Maintaining eye health and visual acuity are crucial for mission readiness and success. In light of recent recruitment challenges, medical accession policymakers have been asked to consider refinement of medical standards for enlistment to bolster total force strength. Approximately 5,000 enlisted applicants per year are medically disqualified at MEPS due to eye/vision conditions, making it a primary cause for medical disqualification among military applicants. Disqualified applicants may still access via an approved medical waiver, which allows approximately 2,500 service members with history of a disqualifying eye or vision condition to join the military each year. However, the impact of pre-accession eye or vision conditions on Service member medical readiness is not well understood. This study aims to track enlistees entering service with selected visual health pre-accession disqualifications for their ability to complete service milestones, particularly retention within the first three years of service. The study population consists of enlistees who entered service between FYs 2018-2022 via an approved medical waiver for any of the following: 1) keratoconus, 2) esotropia, 3) exotropia, and 4) low vision in one eye. Contingency tables and Kaplan-Meyer survival analyses will be used to examine attrition and disability discharge per condition. Results of this study are forthcoming and will offer valuable insights for policymakers working to optimize recruitment, retention, and deployment, and reduce medical attrition and disability. Disclaimer: Material was reviewed by WRAIR. There is no objection to presentation. Opinions or assertions are private views of the authors and are not to be construed as official, or as reflecting true views of the Department of the Army or the Department of Defense. Investigators adhered to policies for protection of human subjects as prescribed in AR 70–25.