Evidence Checklist: Chronic Blepharitis

Ophthalmology evaluation documenting blepharitis diagnosisCritical

Comprehensive eye exam by an ophthalmologist documenting eyelid inflammation, meibomian gland dysfunction, visual acuity impact, and chronicity of the condition.

Nexus opinion linking blepharitis to serviceCritical

A medical opinion connecting your chronic blepharitis to in-service environmental exposures (desert dust, sand, chemicals, burn pits) or service-connected conditions.

Treatment records (lid hygiene, medications, procedures)

Records documenting ongoing treatment including lid scrubs, warm compresses, antibiotic ointments, steroid drops, and any procedural treatments.

Secondary dry eye documentation (if applicable)

Documentation of secondary dry eye syndrome caused by blepharitis, which may warrant a separate rating or support a higher combined rating.

Photographs of eyelid inflammation

Dated photographs showing eyelid redness, crusting, swelling, and other visible signs of blepharitis during flare-ups.

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.

Completed DBQ Eye ConditionsCritical

Standardized form capturing eye examination findings, visual acuity, and functional impact. Rating range: 0-20%.

Documentation of desert, dust, or chemical exposure during service

Service records, deployment history, or duty station records showing exposure to environmental irritants known to cause or worsen blepharitis.

Service treatment records (STRs)Critical

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