Macular Degeneration / Retinal Dystrophy
Retinal dystrophy, including macular degeneration and retinitis pigmentosa, is rated under DC 6042. These conditions involve progressive degeneration of the retina over time. They are rated based on the visual impairment rating system or incapacitating episodes, whichever produces the higher rating. Notably, retinitis pigmentosa can be service-connected even if it is genetic, as long as the condition developed during service or progressed abnormally fast during service compared to pre-service.
VA Rating Levels
Visual impairment meets compensable level, OR 1-2 incapacitating episodes per year.
3-4 incapacitating episodes per year, or equivalent visual impairment.
5-6 incapacitating episodes per year, or equivalent visual impairment.
7 or more incapacitating episodes per year, or equivalent visual impairment.
Exam Tips & Key Evidence
- →Macular degeneration primarily affects central vision, which directly impacts the visual acuity rating. Document how your central vision has changed over time.
- →Retinitis pigmentosa (RP) can be service-connected even if genetically based, as long as it appeared or worsened abnormally during service. This is an exception to the general rule about congenital conditions.
- →Wet macular degeneration often requires regular eye injections. Each treatment visit counts as an incapacitating episode and may yield a higher rating than the visual impairment system alone.
- →These conditions are progressive. File for increases as your vision worsens, and keep a timeline of vision changes documented by your eye care provider.
- →Both visual acuity and visual field can be affected by retinal dystrophies. Ensure your C&P exam evaluates both measures for the maximum possible rating.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.79, Diagnostic Code 6042