angle/Angle Closure Glaucoma which has been treated with iridectomy/iridotomy (surgical or laser) and is currently stable.

    NOT acceptable: Normal Tension Glaucoma, secondary glaucoma due to inflammation, trauma, or the presence of any other significant eye pathology (e.g. neovascular glaucoma due to proliferative diabetic retinopathy or an ischemic central vein occlusion or uveitic glaucoma)

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    Documented nerve damage or trabeculectomy (filtration surgery) [ ] No

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    Medication side effects [ ] None

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

    Intraocular pressure [ ] 23 mm Hg or less in both eyes

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022; checked by Crosscheck 14 October 2026.

What the examiner checks

It depends on which row of the FAA's table describes the case.

  • Row AWorksheetCACI

    The table sends the examiner to the CACI worksheet for glaucoma. If the airman meets all certification criteria, the examiner issues.

  • Row BDefers to the FAASpecial Issuance

    The table's line reads required FAA decision, with all evaluation data submitted. An initial Special Issuance requires an FAA decision.

    If the examiner defers
Show the FAA's words: what the examiner does on each row
  1. Row A · CACI

    Glaucoma, treated or untreated, all classes. The table's evaluation data is to review all pertinent medical information and a current status report, including Form 8500-14. The table sends the examiner to the CACI worksheet for glaucoma. If the airman meets all certification criteria, the examiner issues.

    Glaucoma (treated or untreated) … All … Review all pertinent medical information and current status report, including Form 8500-14 … See CACI – Glaucoma Worksheet ( PDF ) . If airman meets all certification criteria – Issue .

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

  2. Row B · Special Issuance

    All others. The table's line reads required FAA decision, with all evaluation data submitted. An initial Special Issuance requires an FAA decision.

    All others required FAA decision. Submit all evaluation data. … Initial Special Issuance – Requires FAA Decision

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

The CACI worksheet's criteria

Row A: glaucoma, treated or untreated, all classes

Visual field testing

Acceptable tests

  • Humphrey 24-2 or 30-2 (either SITA or full threshold)
  • Octopus (either TOP or full threshold)

Other formal visual field testing may be acceptable, but your AME must call for approval.

Not acceptable

  • Not: Confrontation or screening visual field testing

Your glaucoma medications

The kinds the worksheet lists

  • Prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z)
  • Carbonic anhydrase inhibitor (Trusopt and Azopt)
  • Beta blockers (Timoptic, etc)
  • Alpha agonist (Alphagan)

Not acceptable for CACI

  • Not: Pilocarpine or other miotics
  • Not: Cycloplegics (atropine)
  • Not: Oral medications

The worksheet's other criteria

  • Stable on the current regimen, with no changes recommended by the treating ophthalmologist
  • Age at diagnosis 40 or older
  • An acceptable type: open angle, ocular hypertension or glaucoma suspect, monitored and stable; or a previous history of narrow angle or angle closure glaucoma treated with iridectomy or iridotomy (surgical or laser) and currently stable
  • No documented nerve damage or trabeculectomy (filtration surgery)
  • No medication side effects
  • Intraocular pressure 23 mm Hg or less in both eyes

Types the worksheet does not accept

  • Not: Normal tension glaucoma
  • Not: Secondary glaucoma due to inflammation, trauma, or any other significant eye pathology
Show the FAA's words: the CACI worksheet's criteria for Glaucoma
  1. Stable on the current regimen, with no changes recommended

    FAA criterion: the treating ophthalmologist finds the condition stable on the current regimen, with no changes recommended.

    Treating ophthalmologist finds the condition stable on current regimen and no changes recommended. [ ] Yes

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  2. Age at diagnosis 40 or older

    FAA criterion: age at diagnosis 40 or older.

    Age at diagnosis [ ] 40 or older

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  3. An acceptable type of glaucoma

    FAA criterion: the acceptable types of glaucoma are open angle being monitored and stable, ocular hypertension or glaucoma suspect being monitored and stable, or a previous history of narrow angle or angle closure glaucoma which has been treated with iridectomy or iridotomy (surgical or laser) and is currently stable. The worksheet names as not acceptable normal tension glaucoma, and secondary glaucoma due to inflammation, trauma, or the presence of any other significant eye pathology, with its own examples in its own terms.

