Evidence Checklist: Glaucoma

Ophthalmology evaluation documenting glaucoma type, IOP, and optic nerve statusCritical

Records documenting intraocular pressure, cup-to-disc ratio, optic nerve appearance, and glaucoma type (open-angle, angle-closure, normal tension).

Nexus opinion linking glaucoma to service (trauma, steroid use, toxic exposure)Critical

Medical opinion connecting glaucoma to in-service eye trauma, prolonged corticosteroid use for a SC condition, or toxic exposure.

Visual field testing (Humphrey or Goldmann perimetry) documenting field lossCritical

Formal perimetry results documenting the degree of visual field loss — key evidence for rating level under 38 CFR § 4.79.

OCT retinal nerve fiber layer analysis

Optical coherence tomography documenting RNFL thinning and optic disc changes consistent with glaucomatous damage.

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.