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6017
§ 4.79 Schedule of ratings—eye.

Chronic trachoma

A long-lasting bacterial infection of the eye's surface caused by trachoma, which may lead to scarring.

What the rating means

VA rates trachomatous conjunctivitis (diagnostic code 6017) differently depending on whether the condition is active or inactive. When active, it is rated under the General Rating Formula for Diseases of the Eye, with a minimum rating of 30%. Under that formula, VA evaluates your condition based on either visual impairment or incapacitating episodes, whichever produces the higher rating. For incapacitating episodes, the ratings are: 60% for 7 or more treatment visits in the past 12 months, 40% for at least 5 but fewer than 7 visits, 20% for at least 3 but fewer than 5 visits, and 10% for at least 1 but fewer than 3 visits. An incapacitating episode means the condition was severe enough to require a clinic visit specifically for treatment. When the condition is inactive, VA rates it based on residuals, such as visual impairment or disfigurement, under separate diagnostic codes for those specific residuals.

Evidence that helps

When your trachomatous conjunctivitis is active, the most direct evidence is documentation of treatment visits within the past 12 months. Medical records showing the date of each visit and that the visit was made specifically for treatment of your eye condition are key. Records of treatments such as systemic immunosuppressants, biologic agents, intravitreal or periocular injections, laser treatments, or surgical interventions help confirm that visits qualify as treatment visits rather than routine follow-ups. Your own statements describing how flare-ups affect your daily life and ability to work can support the overall picture. When the condition is inactive, evidence shifts to records documenting residuals — for example, optometric or ophthalmologic records showing measured visual impairment, or records and photographs documenting disfigurement. The stronger the connection between your medical records and the specific criteria above, the clearer the picture VA has of your condition.

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.