Eye Conditions – Sentinel Syx

Eye Conditions and VASRD Ratings (Alphabetical by Condition)

Aphakia

Code 6029: The absence of a lens in the eye.
- Rated 30% if one or both eyes are aphakic.
- Can alternatively be rated on the Visual Impairment Rating System, but not both.
- Specific rules for corrected and uncorrected visual acuity apply if both eyes are aphakic.

Cataracts

Code 6027: Cataracts caused by trauma.
- Rated under the Visual Impairment Rating System.
- If surgery was performed but no new lens was implanted, it may also be rated as aphakia.
Code 6028: Cataracts not caused by trauma.
- Rated similarly to Code 6027.

Central Nystagmus

Code 6016: Twitching or excessive movement of the eye caused by nerve conditions.
- Rated 10%.

Chronic Conjunctivitis

Code 6018: Any other type of chronic conjunctivitis.
- Rated 10% while active and 0% when inactive.

Complete Loss of Eyebrows

Code 6023:
- Rated 10%.

Complete Loss of Eyelashes

Code 6024:
- Rated 10%.

Dacryocystitis

Code 6031: Swelling of the nasolacrimal sac that produces tears.
- Rated based on tear production impairment.

Detachment of Retina

Code 6008: A condition where fluid seeps under the retina, potentially leading to blindness.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Dislocation of the Crystalline Lens

Code 6033:
- Rated as aphakia.

Diplopia

Code 6090: A condition where the eye sees two separate images of one object.
- Rated under the Muscle Dysfunction Rating System.

Ectropion

Code 6020: A condition where the lower lid turns inside out due to weak muscles.
- 20% for both eyes; 10% for one eye.

Entropion

Code 6012: Caused by swelling or congestion.
- Rated as iritis, with frequent attacks rated 100% while attacks persist.
Code 6013: Glaucoma not caused by swelling or congestion.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating.

Intraocular Hemorrhage

Code 6007: Bleeding within the eye.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Iritis

Code 6003: Swelling of the iris.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Keratitis

Code 6001: Swelling of the cornea.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Keratoconus

Code 6035: A condition where the cornea changes shape over time.
- Rated on corrected vision using medically required contact lenses.
- Minimum 30% for one or both eyes if contacts are required.

Lagophthalmos

Code 6022: A condition where the eyelids cannot close completely.
- 20% for both eyes; 10% for one eye.

Malignant Cancer in the Eye

Code 6014:
- Rated 100% while active.
- Once inactive, rated on the Visual Impairment Rating System.

Optic Neuropathy

Code 6026: Damage to the optic nerve from conditions other than glaucoma.
- Rated on the Visual Impairment Rating System and the causing condition.

Paralysis of Accommodation

Code 6030: Caused by damage to the oculomotor nerve.
- Rated 20%.

Pterygium

Code 6034: A condition where conjunctiva fibers grow into the cornea.
- Rated on the Visual Impairment Rating System.

Ptosis

Code 6019: Drooping eyelids.
- Rated on the Visual Impairment Rating System.
- Blockage of pupil affects rating:
  - Fully blocked: 5/200 vision assigned.
  - More than half blocked: 20/100 vision assigned.
  - Less than half blocked: Rated as disfigurement under Code 7800.

Retinitis

Code 6006: Swelling of the retina.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Scleritis

Code 6002: Swelling of the sclera.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Symblepharon

Code 6091: Adherence of the eyeball to the eyelid.
- Rated under the Muscle Dysfunction Rating System.

Trachomatous Conjunctivitis

Code 6017: Bacterial infection causing conjunctival swelling despite treatment.
- Rated on the Visual Impairment Rating System.
- Minimum 30% rating while active.

Tuberculosis of the Eye

Code 6010: Rated as nonpulmonary tuberculosis.

Uveitis

Code 6000: Swelling of the uvea.
- Rated on the Visual Impairment Rating System.
- Minimum 10% rating while active.

Visual Field Impairment

Code 6080: Contraction of the visual field in degrees.
- Ratings depend on the degree of contraction and whether one or both eyes are affected.
- Example: Field contracted to 5° or less: 100% for both eyes, 30% for one eye.

Visual Acuity

Rated on best corrected vision using the Visual Impairment Rating System.
Specific rules apply for differences in prescriptions or near and far corrected vision.

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