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6027
§ 4.79 Schedule of ratings—eye.

Cataract

Clouding of the eye's natural lens that may blur vision.

What the rating means

VA rates a cataract under the General Rating Formula for Diseases of the Eye, but how that formula is applied depends on where you are in treatment. Before surgery, VA evaluates the cataract directly under the General Formula. After surgery, the rating path splits: if a replacement lens was implanted (called pseudophakia), VA still uses the General Formula. If no replacement lens is present, VA evaluates you instead under the rules for aphakia (diagnostic code 6029).

Under the General Formula, VA rates you on whichever produces the higher evaluation — visual impairment caused by the condition, or incapacitating episodes. For incapacitating episodes, the ratings are 10% for at least 1 but fewer than 3 treatment visits in the past 12 months, 20% for at least 3 but fewer than 5 visits, 40% for at least 5 but fewer than 7 visits, and 60% for 7 or more visits. An incapacitating episode is an eye condition severe enough to require a clinic visit specifically for treatment, such as intravitreal injections, laser treatments, systemic immunosuppressants, or other surgical interventions.

Evidence that helps

Medical records are central to a cataract rating. For the incapacitating-episode path, clinic notes that document each treatment visit — and confirm the visit was for treatment rather than routine monitoring — directly support higher ratings. Records showing intravitreal or periocular injections, laser procedures, surgical interventions, or systemic immunosuppressant use help establish that visits qualify under the formula. A running count of those visits within a 12-month period is what separates one rating level from the next.

For the visual-impairment path, eye examination records showing measured visual acuity, visual field results, and any other findings that affect sight are the key evidence. If you had cataract surgery, operative reports and postoperative records clarify whether a replacement lens was placed, which determines whether your rating follows the General Formula or the aphakia rules. Statements from you or people who know you about how your vision affects work, reading, driving, or other daily tasks can help show the functional impact behind the clinical findings.

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.