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6090
§ 4.79 Schedule of ratings—eye.

Double vision (diplopia)

Seeing two images of a single object due to misalignment of the eyes.

What the rating means

Diplopia (double vision) is rated under diagnostic code 6090 in VA's schedule for eye conditions. VA evaluates it using whichever method produces the higher rating: visual impairment caused by the diplopia itself, or incapacitating episodes over the past 12 months.

For visual impairment, VA looks at where in your field of vision the double vision occurs and how severely it affects your sight. The central 20 degrees of vision carries more weight than areas farther out, and the direction of the double vision — down, lateral (side), or up — matters at each range. Ratings tied to specific visual acuity levels correspond to each zone and direction, following the broader visual impairment formulas in 38 CFR 4.75–4.78.

For incapacitating episodes, ratings of 10%, 20%, 40%, and 60% correspond to 1, 3, 5, and 7 or more documented treatment visits in the past 12 months. Diplopia that occurs only occasionally, or that is fully correctable with eyeglasses, is rated at 0%.

Evidence that helps

To support a rating based on visual impairment, records showing where in your visual field the double vision occurs — central, 21–30 degrees, or 31–40 degrees out — and in which direction (down, lateral, or up) are important. Formal visual field testing and visual acuity measurements from an eye care provider document these findings directly.

To support a rating based on incapacitating episodes, you need documented clinic visits where a provider treated your eye condition — not just monitoring visits. Records showing treatments such as intravitreal or periocular injections, laser procedures, surgical interventions, or systemic immunosuppressants or biologic agents count toward the visit threshold. Make sure each visit is clearly recorded as a treatment visit within the 12 months before your examination.

Statements from you or people who know you can describe how the double vision affects tasks like driving, reading, or working. However, the incapacitating-episode thresholds depend on the count of documented treatment visits, so medical records are the foundation for that rating path.

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.