§ 4.84a - Schedule of ratings—eye.

Diseases of the EyeRating6000Uveitis6001Keratitis6002Scleritis6003Iritis6004Cyclitis6005Choroiditis6006Retinitis6007Hemorrhage, intra-ocular, recent6008Retina, detachment of6009Eye, injury of, unhealed:The above disabilities, in chronic form, are to be rated from 10 percent to 100 percent for impairment of visual acuity or field loss, pain, rest-requirements, or episodic incapacity, combining an additional rating of 10 percent during continuance of active pathology. Minimum rating during active pathology106010Eye, tuberculosis of, active or inactive:Active100Inactive: See §§ 4.88b and 4.89.6011Retina, localized scars, atrophy, or irregularities of, centrally located, with irregular, duplicated enlarged or diminished image:Unilateral or bilateral106012Glaucoma, congestive or inflammatory:Frequent attacks of considerable duration; during continuance of actual total disability100Or, rate as iritis, diagnostic Code 6003.6013Glaucoma, simple, primary, noncongestive:Rate on impairment of visual acuity or field loss.Minimum rating106014New growths, malignant (eyeball only):Pending completion of operation or other indicated treatment100Healed; rate on residuals.6015New growths, benign (eyeball and adnexa, other than superficial)Rate on impaired vision, minimum10Healed; rate on residuals.6016Nystagmus, central106017Conjunctivitis, trachomatous, chronic:Active; rate for impairment of visual acuity; minimum rating while there is active pathology30Healed; rate on residuals, if no residuals06018Conjunctivitis, other, chronic:Active, with objective symptoms10Healed; rate on residuals, if no residuals06019Ptosis, unilateral or bilateral:Pupil wholly obscured.Rate equivalent to 5/200 (1.5/60).Pupile one-half or more obscured.Rate equivalent to 20/100 (6/30).With less interference with vision.Rate as disfigurement.6020Ectropion:Bilateral20Unilateral106021Entropion:Bilateral20Unilateral106022Lagophthalmos:Bilateral20Unilateral106023Eyebrows, loss of, complete, unilateral or bilateral106024Eyelashes, loss of, complete, unilateral or bilateral106025Epiphora (lacrymal duct, interference with, from any cause):Bilateral20Unilateral106026Neuritis, optic:Rate underlying disease, and combine impairment of visual acuity or field loss.6027Cataract, traumatic:Preoperative.Rate on impairment of vision.Postoperative.Rate on impairment of vision and aphakia.6028Cataract, senile, and others:Preoperative.Rate on impairment of vision.Postoperative.Rate on impairment of vision and aphakia.6029Aphakia:Bilateral or unilateral30Note: The 30 percent rating prescribed for aphakia is a minimum rating to be applied to the unilateral or bilateral condition and is not to be combined with any other rating for impaired vision. When only one eye is aphakic, the eye having poorer corrected visual acuity will be rated on the basis of its acuity without correction. When both eyes are aphakic, both will be rated on corrected vision. The corrected vision of one or both aphakic eyes will be taken one step worse than the ascertained value, however, not better than 20/70 (6/21). Combined ratings for disabilities of the same eye should not exceed the amount for total loss of vision of that eye unless there is an enucleation or a serious cosmetic defect added to the total loss of vision.6030Accommodation, paralysis of206031DacryocystitisRate as epiphora.6032Eyelids, loss of portion of:Rate as disfigurement. (See diseases of the skin.)6033Lens, crystalline, dislocation of:Rate as aphakia.6034Pterygium:Rate for loss of vision, if any.6035Keratoconus: To be evaluated on impairment of corrected visual acuity using contact lenses.Note: When contact lenses are medically required for keratoconus, either unilateral or bilateral, the minimum rating will be 30 percent. Table IV—Table for Rating Bilateral Blindness or Blindness Combined With Hearing Loss With Dictator's Code and 38 CFR CitationsVision one eyeVision other eye5/200 (1.5/60) or lessLight perception onlyNo light perception or anatomical