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OCULAR DISABILITIES IN CANDIDATES FOR RECRUITMENT: AN ANALYSIS
V S Gurunadh1, V Baijal1, M G Palit2
1Classified Specialist, Ophthalmology, Army Hospital (R & R), Delhi Cantt 110010.
Medical Journal, Armed Forces India
|August 10, 2017
Summary
Recruit eye exams reveal that while most candidates pass, defective color perception is the primary reason for unfitness. Squint assessment is the leading cause for fitness among those requiring review.
Area of Science:
- Ophthalmology
- Military Medicine
- Recruit Health Screening
Background:
- Recruit medical examinations are crucial for military readiness.
- Ophthalmological assessments form a significant part of these screenings.
- Identifying visual impairments early prevents future health issues.
Purpose of the Study:
- To analyze the common reasons for ophthalmological review among military recruits.
- To determine the fitness rates and leading causes of unfitness in recruits undergoing eye examinations.
- To evaluate the effectiveness of initial general duty medical officer screenings versus specialist ophthalmologist reviews.
Main Methods:
- Retrospective analysis of ophthalmology department recruit examination records over three years.
- Categorization of reasons for review: defective color perception, squint assessment, and substandard vision.
- Comparison of fitness rates between initial general duty medical officer assessments and specialist ophthalmologist reviews.
Main Results:
- 1579 candidates underwent review, with defective color perception (35.35%), squint assessment (23.18%), and substandard vision (20.9%) being the main reasons.
- Overall, 68.39% of candidates were found fit upon specialist review.
- Squint was the leading cause for fitness (31.99% of fit candidates), while defective color perception was the primary reason for unfitness (46.12% of unfit candidates).
Conclusions:
- Defective color perception and squint assessment are significant ophthalmological concerns in military recruits.
- Specialist ophthalmologist review is effective in determining recruit fitness, with a majority found suitable for service.
- Refining initial screening protocols may help identify issues like defective color perception more effectively early on.

