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Evidence checklist

Chronic Blepharitis

DC 6099-601838 CFR § 4.79Organs of Sense

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
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.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records (lid hygiene, medications, procedures)

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

VA or private records · written request
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.

VA or private records · written request
03

Lay statements

0 of 2 collected
Photographs of eyelid inflammation

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

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Eye ConditionsCritical

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

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 2 collected
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.

NPRC / milConnect · SF-180
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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