    Acceptable types of glaucoma [ ] Open Angle being monitored and stable, Ocular Hypertension or Glaucoma Suspect being monitored and stable, or previous history of Narrow Angle/Angle Closure Glaucoma which has been treated with iridectomy/iridotomy (surgical or laser) and is currently stable. … NOT acceptable: Normal Tension Glaucoma, secondary glaucoma due to inflammation, trauma, or the presence of any other significant eye pathology (e.g. neovascular glaucoma due to proliferative diabetic retinopathy or an ischemic central vein occlusion or uveitic glaucoma)

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  4. No documented nerve damage or trabeculectomy (filtration surgery)

    FAA criterion: no documented nerve damage or trabeculectomy (filtration surgery).

    Documented nerve damage or trabeculectomy (filtration surgery) [ ] No

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  5. No medication, or medications from the kinds the worksheet lists

    FAA criterion: none, or prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z), a carbonic anhydrase inhibitor (Trusopt and Azopt), beta blockers (Timoptic, etc), or an alpha agonist (Alphagan); the worksheet says combination eye drops are acceptable. It names as not acceptable for CACI pilocarpine or other miotics, cycloplegics (atropine), or oral medications. The FAA's Glaucoma and Ocular Hypertension Medications sheet has its own list of CACI glaucoma medications, as a single agent or in a combination product, under beta-blocker, carbonic anhydrase inhibitor (including methazolamide), alpha2 agonist, rho kinase inhibitor, prostaglandin and combination; it lists oral medications, such as acetazolamide (Diamox), as conditionally acceptable, requiring an SI, and cycloplegics, such as atropine, and cholinergic agonists, such as pilocarpine, as unacceptable. Crosscheck reports both lists as published and does not decide between them.

    Medications [ ] None or Prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z), Carbonic anhydrase inhibitor (Trusopt and Azopt), Beta blockers (Timoptic, etc), or Alpha agonist (Alphagan). Combination eye drops are acceptable … NOT acceptable for CACI: Pilocarpine or other miotics, cycloplegics (Atropine), or oral medications.

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

    CACI Glaucoma Medications … (as a single agent or in a combination product) … Beta-Blocker … betaxolol (Kerlone) … carteolol (Ocupress … levobunolol (Betagan) … timolol (Timoptic) … Carbonic Anhydrase Inhibitor … brinzolamide (Azopt) … dorzolamide (Trusopt) … methazolamide … Alpha2 Agonist … apraclonidine (Iopidine) … brimonidine (Alphagan P) … Rho Kinase Inhibitor … netarsudil (Rhopressa) … Prostaglandin … bimatoprost (Latisse; Lumigan) … latanoprost (Xalatan) … latanoprostene bunod (Vyzulta) … omidenepag isopropyl (Omlonti) … tafluprost (Zioptan) … travoprost (Travatan) … Combination … brimonidine + timolol (Combigan) … brinzolamide + brimonidine tartrate (Simbrinza) … netarsudil + latanoprost (Rocklatan) … dorzolamide + timolol (Cosopt)

    FAA source: Glaucoma and Ocular Hypertension Medications. FAA date 27 August 2025. Checked by Crosscheck 14 October 2026

    CONDITIONALLY ACCEPTABLE Glaucoma Medications (Requires SI) … (as a single agent or in a combination product) … Oral medications … e.g. acetazolamide (Diamox) … UNACCEPTABLE Glaucoma Medications … Cycloplegics … e.g. atropine … Cholinergic Agonist … e.g. pilocarpine (Salagen, Isopto Carpine)

    FAA source: Glaucoma and Ocular Hypertension Medications. FAA date 27 August 2025. Checked by Crosscheck 14 October 2026

  6. No medication side effects

    FAA criterion: no medication side effects.

    Medication side effects [ ] None

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  7. Intraocular pressure 23 mm Hg or less in both eyes

    FAA criterion: intraocular pressure 23 mm Hg or less in both eyes.

    Intraocular pressure [ ] 23 mm Hg or less in both eyes

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

  8. Visual field testing, with no evidence of defect and no reported unreliable visual fields

    FAA criterion: no evidence of defect and no reported unreliable visual fields. The worksheet's acceptable visual field tests are Humphrey 24-2 or 30-2 (either SITA or full threshold) and Octopus (either TOP or full threshold). It says other formal visual field testing may be acceptable, but the examiner must call for approval, and that confrontation or screening visual field testing is not acceptable.

    ANY evidence of defect or reported Unreliable Visual Fields Acceptable visual field tests: Humphrey 24-2 or 30-2 (either SITA or full threshold), Octopus (either TOP or full threshold). Other formal visual field testing may be acceptable but you must call for approval. Confrontation or screening visual field testing is not acceptable. [ ] No

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

If the examiner defersSpecial Issuance

The table's line for all others reads required FAA decision, with all evaluation data submitted, and it says an initial Special Issuance requires an FAA decision.

