A first-class medical certificate is required for airline transport pilots. This certificate has the most restrictive medical standards. The holder of a medical certificate shall be mentally and physically fit to exercise safely the privileges of the applicable licence. Your visual acuity (measured by your ability to see, in this case, lines of letters on a chart at 6 metres) must be at least 6/9 in each eye separately and 6/6 using both eyes together, with or without glasses or contact lenses (correction). If you need correction the refractive error (the amount of correction) must not exceed +5.00 dioptres of long sight or -6.00 dioptres of short sight. This is in the most ametropic meridian (taking into account any astigmatism). Astigmatism must not exceed 2.00 dioptres. The difference in correction between each eye (anisometropia) must not be more than 2.00 dioptres. Your optometrist will be able to explain these terms. You will be tested for normal colour vision with Ishihara Test Plates (a series of numbers or shapes outlined by different coloured dots, easily seen by someone with normal colour vision). If you fail these you will need to pass an approved lantern test (a series of coloured lights that you must identify correctly) in order to gain a JAR Class 1 certificate.a general check that all is functioning correctly. It will cover lungs, heart, blood pressure, stomach, limbs and nervous system.

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