lossPlus service-connected Hearing lossTotal deafness one ear10% or 20% at least one ear SC30% at least one ear SC40% at least one ear SC60% or more at least one ear SC5/200 (1.5/60) or lessL 1 Code LB-1 38 CFR 3.350(b)(2)L+1/21 Code LB-2 38 CFR 3.350(f)(2)(i)M Code MB-2 a or b 38 CFR 3.350(f)(2)(ii)Add 1/2 step Code PB-1 38 CFR 3.350(f)(2)(iv)No additional SMCAdd a full step Code PB-3 38 CFR 3.350(f)(2)(vi)Add a full step Code PB-3 38 CFR 3.350(f)(2)(vi)O Code OB-1 38 CFR 3.350(e)(1)(iii)Light perception onlyM Code MB-1 a 38 CFR 3.350(c)(1)((iv)M+1/2 Code MB-3 a or b 38 CFR 3.350(f)(iii)O Code OB-2 38 CFR 3.350(e)(1)(iv)Add 1/2 step Code PB-2 38 CFR 3.350(f)(2)(v)Add a full step Code PB-3 38 CFR 3.350(f)(2)(iv)O Code OB-2 38 CFR 3.350(e)(1)(iv)O Code OB-1 38 CFR 3.350(e)(1)(iii)No light perception or anatomical lossN Code NB-1 a-b or c 38 CFR 3.350(d)(4)O Code OB-2 38 CFR 3.350(e)(1)(iv)Add 1/2 step Code PB-2 38 CFR 3.350(f)(2)(v)Add full step Code PB-3 38 CFR 3.350(f)(2)(vi)O Code OB-2 38 CFR 3.350(e)(1)(iv)O Code OB-1 38 CFR 3.350(e)(1)(iii)1 With need for aid and attendance qualifies for Subpar. m. code MB-1, b; 38 CFR 3.350(c)(1)(v).Note.—(1) Any of the additional SMC payable under Dictator's Codes PB-1, PB-2, or PB-3 is not to exceed the rate payable under Subpar. O. (2) If in addition to any of the above the veteran has the service-connected loss or loss of use of an extremity, additional SMC is payable, not to exceed the rate payable under Subpar. O. See Dictator's Codes PB-4, PB-5, PB-6, and 38 CFR 3.350(f)(2)(vii) (A), (B), (C). (Authority: 38 U.S.C. 1115) Impairment of Central Visual AcuityRating6061Anatomical loss both eyes5 1006062Blindness in both eyes having only light perception5 100Anatomical loss of 1 eye:6063In the other eye 5/200 (1.5/60)5 1006064In the other eye 10/200 (3/60)6 906064In the other eye 15/200 (4.5/60)6 806064In the other eye 20/200 (6/60)6 706065In the other eye 20/100 (6/30)6 606065In the other eye 20/70 (6/21)6 606065In the other eye 20/50 (6/15)6 506066In the other eye 20/40 (6/12)6 40Blindness in 1 eye, having only light perception:6067In the other eye 5/200 (1.5/60)5 1006068In the other eye 10/200 (3/60)5 906068In the other eye 15/200 (4.5/60)5 806068In the other eye 20/200 (6/60)5 706069In the other eye 20/100 (6/30)5 606069In the other eye 20/70 (6/21)5 506069In the other eye 20/50 (6/15)5 406070In the other eye 20/40 (6/12)5 30Vision in 1 eye 5/200 (1.5/60):6071In the other eye 5/200 (1.5/60)5 1006072In the other eye 10/200 (3/60)906072In the other eye 15/200 (4.5/60)806072In the other eye 20/200 (6/60)706073In the other eye 20/100 (6/30)606073In the other eye 20/70 (6/21)506073In the other eye 20/50 (6/15)406074In the other eye 20/40 (6/12)30Vision in 1 eye 10/200 (3/60):6075In the other eye 10/200 (3/60)906075In the other eye 15/200 (4.5/60)806075In the other eye 20/200 (6/60)706076In the other eye 20/100 (6/30)606076In the other eye 20/70 (6/21)506076In the other eye 20/50 (6/15)406077In the other eye 20/40 (6/12)30Vision in 1 eye 15/200 (4.5/60):6075In the other eye 15/200 (4.5/60)806075In the other eye 20/200 (6/60)706076In the other eye 20/100 (6/30)606076In the other eye 20/70 (6/21)406076In the other eye 20/50 (6/15)306077In the other eye 20/40 (6/12)20Vision in 1 eye 20/200 (6/60):6075In the other eye 20/200 (6/60)706076In the other eye 20/100 (6/30)606076In the other eye 20/70 (6/21)406076In the other eye 20/50 (6/15)306077In the other eye 20/40 (6/12)20Vision in 1 eye 20/100 (6/30):6078In the other eye 20/100 (6/30)506078In the other eye 20/70 (6/21)306078In the other eye 20/50 (6/15)206079In the other eye 20/40 (6/12)10Vision in 1 eye 20/70 (6/21):6078In the other eye 20/70 (6/21)306078In the other eye 20/50 (6/15)206079In the other eye 20/40 (6/12)10Vision in 1 eye 20/50 (6/15):6078In the other eye 20/50 (6/15)106079In the other eye 20/40 (6/12)10Vision in 1 eye 20/40 (6/12):In the other eye 20/40 (6/12)05 Also entitled to special monthly compensation.6 Add 10% if artificial eye cannot be worn; also entitled to