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6007
§ 4.79 Schedule of ratings—eye.

Bleeding inside the eye

Bleeding inside the eye.

What the rating means

Intraocular hemorrhage is rated under the General Rating Formula for Diseases of the Eye. VA evaluates this condition using whichever of two approaches produces the higher rating: the degree of visual impairment caused by the hemorrhage, or the number of incapacitating episodes you experienced in the past 12 months.

For the incapacitating-episodes approach, a rating of 60% requires documented episodes severe enough to need 7 or more treatment visits in the past 12 months. At least 5 but fewer than 7 such visits supports a 40% rating. At least 3 but fewer than 5 visits supports a 20% rating, and at least 1 but fewer than 3 visits supports a 10% rating. An incapacitating episode counts only when it is severe enough to require a clinic visit specifically for treatment, not just monitoring. Treatment examples in the regulation include systemic immunosuppressants or biologic agents, intravitreal or periocular injections, laser treatments, and other surgical interventions. For the visual-impairment approach, VA applies separate eye-rating rules found in 38 CFR 4.75–4.78 and diagnostic codes 6061–6091.

Evidence that helps

To support a rating based on incapacitating episodes, the most useful records are clinical notes that show the date of each visit, confirmation that the visit was for treatment rather than routine follow-up, and what treatment was provided. Appointment logs, injection records, laser procedure notes, operative reports, and pharmacy records for systemic immunosuppressants or biologic agents can all document qualifying visits. The count must cover a 12-month window, so a complete set of records across that full period matters.

To support a rating based on visual impairment, records showing measured visual acuity, visual field testing, and any other eye function assessments help establish how much the hemorrhage has affected your sight. If your vision has changed over time, records from multiple dates can show that pattern. Statements from you or people who know you about how reduced vision or treatment episodes affect your ability to work or carry out daily activities can add context to the medical findings, though the rating itself turns on the clinical measurements and documented visit counts.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.