Combat jet aircrew are exposed to accelerations many multiples that of Earth’s gravity, predominately in the head-to-toe axis (+G z ). +G z acceleration results in a relative footward redistribution of blood, an increase in the head-to-heart hydrostatic gradient, and reduced head-level blood pressure. Decreased oxygenation of the retina leads to visual symptoms, classically described as a loss of peripheral vision (“greyout” or “peripheral light loss”), progressing with increased +G z to central visual loss (“blackout” or “central light loss”). Due to a