LASIK Surgery: Medical Fitness

No.2022/H/5/1/NER/Dalbir, dated 14.11.2023

Sub: Medical fitness of employees who have undergone LASIK Surgery for various posts – reg.

Ref:  (i) Board’s office letter No.2011/H/5/7(VR), dated 11.11.2013, (ii) Board’s office letter of even number dated 25.08.2022.

The matter of medical fitness of candidates who underwent LASIK Surgery was deliberated by the Hon’ble Supreme Court of India in Case No.28003-28004/2017. As per judgment of Hon’ble Supreme Court of India in Civil Appeal No(s).1270-1271/2022, dated 10.05.2022 and with the approval of the Competent Authority in Ministry of Railways, instructions have been issued to zonal railways vide letter cited under reference (ii). Now with the approval of Competent Authority, it has been decided that the following is also be the determinants for medical fitness of employees who have undergone LASIK Surgery:-

Description	Medical Examination Category	Remarks
Employees who have undergone LASIK surgery.	A1 (AYE ONE), A2 (AYE TWO) & A3 (AYE THREE)	“UNFIT”
	B1 (BEE ONE) &  B2 (BEE TWO)	“FIT” Subject to the following criteria being met: (1) No complications related to LASIK Surgery following LASIK Surgery are observed in the employee. (2) LASIK Surgery should be at least of one year duration and the same should be substantiated with a Medical Certifcate issued by the specialist of the Institution where surgery was perforned  (3) “Residual Corneal Thickness” post LASIK Sugery should not be less than 425 microns on Pachymetry. (4) The visual acuity as per Para 512(1)(A) of IRMM, Vol.I, Third Edition 2000. (5) Fundus should be normal. (6) No evidence of progressive Eye disease.
	CI (CEY ONE) &  C2 (CEY TWO)	“FIT”

Further, it is signified that these instructions shall be applicable for all future PME/ medical examination of employees from the date of issuance of the letter.

Advance Correction Slip (ACS) of Para 512(9) is enclosed herewith.

Download Railway Board Circular Dated 14.11.2023

Forward reference ⇒ RBE No.