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*Note: In accordance with 38 CFR 4.31, diplopia that is occasional or that is correctable with spectacles is evaluated at 0 percent. 6091 Symblepharon: Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings,.
*Note: In accordance with 38 CFR 4.31, diplopia that is occasional or that is correctable with spectacles is evaluated at 0 percent. 6091 Symblepharon: Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings,.
Retinal hemorrhage refers to bleeding within the light-sensitive tissue on the posterior wall of the eye. A retinal hemorrhage may be caused by diseases (e.g., hypertension, retinal vein occlusion, diabetes), use of certain medications (e.g., anticoagulant therapy), or a head injury. Retinal Hemorrhage: Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis.
The eye is covered by the conjunctiva, a transparent tissue. A subconjunctival hemorrhage occurs when blood collects under this tissue.
The conjunctiva and the space between the sclera and conjunctiva have multiple tiny blood vessels. These can burst, resulting in the hemorrhage. (Learn More)
Many people do not experience symptoms outside of the visible redness of the affected eye.
Many things can cause this type of hemorrhage, including injuries, eye infections, and certain medications. (Learn More)
If the cause is known, further diagnostic testing outside of a visual examination is usually not necessary. However, the doctor may do more testing if the person has other symptoms that are curious, such as recent unusual bleeding or bruising. (Learn More)
Treatment is not always necessary. If the hemorrhage is due to an underlying disorder, treatment might be needed to get the condition under control. (Learn More)Treatment Options
In many cases, this hemorrhage will resolve on its own and people will not need to have any specific treatment for it.
During the healing phase, the person should keep an eye on the recovery progress. If the hemorrhage does not get better or if it worsens, they should contact their doctor right away.
If someone experiences eye irritation with their hemorrhage, the doctor might prescribe artificial tears. It is imperative to follow the usage instructions exactly to reduce the irritation. People should use great care when applying the eye drops and never allow the applicator to touch the eye.
If people start to experience pain with their hemorrhage, they should alert their doctor right away. This could indicate hyphema or another more serious condition.
When someone has a hyphema, blood collects at the front of the eye between the iris and the cornea. This is usually the result of a pupil or iris injury. Without proper treatment, it is possible to experience permanent vision issues.
If a bleeding disorder or high blood pressure is responsible for this hemorrhage, the doctor will often provide treatment for these conditions. If someone has a bleeding disorder, the doctor may prescribe a medication to reduce bleeding risk. In some cases, blood, clotting factor, and platelet transfusions can be beneficial.
A normal blood pressure reading is said to be below 120/80. If someone has a reading that exceeds these numbers, the doctor will likely to talk to them about methods to bring it down. The following are common ways to work toward lower blood pressure:
*Lose excess weight or maintain a healthy weight.
*Eat a diet of mostly nutritious foods.
*Get exercise most days of the week (about 30 minutes per day).
*Reduce alcohol intake.
*Take prescribed blood pressure medications.
*Don’t smoke cigarettes.
*Reduce salt intake.
If someone is taking blood thinners, the doctor may advise that they stop taking them, or they may alter the dosage. However, it is important that no one ever stop taking these medications without doctor supervision. What Is a Subconjunctival Hemorrhage?
When something causes blood vessels to leak into the conjunctiva, this condition can occur. In most cases, it is benign.
Certain medical conditions may cause bleeding that could put someone at risk for developing this hemorrhage. Examples of these conditions include high blood pressure, disorders that affect blood clotting, and diabetes.
When this hemorrhage occurs, there is a bright red spot on the white part of the eye. This issue usually does not cause any vision changes to the eye.
It also typically does not cause any pain or eye discharge. It is possible to feel a scratchiness on the surface of the eye.Causes and Risk Factors
The cause of this condition is not always something doctors can identify. It could be due to:
*Trauma. When blunt force strikes the eye, it could cause a blood vessel to burst, resulting in the hemorrhage.
*Blood pressure changes. If blood pressure increases suddenly, it could result in this hemorrhage. This could happen due to a medical issue or situations like heavy lifting, sneezing, constipation (when someone strains to have a bowel movement), coughing, or laughing.
*Medications. Certain medications can thin the blood, making bleeding and bruising easier. Examples include warfarin or aspirin. People might take these medications if they have a clotting disorder.
*Vitamin K deficiency. While rare, if someone is deficient in vitamin K, they are at risk for this hemorrhage. This is because this vitamin is essential for the functioning of certain proteins that the body requires to clot the blood.
*Eye surgery. People who have certain types of eye surgery are at risk for this hemorrhage as a potential surgical complication. Surgery examples include cataract surgery and LASIK.
*Friction or irritation. Rubbing the eyes too hard may also cause this condition. It is important to avoid rubbing the eyes and to be gentle if someone needs to remove an eyelash or something similar from their eye.
*Infection. It is possible for certain eye infections to cause this hemorrhage. The most common infection of the eye is conjunctivitis. In addition to the hemorrhage, the following symptoms may also be present:
*Eye redness
*Gritty feeling in the eye
*Tearing
*Eye itchiness
*Eye dischargeGetting an Accurate Diagnosis
The diagnostic process might be done to determine if there is an underlying cause that resulted in this hemorrhage. To diagnose the actual hemorrhage, the doctor only needs to look at the eye.
