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674 

14 CFR Ch. I (1–1–19 Edition) 

§ 67.113 

(b) A person applying for first-class 

medical certification must dem-
onstrate an absence of myocardial in-
farction and other clinically signifi-
cant abnormality on electrocardio-
graphic examination: 

(1) At the first application after 

reaching the 35th birthday; and 

(2) On an annual basis after reaching 

the 40th birthday. 

(c) An electrocardiogram will satisfy 

a requirement of paragraph (b) of this 
section if it is dated no earlier than 60 
days before the date of the application 
it is to accompany and was performed 
and transmitted according to accept-
able standards and techniques. 

§ 67.113

General medical condition. 

The general medical standards for a 

first-class airman medical certificate 
are: 

(a) No established medical history or 

clinical diagnosis of diabetes mellitus 
that requires insulin or any other 
hypoglycemic drug for control. 

(b) No other organic, functional, or 

structural disease, defect, or limitation 
that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 
condition involved, finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

(c) No medication or other treatment 

that the Federal Air Surgeon, based on 
the case history and appropriate, quali-
fied medical judgment relating to the 
medication or other treatment in-
volved, finds— 

(1) Makes the person unable to safely 

perform the duties or exercise the 
privileges of the airman certificate ap-
plied for or held; or 

(2) May reasonably be expected, for 

the maximum duration of the airman 
medical certificate applied for or held, 
to make the person unable to perform 
those duties or exercise those privi-
leges. 

§ 67.115

Discretionary issuance. 

A person who does not meet the pro-

visions of §§ 67.103 through 67.113 may 
apply for the discretionary issuance of 
a certificate under § 67.401. 

Subpart C—Second-Class Airman 

Medical Certificate 

§ 67.201

Eligibility. 

To be eligible for a second-class air-

man medical certificate, and to remain 
eligible for a second-class airman med-
ical certificate, a person must meet the 
requirements of this subpart. 

§ 67.203

Eye. 

Eye standards for a second-class air-

man medical certificate are: 

(a) Distant visual acuity of 20/20 or 

better in each eye separately, with or 
without corrective lenses. If corrective 
lenses (spectacles or contact lenses) 
are necessary for 20/20 vision, the per-
son may be eligible only on the condi-
tion that corrective lenses are worn 
while exercising the privileges of an 
airman certificate. 

(b) Near vision of 20/40 or better, 

Snellen equivalent, at 16 inches in each 
eye separately, with or without correc-
tive lenses. If age 50 or older, near vi-
sion of 20/40 or better, Snellen equiva-
lent, at both 16 inches and 32 inches in 
each eye separately, with or without 
corrective lenses. 

(c) Ability to perceive those colors 

necessary for the safe performance of 
airman duties. 

(d) Normal fields of vision. 
(e) No acute or chronic pathological 

condition of either eye or adnexa that 
interferes with the proper function of 
an eye, that may reasonably be ex-
pected to progress to that degree, or 
that may reasonably be expected to be 
aggravated by flying. 

(f) Bifoveal fixation and vergence- 

phoria relationship sufficient to pre-
vent a break in fusion under conditions 
that may reasonably be expected to 
occur in performing airman duties. 
Tests for the factors named in this 
paragraph are not required except for 
persons found to have more than 1 
prism diopter of hyperphoria, 6 prism 
diopters of esophoria, or 6 prism 
diopters of exophoria. If any of these 

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