EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Scotoma (Central or Paracentral)
DC 6081 | 38 CFR § 4.77, DC 6081 |
Scotoma (Central or Paracentral) is rated by the U.S. Department of Veterans Affairs under DC 6081 of 38 CFR § 4.77, DC 6081 across 1 severity tier (10%+ -- Based on visual impairment). 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
An area of partial or complete loss of vision surrounded by normal or relatively normal visual field. Scotomas may be central (affecting the fovea/macula), paracentral, or peripheral. Can result from optic nerve damage, macular disease, migraine, or neurological conditions.
RATING CRITERIA (1 LEVELS)
10%+ -- Based on visual impairment
Rated based on visual acuity loss, visual field loss, or need for continuous medication. Specific percentages depend on measured impairment.
KEY EVIDENCE TO GATHER
-Service treatment records
-Current medical diagnosis and treatment records
-Buddy/lay statements
-Prescription history
-Employment impact documentation
-Any relevant diagnostic testing
C&P EXAM TIPS (5)
1.Bring all relevant medical records and a written list of symptoms.
2.Report your worst days, not your best. The VA rates based on overall impairment.
3.Document how the condition affects daily activities, work, and relationships.
4.Mention all medications and their side effects.
5.Bring buddy statements from people who observe your symptoms.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026