special monthly compensation. Table V—Ratings for Central Visual Acuity Impairment[With Diagnostic Code]Vision in one eyeVision in other eye20/40 (6/12)20/50 (6/15)20/70 (6/21)20/100 (6/30)20/200 (6/60)15/200 (4.5/60)10/200 (3/60)5/200 (1.5/60)Light perception only/anatomical loss20/400(6/12)20/501010(6/15)(6079)(6078)20/70102030(6/21)(6079)(6078)(6078)20/10010203050(6/30)(6079)(6078)(6078)(6078)20/2002030406070(6/60)(6077)(6076)(6076)(6076)(6075)15/200203040607080(4.5/60)(6077)(6076)(6076)(6076)(6075)(6075)10/20030405060708090(3/60)(6077)(6076)(6076)(6076)(6075)(6075)(6075)5/200304050607080905 100(1.5/60)(6074)(6073)(6073)(6073)(6072)(6072)(6072)(6071)Light perception only5 305 405 505 605 705 805 905 1005 100(6070)(6069)(6069)(6069)(6068)(6068)(6068)(6067)(6062)Anatomical loss of one eye6 406 506 606 606 706 806 905 1005 100(6066)(6065)(6065)(6065)(6064)(6064)(6064)(6063)(6061)5 Also entitled to special monthly compensation.6Add 10 percent if artificial eye cannot be worn; also entitled to special monthly compensation. Ratings for Impairment of Field VisionRating6080Field vision, impairment of:Homonymous hemianopsia30Field, visual, loss of temporal half:Bilateral30Unilateral10Or rate as 20/70 (6/21).Field, visual, loss of nasal half:Bilateral20Unilateral10Or rate as 20/50 (6/15).Field, visual, concentric contraction of:To 5°:Bilateral100Unilateral30Or rate as 5/200 (1.5/60).To 15° but not to 5°:Bilateral70Unilateral20Or rate as 20/200 (6/60).To 30° but not to 15°:Bilateral50Unilateral10Or rate as 20/100 (6/30).To 45° but not to 30°:Bilateral30Unilateral10Or rate as 20/70 (6/21):To 60° but not to 45°:Bilateral20Unilateral10Or rate as 20/50 (6/15).Note (1): Correct diagnosis reflecting disease or injury should be cited.Note (2): Demonstrable pathology commensurate with the functional loss will be required. The concentric contraction ratings require contraction within the stated degrees, temporally; the nasal contraction may be less. The alternative ratings are to be employed when there is ratable defect of visual acuity, or a different impairment of the visual field in the other eye. Concentric contraction resulting from demonstrable pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 (1.5/60) or less for all purposes including entitlement under § 3.350(b)(2) of this chapter; not however, for the purpose of § 3.350(a) of this chapter. Entitlement on account of blindness requiring regular aid and attendance, § 3.350(c) of this chapter, will continue to be determined on the facts in the individual case.6081Scotoma, pathological, unilateral:Large or centrally located, minimum10Note: Rate on loss of central visual acuity or impairment of field vision. Do not combine with any other rating for visual impairment. Ratings for Impairment of Muscle Function[6090Diplopia (double vision)]Degree of diplopiaEquivalent visual acuity(a) Central 20°5/200(b) 21° to 30°:(1) Down15/200(2) Lateral20/100(3) Up20/70(c) 31° to 40°:(1) Down20/200(2) Lateral20/70(3) Up20/40 Note: (1) Correct diagnosis reflecting disease or injury should be cited.Note: (2) The above ratings will be applied to only one eye. Ratings will not be applied for both diplopia and decreased visual acuity or field of vision in the same eye. When diplopia is present and there is also ratable impairment of visual acuity or field of vision of both eyes the above diplopia ratings will be applied to the poorer eye while the better eye is rated according to the best corrected visual acuity or visual field.Note: (3) When the diplopia field extends beyond more than one quadrant or more than one range of degrees, the evaluation for diplopia will be based on the quadrant and degree range that provide the highest evaluation.Note: (4) When diplopia exists in two individual and separate areas of the same eye, the equivalent visual acuity will be taken one step worse, but no worse than 5/200. 6091Symblepharon.Rate as limited muscle function, diagnostic code 6090.6092Diplopia, due to limited muscle function.Rate as diagnostic code 6090.