The co-pilot, Andreas Lubitz, who crashed a Germanwings jet into the Alps feared that he was losing his eyesight.
A French prosecutor said some of the many doctors he consulted felt he was unfit to fly.
However, Germany's patient privacy laws kept them from reporting Lubitz's concerns to his employer.
Marseille Prosecutor Brice Robin informed reporters and the victim's families of the developments Thursday in Paris.
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