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6042
§ 4.79 Schedule of ratings—eye.

Retinal dystrophy or macular degeneration

Progressive deterioration of the retina or macula that may cause vision loss.

What the rating means

Retinal dystrophy (diagnostic code 6042) covers conditions including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, and rod and/or cone dystrophy. VA rates this condition under the General Rating Formula for Diseases of the Eye. You can be rated based on either the visual impairment the condition causes or on incapacitating episodes — whichever produces the higher rating.

For the incapacitating episodes path, the rating depends on how many treatment visits you had for the eye condition in the past 12 months. Seven or more visits yields 60%. At least 5 but fewer than 7 visits yields 40%. At least 3 but fewer than 5 visits yields 20%. At least 1 but fewer than 3 visits yields 10%. An incapacitating episode must be severe enough that you needed a clinic visit specifically for treatment — not just a routine check. For the visual impairment path, VA uses a separate set of formulas and diagnostic codes (6061–6091) found in 38 CFR 4.75–4.79.

Evidence that helps

If you are pursuing a rating based on incapacitating episodes, medical records that document each treatment visit are central. Records should clearly show the date of each visit, that the visit was made specifically to treat your eye condition, and what treatment was provided. Examples of qualifying treatments include intravitreal or periocular injections, laser treatments, other surgical interventions, and systemic immunosuppressants or biologic agents. A count of those visits over the prior 12 months determines which rating level applies.

If you are pursuing a rating based on visual impairment instead, the relevant evidence shifts to visual acuity measurements, visual field testing, and other exam findings that reflect how much your vision has been reduced. Your own statements describing how your symptoms affect daily tasks — such as reading, driving, or working — can help show the functional impact of your condition. VA will apply whichever approach, incapacitating episodes or visual impairment, results in the higher rating for you.

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.