If someone has recurrent episodes of this hemorrhage, further testing may be considered to see what could be causing it. The following tests could be performed:
*A complete physical examination to learn more about overall health
*Checking blood pressure
*Doing an eye examination to see if there are any underlying eye disorders
*Blood work to check vitamin K levels or to look for potential bleeding disordersOutlook and Prevention
It takes approximately 7 to 14 days for this hemorrhage to resolve. It usually requires no treatment for it to clear up.
While prevention is not always possible, taking care of the eyes and avoiding situations where eye trauma is possible are beneficial steps to take. Wear protective goggles when necessary, and always flush the eye properly should something get into it.
People who have conditions that can cause a hemorrhage should follow the treatments their doctor prescribes. Those taking blood thinners should alert their doctor if they notice any unusual bleeding or bruising.
Looking in the mirror to see a subconjunctival hemorrhage can be scary, but in many cases, this is a benign condition. However, if trauma caused it or it lasts more than two days, seeing a doctor is a good idea. There could be an underlying cause that requires treatment.References
Subconjunctival Hemorrhage (Broken Blood Vessel in Eye). Mayo Clinic.

Subconjunctival Hemorrhage: Risk Factors and Potential Indicators. (June 12, 2013). Clinical Ophthalmology.
A Warfarin-Induced Subconjunctival Hemorrhage. (2007). Optometry.
Facts About Vitamin K Deficient Bleeding. Centers for Disease Control and Prevention.Occasional Yearly Sub Eye Bleeds Meaning
Common Eye Infections. (June 2018). Australian Prescriber.
Subconjunctival Hemorrhage. Cedars-Sinai. Que caso tiene letra.
Subconjunctival Hemorrhage. (June 6, 2018). Cleveland Clinic.Occasional Yearly Sub Eye Bleeds Nose
What Is Hyphema? (April 25, 2018). American Academy of Ophthalmology.
Bleeding Under the Conjunctiva (Subconjunctival Hemorrhage). (May 26, 2017). Healthline.Occasional Yearly Sub Eye Bleeds Causes
Bleeding Disorders. MedlinePlus.
High Blood Pressure. National Institute on Aging.RatingGeneral Rating Formula for Diseases of the Eye:Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluationWith documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months60With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months40With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months20With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months10Note (1): For the purposes of evaluation under 38 CFR 4.79, an incapacitating episode is an eye condition severe enough to require a clinic visit to a provider specifically for treatment purposesNote (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventionsNote (3): For the purposes of evaluating visual impairment due to the particular condition, refer to 38 CFR 4.75-4.78 and to § 4.79, diagnostic codes 6061-60916000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis.6001 Keratopathy.6002 Scleritis.6006 Retinopathy or maculopathy not otherwise specified6007 Intraocular hemorrhage.6008 Detachment of retina.6009 Unhealed eye injury.Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury6010 Tuberculosis of eye:Active100Inactive: Evaluate under § 4.88c or § 4.89 of this part, whichever is appropriate6011 Retinal scars, atrophy, or irregularities:Localized scars, atrophy, or irregularities of the retina, unilateral or bilateral, that are centrally located and that result in an irregular, duplicated, enlarged, or diminished image10Alternatively, evaluate based on the General Rating Formula for Diseases of the Eye, if this would result in a higher evaluation6012 Angle-closure glaucomaEvaluate under the General Rating Formula for Diseases of the Eye. Minimum evaluation if continuous medication is required106013 Open-angle glaucomaEvaluate under the General Rating Formula for Diseases of the Eye. Minimum evaluation if continuous medication is required106014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin):Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation100Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating will be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of § 3.105(e) of this chapter. If there has been no local recurrence or metastasis, evaluate based on residualsMalignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies:Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin):Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations6016 Nystagmus, central106017 Trachomatous conjunctivitis:Active: Evaluate under the General Rating Formula for Diseases of the Eye, minimum rating30Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800)6018 Chronic conjunctivitis (nontrachomatous):Active: Evaluate under the General Rating Formula for Diseases of the Eye, minimum rating10Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800)6019 Ptosis, unilateral or bilateral:Evaluate based on visual impairment or, in the absence of visual impairment, on disfigurement (diagnostic code 7800).6020 Ectropion:Bilateral20Unilateral106021 Entropion:Bilateral20Unilateral106022 Lagophthalmos:Bilateral20Unilateral106023 Loss of