When the pilot is not CACI qualified, the worksheet has the examiner note in Block 60 that they have deferred, and submit supporting documents.

What the FAA lists to send

  1. Item 1. All evaluation data. The table's evaluation data for glaucoma is all pertinent medical information and a current status report, including Form 8500-14.
Show the FAA's words: if the examiner defers

When the examiner defers

  1. Reason 1

    The table's line for all others reads required FAA decision, with all evaluation data submitted, and it says an initial Special Issuance requires an FAA decision.

    All others required FAA decision. Submit all evaluation data. … Initial Special Issuance – Requires FAA Decision

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

  2. Reason 2

    When the pilot is not CACI qualified, the worksheet has the examiner note in Block 60 that they have deferred, and submit supporting documents.

    AME MUST NOTE in Block 60 one of the following: … NOT CACI qualified glaucoma. I have deferred. (Submit supporting documents.)

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

What the FAA lists to send

  1. Item 1

    All evaluation data. The table's evaluation data for glaucoma is all pertinent medical information and a current status report, including Form 8500-14.

    Review all pertinent medical information and current status report, including Form 8500-14 … All others required FAA decision. Submit all evaluation data.

    FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

After the FAA decides

AASI

The table says an initial Special Issuance requires an FAA decision, and for followup Special Issuances it points to the AASI protocol. The FAA's AASI sheet for glaucoma says an FAA physician provides the initial certification decision and grants the Authorization, and that for a first-time AASI application, with all the medical information needed for a determination, the examiner must defer and submit all of it to the AMCD or RFS for the initial determination.

Show the FAA's words: after the FAA decides
Initial Special Issuance – Requires FAA Decision … Followup Special Issuances – See AASI Protocol

FAA source: Glaucoma (Item 32). FAA date 28 August 2026. Checked by Crosscheck 14 October 2026

An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401 . … 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.

FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

What a Special Issuance is

The Guide says an Authorization for Special Issuance, valid for a specified period, may be granted at the Federal Air Surgeon's discretion to a person who does not meet the established medical standards, if the person shows to the satisfaction of the Federal Air Surgeon that the duties authorized by the class of certificate applied for can be performed without endangering public safety during the period the Authorization would be in force.

How the FAA pathways work

At later examsAASI

First and second class
Every year
Third class
At each required exam

The worksheet says first- and second-class applicants must provide this information every year, and third-class applicants must provide it with each required exam.

Show the FAA's words: how often the FAA asks again
Applicants for first- or second- class must provide this information annually; applicants for third-class must provide the information with each required exam.

FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

Under an FAA Authorization, the FAA's AASI sheet for glaucoma lists what the pilot provides for the examiner to reissue. That is the Authorization granted by the FAA; certification only granted for open-angle glaucoma and ocular hypertension; FAA Form 8500-14, the Glaucoma Eye Evaluation Form, filled out by the treating eye specialist; and a set of visual field measurements. The sheet says the Authorization letter comes with attachments that specify the information the treating doctors must provide for the reissue determination.

Show the FAA's words: at later exams
The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance 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.

FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

What AASI is

AASI stands for AME Assisted Special Issuance. The Guide describes it as a process that lets the examiner reissue a certificate under the provisions of an Authorization for Special Issuance, to an applicant who has a medical condition that is disqualifying under 14 CFR part 67.

How the FAA pathways work
  • The Authorization granted by the FAA

    The AASI sheet's list for a reissue begins with an Authorization granted by the FAA.

    Show the FAA's words: The Authorization granted by the FAA
    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;

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

  • Certification only granted for open-angle glaucoma and ocular hypertension

    The AASI sheet's list says certification is only granted for open-angle glaucoma and ocular hypertension.

    Show the FAA's words: Certification only granted for open-angle glaucoma and ocular hypertension
    Certification only granted for open-angle-glaucoma and ocular hypertension;

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

  • FAA Form 8500-14, filled out by the treating eye specialist

    The AASI sheet asks for FAA Form 8500-14, the Glaucoma Eye Evaluation Form, filled out by the treating eye specialist.

    Show the FAA's words: FAA Form 8500-14, filled out by the treating eye specialist
    The FAA Form 8500-14, Glaucoma Eye Evaluation Form is filled out by the treating eye specialist; and

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

  • A set of visual field measurements

    The AASI sheet asks for a set of visual field measurements.

