Strabismus (Crossed Eyes)

DC 6090Organs of Sense38 CFR 4.79, DC 6090

A condition where the eyes do not properly align with each other, causing one eye to turn inward, outward, upward, or downward. Can result from traumatic brain injury, blast exposure, or cranial nerve damage during military service. Rated based on the degree of diplopia (double vision) it causes.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 6090

Rating range

0% – 40%

Rating levels

Rating criteria are defined in 38 CFR 4.79, DC 6090. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your strabismus causes severe, constant diplopia throughout most of the visual field, or has required you to occlude (patch) one eye to function.

What the VA looks for

Severe constant diplopia documented
Diplopia throughout most visual field
Eye occlusion (patching) required for function
Severe impact on driving, work, and daily activities
Surgical intervention considered or attempted

Common Pitfalls

⚠Not obtaining diplopia field testing — the VA rates strabismus based on the location and extent of double vision, not just the eye misalignment.
⚠Not connecting the strabismus to a service-connected TBI or blast exposure — acquired strabismus in adults is commonly caused by cranial nerve damage.
⚠Not documenting the functional impact of diplopia on driving, reading, and work tasks — this supports a higher rating.

Related DBQ Forms

DBQ Eye Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…