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6001
§ 4.79 Schedule of ratings—eye.

Corneal opacities or scarring

Scarring or clouding of the cornea causing vision impairment

What the rating means

Keratopathy (corneal opacities or scarring) is rated under the General Rating Formula for Diseases of the Eye. VA evaluates this condition in two ways and uses whichever approach produces the higher rating: visual impairment caused by the condition, or incapacitating episodes over the past 12 months.

When rating by incapacitating episodes, the percentages are tied to how many treatment visits you had in the past 12 months. Seven or more visits equals 60%. At least 5 but fewer than 7 visits equals 40%. At least 3 but fewer than 5 visits equals 20%. At least 1 but fewer than 3 visits equals 10%. An incapacitating episode means the condition was severe enough to require a clinic visit specifically for treatment, not just monitoring. Treatment can include systemic immunosuppressants or biologic agents, intravitreal or periocular injections, laser treatments, or other surgical interventions.

When rating by visual impairment, VA follows the separate visual impairment formulas found at 38 CFR 4.75–4.78 and diagnostic codes 6061–6091 within § 4.79.

Rating levels

  • 60% — With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months
  • 40% — With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months
  • 20% — With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months
  • 10% — With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months

VA doesn't add ratings together. It combines them using the table in 38 CFR § 4.25, so two ratings usually total less than their sum.

Evidence that helps

Because VA can rate keratopathy under either visual impairment or incapacitating episodes, evidence supporting both approaches strengthens your record.

For the incapacitating-episode path, medical records showing clinic visits specifically for treatment of your eye condition are central. Each record should clearly reflect that the visit was for treatment, not a routine check. Records documenting the type of treatment received, such as injections, laser procedures, immunosuppressant prescriptions, or surgical interventions, help confirm that the visit qualifies. The number of qualifying visits in the past 12 months is what drives the rating percentage.

For the visual impairment path, ophthalmology or optometry records showing measured visual acuity, visual field testing results, and any documented loss of light sensitivity or other functional vision changes are relevant. These findings feed into the separate visual acuity and visual field formulas VA uses.

Personal statements from you or people who know you, describing how your vision or eye symptoms affect your ability to work, read, drive, or manage daily tasks, can help show the real-world impact of the condition alongside the clinical records.

VA exam form (DBQ) for this condition:

Presumptive conditions

If your service meets the rules below, VA presumes this condition is connected to it.

  • Mustard gas — 38 CFR § 3.316

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.