    Show the FAA's words: A set of visual field measurements
    A set of visual fields measurements is provided.

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

  • What the Authorization letter comes with

    The AASI sheet says the Authorization letter comes with attachments that specify the information the treating physicians must provide for the reissue determination.

    Show the FAA's words: What the Authorization letter comes with
    The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination.

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

  • When the examiner defers a reissue

    The AASI sheet says the examiner must defer to the AMCD or Region if FAA Form 8500-14 shows visual acuity incompatible with the medical standards, or if there is a change in visual fields or an adverse change in ocular pressure.

    Show the FAA's words: When the examiner defers a reissue
    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.

    FAA source: AASI – Glaucoma. FAA date 9 March 2023. Checked by Crosscheck 14 October 2026

Good to know

Points from the FAA's own documents that are easy to miss.

  • What a progress note must include

    In most cases it should come from a visit with the treating physician no more than 90 days ago, and cover the history, medications with dosages and side effects, exam findings, test results, diagnosis, assessment and plan, prognosis and follow-up. The FAA's sheet says to make sure the physician adds the prognosis. A portal note or an After Visit Summary that does not meet these criteria is not enough, and neither is a simple "ok to fly" letter. The FAA's documents also call it a status report.

    Show the FAA's words: good to know, 1
    your patient portal to print out “notes” or an “After Visit Summary (AVS).” … Patient Portal notes or an AVS that do not meet the criteria listed below for a detailed Clinical Progress Note are NOT sufficient for FAA purposes. … To be “current,” in MOST CASES, the detailed Clinical Progress Note should be from an evaluation in which you saw your treating physician no more than 90 days ago. … It Must include the following items: … A summary of the history of the condition, … Current medications, dosages, and side effects (if any); … Clinical exam findings; … Results of any testing performed; … Diagnosis; … Assessment and Plan; … Prognosis (This item may not be on a standard progress note, make sure your physician adds this information.); and … Follow-up … Please note: A letter stating, “Mr. Smith is ok to fly” (or any other simple note), is NOT a current, detailed Clinical Progress Note and is NOT acceptable. … You may also see this called a “current status report” or “status report” in current FAA Guidance. Any reference to a “status report” equals the criteria listed on this sheet.

    FAA source: Pilot Information – What a Detailed Clinical Progress Note must contain. FAA date 25 September 2024. Checked by Crosscheck 14 October 2026

  • Two FAA medication lists differ

    The worksheet and the FAA's Glaucoma and Ocular Hypertension Medications sheet are two lists. The sheet's CACI list names medications the worksheet's line does not, such as netarsudil and methazolamide. Crosscheck shows both and does not decide.

    Show the FAA's words: good to know, 2
    Medications [ ] None or Prostaglandin analogs (Xalatan, Lumigan, Travatan or Travatan Z), Carbonic anhydrase inhibitor (Trusopt and Azopt), Beta blockers (Timoptic, etc), or Alpha agonist (Alphagan). Combination eye drops are acceptable

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

    CACI Glaucoma Medications … Carbonic Anhydrase Inhibitor … brinzolamide (Azopt) … dorzolamide (Trusopt) … methazolamide … Rho Kinase Inhibitor … netarsudil (Rhopressa)

    FAA source: Glaucoma and Ocular Hypertension Medications. FAA date 27 August 2025. Checked by Crosscheck 14 October 2026

  • Block 60 carries one of three statements

    The worksheet says the examiner must note one of three in Block 60: CACI qualified (documents do not need to be submitted to the FAA); has current or previous SI/AASI but now CACI qualified; or NOT CACI qualified, which says the examiner has deferred and to submit supporting documents.

    Show the FAA's words: good to know, 3
    AME MUST NOTE in Block 60 one of the following: … CACI qualified glaucoma. (Documents do not need to be submitted to the FAA.) … Has current OR previous SI/AASI but now CACI qualified glaucoma. … NOT CACI qualified glaucoma. I have deferred. (Submit supporting documents.)

    FAA source: CACI – Glaucoma Worksheet. FAA date 13 April 2022. Checked by Crosscheck 14 October 2026

FAA sources

Every FAA document this page relies on, with the FAA's own date and the date Crosscheck last read it. The documents to print open at the FAA, so they are always the FAA's current ones.

This reports what the FAA has published. It is not medical advice, and it does not say how the FAA or an examiner will decide a case.