Lenticular Opacities and the Evaluation of Personnel for the Naval Nuclear Propulsion Program

摘要

Pertinent aspects of lens anatomy, embryology, and physiology are reviewed. Types of cataracts are described and classified as to etiology. The pathophysiology of radiation cataracts is discussed and data regarding dose levels needed to produce such cataracts is presented. The requirements for satisfactory screening for lenticular opacities and for their further evaluation is discussed in light of results achieved at the Nuclear Power Schools. Medicolegal ramifications are discussed and compensation cases reviewed. Recommendations are made concerning acceptable examining protocols, administrative processing, disqualification criteria, and approaches to minimizing adverse, unwarranted legal decisions.