Evidence Checklist: Cataracts

Ophthalmology evaluation documenting cataract type and visual acuityCritical

Records documenting cataract type (nuclear, cortical, PSC), degree of lens opacity, and corrected visual acuity affected by the cataract.

Nexus opinion linking cataracts to service (trauma, radiation, steroid exposure, UV)Critical

Medical opinion connecting cataracts to in-service ionizing radiation, blast/penetrating trauma, prolonged corticosteroid use, or UV exposure in deployment environments. Posterior subcapsular cataracts are strongly linked to steroid use and radiation.

Best corrected visual acuity measurements for both eyesCritical

Snellen acuity charts documenting near and distance vision before and after cataract surgery if applicable — used for rating under the visual acuity table.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.