VA Disability Rating for Entropion (DC 6021)
Diagnostic Code 6021 · 38 CFR §4.79
What Is It?
Entropion is a condition where the eyelid turns inward, causing the eyelashes to rub against the cornea and conjunctiva. This constant friction causes pain, tearing, redness, and progressive corneal damage that can lead to scarring and vision loss if untreated. In veterans, entropion may result from eyelid scarring after burns or trauma, trachoma infection contracted during deployment, or surgical complications. The VA assigns a flat 20% for bilateral entropion and 10% for unilateral.
Rating Criteria
| Rating | Criteria |
|---|---|
| 20% | Bilateral entropion (affecting both eyes). |
| 10% | Unilateral entropion (affecting one eye). |
Evidence Needed
An ophthalmology examination documenting the entropion and corneal effects is essential. Slit-lamp examination showing any corneal scratching or scarring, documentation of the service-connected cause, treatment records including lubricants, temporary sutures, or surgery, and visual acuity testing if corneal damage has affected vision all strengthen your claim.
C&P Exam Tips
Ensure corneal staining is performed during the exam to show corneal damage. Have the examiner document which lids are affected. Describe the constant irritation, pain, and tearing. Bring records of any corrective procedures and their outcomes. If from trachoma scarring, connect to deployment in endemic areas.
How to File
File under DC 6021 with ophthalmology records showing the entropion and any corneal damage. Connect to the service-related cause. If corneal scarring has reduced visual acuity, file a separate claim under the visual acuity codes.
Common Mistakes
Not having corneal staining done to document epithelial damage during the exam is the most common mistake. Failing to claim corneal scarring and vision loss separately, not connecting entropion to trachoma contracted during overseas service, and assuming surgical correction eliminates the claim when recurrence is common are other frequent errors.
Frequently Asked Questions
Is entropion the same as trichiasis?
Not exactly. Entropion is the inward turning of the entire eyelid margin, while trichiasis is misdirected individual eyelashes without the lid itself turning in. Both cause lashes to rub the cornea, but entropion involves structural change to the eyelid. They are often related, especially in trachoma.
Can entropion recur after surgical repair?
Yes, recurrence is possible, especially if the underlying cause (scarring, inflammation) continues. Each recurrence and required re-operation is documented in your medical records and supports your disability claim.