EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Dacryocystitis (Lacrimal Sac Inflammation)
✓ VERIFIED AGAINST 38 C.F.R.§ 4.79 (Eye) · reviewed 2026-05-17 · ClaimRecon Editorial Team
Dacryocystitis (Lacrimal Sac Inflammation) is rated by the U.S. Department of Veterans Affairs under DC 6025 of 38 CFR § 4.79, DC 6022 across 2 severity tiers (10% / 20%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.
OVERVIEW
Infection or inflammation of the lacrimal sac, usually resulting from obstruction of the nasolacrimal duct. Causes swelling, pain, and redness near the inner corner of the eye with excessive tearing (epiphora) and sometimes purulent discharge.
RATING CRITERIA (2 LEVELS)
10%
Unilateral lacrimal apparatus disorder (epiphora / dacryocystitis / nasolacrimal duct obstruction).
20%
Bilateral lacrimal apparatus disorder.
KEY EVIDENCE TO GATHER
-Service treatment records showing injury or complaints
-Imaging (X-ray, MRI, CT)
-Range of motion measurements
-Flare-up documentation per Sharp v. Shulkin
-Buddy statements describing limitations
-Prescription history
-Physical therapy records
-Employment impact documentation
C&P EXAM TIPS (6)
1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.
2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.
3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.
4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).
5.If you use assistive devices (brace, cane), bring them.
6.Describe daily activity impact: work, sleep, household tasks.
SOURCES & EDITORIAL
Rating criteria text quoted verbatim from 38 C.F.R. § 4.79 (Eye). Source verified 2026-05-17 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026