07:50 | 23/07/2024

List of Eye Diseases Exempting from Military Service from 2025 according to Circular 105/2023/TT-BQP.

Category of eye diseases exempting individuals from military service starting from 2025 according to Circular 105/2023/TT-BQP? Inquiry by Mr. T.N from District 10.

Categories of Eye Diseases Not Eligible for Military Service Starting from 2025 according to Circular 105/2023/TT-BQP

Based on subsection 1, Section II of Appendix I issued with Circular 105/2023/TT-BQP (effective from January 1, 2024), the list of eye diseases that exempt from military service starting January 1, 2024, is as follows:

See detailed list of eye diseases exempt from military service starting January 1, 2024 here

Categories of Eye Diseases Not Eligible for Military Service Starting from 2025 according to Circular 105/2023/TT-BQP

Categories of Eye Diseases Not Eligible for Military Service Starting from 2025 according to Circular 105/2023/TT-BQP (Image from the internet)

How is the Eye Examination Process for Military Service Conducted?

Based on subsection 2, Section IV of Appendix 1 issued with Circular 105/2023/TT-BQP, the eye examination process for military service is conducted as follows:

- Number 1: Visual Acuity: Visual acuity is the basic standard to evaluate the vision of each eye. To measure visual acuity accurately, the following requirements must be met:

+ Specialized Staff: Must directly guide the reading method and apply the correct technical procedures of the Ophthalmology specialty. Pay attention to detecting cases where the reader is not truthful or does not know how to read according to instructions, use an automatic refractometer to check.

+ The visual acuity chart must:

++ Black letters on a white background, rows 7/10 to 8/10 must be hung at eye level.++ Adequate necessary lighting for reading (about 400 - 700 lux), avoiding any phenomenon that causes eye glare, excessive brightness, or light shining directly into the reader's eyes, or too dark affecting the reader's vision.++ Distance between the chart and the reader according to the chart's conformation.++ The reader must cover one eye with a solid card (not with a hand) and read with both eyes open (one eye behind the cover).++ The examiner uses a pointer to indicate below each letter, and the reader must finish reading that letter within about 10 seconds. Rows 8/10, 9/10, 10/10 each allows for 1 incorrect reading to count the result for that row.

+ Calculation of total visual acuity for both eyes: if visual acuity is higher than 10/10, it is still counted as 10/10.

Example: Right eye 12/10, left eye 5/10, then the total visual acuity for both eyes is 15/10.

+ When calculating total visual acuity for classification, pay attention to the visual acuity of the right eye. The visual acuity of the left eye cannot compensate for the right eye; the right eye's visual acuity must meet the stipulated standard.

- Number 5: Pterygium

The classification is based on the degree of pterygium encroachment on the cornea:

+ Grade 1: Pterygium begins to invade the corneal edge about 1mm.

+ Grade 2: Pterygium invades the cornea more than grade 1 but less than or equal to half the corneal diameter.

+ Grade 3: Pterygium invades the cornea more than grade 2 but does not reach the corneal center.

+ Grade 4: Pterygium crosses the corneal center.

- Number 12: Diseases of the Eyelids and Orbit

Classification of ptosis: Measure the distance of the corneal reflex light to the upper eyelid margin (margin reflex distance 1, MRD1).

+ Grade 1: MRD1 ≈ 3mm.

+ Grade 2: MRD1 ≈ 2mm.

+ Grade 3: MRD1 ≈ 1mm.

+ Grade 4: MRD1 ≤ 0 mm.

- Number 13: Color Blindness

Test color blindness using the Ishihara 24 plates, classify mild and severe levels based on images 16, 17 according to the chart's guide.

+ Each image must be read within a maximum time of 3 seconds.

+ Read from image 1 to 15, if 13 letters are read correctly, it is considered normal.

+ Reading correctly 9 or fewer letters is considered abnormal.

What Does the Military Service Medical Examination Include?

According to regulations in Articles 7 and 8 of Circular 105/2023/TT-BQP, the military service medical examination is conducted in two rounds: Initial Screening and Detailed Examination.

The health check for military service is conducted in two rounds with the following examination contents:

Round 1: Initial Screening for Military Service Health:

- Commune Health Stations conduct initial screenings for military service health under the guidance and professional supervision of the District Health Center or District General Hospital and the supervision of the District Military Command.

- Based on the recruitment and call plan of the District Military Service Council, the Commune Military Command draws up a list and calls for initial health screening for citizens subject to military service health examination in their area of management;

- Organize initial health screening with the following contents:

+ Gathering personal and family medical histories;

+ Identifying cases that do not meet physical health, deformities, anomalies as stipulated in Sections I and II of Appendix I issued with this Circular; diseases exempting from military service registration as stipulated in Section III of Appendix I issued with Circular 105/2023/TT-BQP.

Round 2: Military Service Health Examination:

- The military service health examination is conducted by the District Military Service Health Examination Council as stipulated in clause 1, Article 40 of the 2015 Military Service Law, including:

- The Council's Chairman is the Director of the District Health Center or the Director of the District General Hospital.

- The Council's Vice Chairman is the Deputy Director in charge of professional issues of the District Health Center or the Deputy Director of the District General Hospital.

- The Permanent Member cum Secretary of the Council is an advisory staff for state health management at the district level.

- Board members include staff from various agencies: District Health Center, District General Hospital (if available), district health agencies, military medical personnel from the District Military Command, and representatives from relevant units. If necessary, provincial-level medical staff or military medical staff from the Provincial Military Command can be reinforced as decided by the Chairman of the Provincial Military Service Council;

- Members of the Council ensure sufficient departments, specialties as stipulated in clause 5 of this Article and must have practice certificates or practice licenses appropriate to their tasks as stipulated by the law on medical examination and treatment.

- Draw up a list of citizens for the examination;

- Notify the time and place of the health examination (Issue health examination orders);

- Conduct health examinations with the following contents:

+ Physical examination; clinical examinations according to specialties: Eyes, Ear-Nose-Throat, Dentistry, Internal Medicine, Neurology, Psychiatry, Surgery, Dermatology, and Gynecology (for females);

+ Paraclinical examinations: Blood count; Blood group (ABO); Liver function (AST, ALT); Kidney function (Urea, Creatinine); Blood sugar; Hepatitis B virus (HBsAg); Hepatitis C virus (Anti-HCV); HTV; full urine (10 indicators); general abdominal ultrasound; ECG; straight chest X-ray; urine test to detect drugs. The Chairman of the Council can prescribe additional tests according to professional requirements for accurate health conclusions.

Conduct in 2 rounds: Physical, clinical examinations and paraclinical screenings, HIV, and drug screenings. If citizens do not meet one of the health standards stipulated in clause 1, Article 4 of Circular 105/2023/TT-BQP, the Council member conducting the examination reports to the Chairman to stop the examination. Blood and urine tests; HIV, and drug tests are only performed on citizens who meet the health standards after physical, clinical examination, ultrasound, ECG, and straight chest X-ray.

Advice and HIV testing are conducted according to the legal regulations on HIV/AIDS prevention for those who meet the health standards.

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