eyebrows, complete, unilateral or bilateral106024 Loss of eyelashes, complete, unilateral or bilateral106025 Disorders of the lacrimal apparatus (epiphora, dacryocystitis, etc.):Bilateral20Unilateral106026 Optic neuropathy6027 Cataract:Preoperative: Evaluate under the General Rating Formula for Diseases of the EyePostoperative: If a replacement lens is present (pseudophakia), evaluate under the General Rating Formula for Diseases of the Eye. If there is no replacement lens, evaluate based on aphakia (diagnostic code 6029)6029 Aphakia or dislocation of crystalline lens:Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step.Minimum (unilateral or bilateral)306030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)).206032 Loss of eyelids, partial or complete:Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations.6034 Pterygium:Evaluate under the General Rating Formula for Diseases of the Eye, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings, and combine in accordance with § 4.256035 Keratoconus6036 Status post corneal transplant:Evaluate under the General Rating Formula for Diseases of the Eye. Minimum, if there is pain, photophobia, and glare sensitivity106037 Pinguecula:Evaluate based on disfigurement (diagnostic code 7800).6040 Diabetic retinopathy6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy)6046 Post-chiasmal disordersImpairment of Central Visual Acuity6061 Anatomical loss of both eyes 11006062 No more than light perception in both eyes 11006063 Anatomical loss of one eye: 1In the other eye 5/200 (1.5/60)100In the other eye 10/200 (3/60)90In the other eye 15/200 (4.5/60)80In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)60In the other eye 20/50 (6/15)50In the other eye 20/40 (6/12)406064 No more than light perception in one eye: 1In the other eye 5/200 (1.5/60)100In the other eye 10/200 (3/60)90In the other eye 15/200 (4.5/60)80In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)50In the other eye 20/50 (6/15)40In the other eye 20/40 (6/12)306065 Vision in one eye 5/200 (1.5/60):In the other eye 5/200 (1.5/60)1100In the other eye 10/200 (3/60)90In the other eye 15/200 (4.5/60)80In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)50In the other eye 20/50 (6/15)40In the other eye 20/40 (6/12)306066 Visual acuity in one eye 10/200 (3/60) or better:Vision in one eye 10/200 (3/60):In the other eye 10/200 (3/60)90In the other eye 15/200 (4.5/60)80In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)50In the other eye 20/50 (6/15)40In the other eye 20/40 (6/12)30Vision in one eye 15/200 (4.5/60):In the other eye 15/200 (4.5/60)80In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)40In the other eye 20/50 (6/15)30In the other eye 20/40 (6/12)20Vision in one eye 20/200 (6/60):In the other eye 20/200 (6/60)70In the other eye 20/100 (6/30)60In the other eye 20/70 (6/21)40In the other eye 20/50 (6/15)30In the other eye 20/40 (6/12)20Vision in one eye 20/100 (6/30):In the other eye 20/100 (6/30)50In the other eye 20/70 (6/21)30In the other eye 20/50 (6/15)20In the other eye 20/40 (6/12)10Vision in one eye 20/70 (6/21):In the other eye 20/70 (6/21)30In the other eye 20/50 (6/15)20In the other eye 20/40 (6/12)10Vision in one eye 20/50 (6/15):In the other eye 20/50 (6/15)10In the other eye 20/40 (6/12)10Vision in one eye 20/40 (6/12):In the other eye 20/40 (6/12)0
1 Review for entitlement to special monthly compensation under 38 CFR 3.350.Rating6080 Visual field defects:Homonymous hemianopsia30Loss of temporal half of visual field:Bilateral30Unilateral10Or evaluate each affected eye as 20/70 (6/21)Loss of nasal half of visual field:Bilateral10Unilateral10Or evaluate each affected eye as 20/50 (6/15)Loss of inferior half of visual field:Bilateral30Unilateral10Or evaluate each affected eye as 20/70 (6/21)Loss of superior half of visual field:Bilateral10Unilateral10Or evaluate each affected eye as 20/50 (6/15)Concentric contraction of visual field:With remaining field of 5 degrees: 1Bilateral100Unilateral30Or evaluate each affected eye as 5/200 (1.5/60)With remaining field of 6 to 15 degrees:Bilateral70Unilateral20Or evaluate each affected eye as 20/200 (6/60)With remaining field of 16 to 30 degrees:Bilateral50Unilateral10Or evaluate each affected eye as 20/100 (6/30)With remaining field of 31 to 45 degrees:Bilateral30Unilateral10Or evaluate each affected eye as 20/70 (6/21)With remaining field of 46 to 60 degrees:Bilateral10Unilateral10Or evaluate each affected eye as 20/50 (6/15)6081 Scotoma, unilateral:Minimum, with scotoma affecting at least one-quarter of the visual field (quadrantanopsia) or with centrally located scotoma of any size10Alternatively, evaluate based on visual impairment due to scotoma, if that would result in a higher evaluation
1 Review for entitlement to special monthly compensation under 38 CFR 3.350.Occasional Yearly Sub Eye Bleeds MedicationDegree of diplopiaEquivalent
visual acuity6090 Diplopia (double vision):(a) Central 20 degrees5/200 (1.5/60)(b) 21 degrees to 30 degrees(1) Down15/200 (4.5/60)(2) Lateral20/100 (6/30)(3) Up20/70 (6/21)(c) 31 degrees to 40 degrees(1) Down20/200 (6/60)(2) Lateral20/70 (6/21)(3) Up20/40 (6/12)Note: In accordance with 38 CFR 4.3

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