3 Examination of the retina with the pupil dilated.
4 A slit lamp (biomicroscopic) examination of the cornea and lens
with the pupil dilated.
5 Amsler grid testing of each eye.
6 A careful description, drawing, or photograph of any
abnormality. The results of these examinations should be properly recorded in the
patient's medical record.
(d) Accident examinations. If there is suspected or confirmed
exposure of the eye to excessive levels of laser radiation, the individual must have an
immediate (within 24 hours of exposure) ocular examination by an ophthalmologist or
optometrist. This examination should include procedures for preplacement and
termination ocular surveillance examinations, as well as other tests deemed necessary
by the examining specialist.
(e) Accident reporting procedures.
1 Generally, follow laser accident reporting procedures listed in
AR 40-400, chapter 6, and AR 385-40, paragraph 9-2.
2 Within 5 working days of the suspected or confirmed incident,
file the Special Telegraphic Report of Selected Diseases, RCS MED-16. File this report
of the exposure to radiation is in excess of levels set in AR 40-46, Control of Health
hazards from Lasers and Other high Intensity Optical Sources, chapter 2.
3 Within 72 hours after the accident must be reported. Report
according to local standing operating procedure.
c. Safety Procedures/Equipment.
(1) Laser Range Safety Officer. The Laser Range Safety Officer (LRSO) is
responsible for ensuring that the Army Environmental Hygiene Agency guidelines for
precautions around laser equipment are being followed.
(a) Class 2 lasers are terminated at the end of the useful beam and are
not directed at personnel.
(b) When Class 3 and 4 lasers are in use, unprotected personnel must
be excluded from the beam path where exposure limits are exceeded.
(c) Tracking of nontarget aircraft or vehicles is prohibited, and the limits
of the range are enforced.
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