Analysis of major ocular conditions leading to rejection in the Air Force aspirational candidates and change in our practice pattern for future

Objectives: The Armed Forces offer a great career opportunity to the aspirants. It is a matter of pride to serve the nation. Unfortunately, a significant number of Air Force aspirants fail to clear their medical examinations. The ophthalmological examination remains one of the leading causes of rejection of these candidates. In this article, we have tried to find out the major ocular conditions that have led to the rejection of these candidates. Material and Methods: This retrospective study was done from the examination records of the Department of Ophthalmology at the boarding center of the Air Force from January 01, 2020, to March 31, 2022. These records consisted of the personal particulars of the candidates, their registration number, the stream that the individual has applied for, the findings of the ophthalmologists, and his remarks (highlighted in bold) regarding the fitness and signature with date. The data were then tabulated and analyzed. Results: Out of 2003 candidates, 251 candidates (12.5%) were declared unfit due to various ophthalmic conditions. Substandard vision remains the leading cause of rejection. Defective color perception, lattice degeneration, and Post LASIK criteria not meeting the laid down standards are other major causes of rejection. Conclusion: The young generation is the backbone of a nation, and their motivation leads to shaping of the country’s future. Armed Forces being one of the most lucrative career options a considerable majority of them lose confidence and become demotivated on being unfit due to pre-existing ocular conditions. They would have chosen an alternative stream if they had known about their ocular condition beforehand, the authors suggest that every individual must be thoroughly ophthalmologically examined at around 14–16 years of age equating to 10–12 standard during their studies. This will help them to choose their career in the armed forces or civil stream.