6000-6011

80. Rating of One Eye.-Combined ratings for disabilities of the same eye should not exceed the amount for total loss of vision of that eye unless there is an enucleation or a serious cosmetic defect added to the total loss of vision.

el. Hysterien Amblyopia. See Note (2) (*) and (2) under the delete

general rating formula for psychoneurotic disorders

82. Determinations of Auditory Acuity.-By impairment of auditory acuity is meant the organic hearing loss for speech. Determinations of auditory acuity are made, according to specifications which may change from time to time, in authorized audiology clinics or in regional offices.

83. Ratings at Scheduled Steps and Distances.-In applying the ratings for impairment of visual acuity, a person not having the ability to read at any one of the scheduled steps or distances, but reading at the next scheduled step or distance, is to be rated as reading at this latter ep or distance. That is, a person who can read at 20/100 but wi annot at 20/70, should be rated as seeing at 20/100, 84. Differences Between Distant and Near Visual Acuity.— Where there : substantial difference between the near and distant corrected vision, the case should be referred to the Director, Compensation, Pension and Education Service and Pension Service.]

6025 Epiphora (lacrymal duct, interference with, from any

6026

6027

6028

6029

6030

6031

cause) Bilateral

Unilateral--

Neuritis, optic

Rate underlying disease, and combine impairment of

visual acuity or field loss.

Cataract, traumatic

Preoperative

Rate on impairment of vision.

Bilateral or unilateral..

is

NOTE.-The 30 percent rating prescribed for aphakia is a minimum rating to be applied to the unilateral or bilateral condition and is not to be combined with any other rating for impaired vision. When only one eye aphakic, the eye having poorer corrected visual acuity will be rated on the basis of its acuity without correction. When both eyes are aphakic, both will be rated on corrected vision. The corrected vision of one or both aphakic eyes will be taken one step less than the ascertained value, however, not better than 20/70. Combined ratings for disabilities of the same eye should not exceed the amount for total loss of vision of that eye unless there is an enucleation or a serious cosmetic defect added to the total loss of vision.

Dacryocystitis

Rate as epiphora.

[6032] Eyelids, loss of portion of

Rate as disfigurement. (See diseases of the skin.)

[6033] Lens, crystalline, dislocation of

Rate as aphakia.

[6034] Pterygium

6035

TS-12

TS-167

Rate for loss of vision, if any.

Keratoconus

6025-60357

Rating

To be evaluated on impairment of corrected
visual acuity using contact lenses.

NOTE-When contact lenses are medically required for keratoconus, either unilateral or bilateral, the minimum rating will be 30 percent.

Bilateral

16081-60927

Rating
20

Unilateral

Or rate as 20/50.

10

delete

NOTE-Demonstrable organic pathology commen-
surate with the functional loss will be required. The
concentric contraction ratings require contraction
within the stated degrees, temporally; the nasal con-
traction may be less. The alternative ratings are to be
employed when there is ratable defect of visual acuity,
or a different impairment of the visual field in the
other eye. Concentric contraction resulting from lilite

demonstrable organio]pathology to 5 degrees or less
will be considered on a parity with reduction of cen-
tral visual acuity to 5/200 or less for all purposes in-
cluding entitlement under subparagraph (1), [38
U.S.C.] not, however, for the purpose of sub-
paragr (k). Entitlement on account of blindness
requirin gular aid and attendance, sub paragraph
(m), we continue to be determined on the facts in the
individual case. Effective July 6, 1950, as to subpara-
graph (1), [38 U.S.C. 314.]

6081 Scotoma, pathological

Large or centrally located__--

10

59-2R