From Hipupe at aol.com Thu Nov 6 19:05:30 2008 From: Hipupe at aol.com (Hipupe at aol.com) Date: Thu, 6 Nov 2008 14:05:30 EST Subject: [Blindvet-talk] National Federation of the Blind Launches "Project VIP" t... Message-ID: In a message dated 11/4/2008 2:19:26 A.M. Eastern Standard Time, JFreeh at nfb.org writes: FOR IMMEDIATE RELEASE CONTACT: Chris Danielsen Public Relations Specialist (410) 659-9314, extension 2330 (410) 262-1281 (Cell) cdanielsen at nfb.org National Federation of the Blind Launches "Project VIP" to Help Blind Voters on Election Day Voting Specialists Will Provide Advice and Assistance to Blind Voters Baltimore, Maryland (October 21, 2008): The National Federation of the Blind, the nation's leading advocate for the voting rights of blind people, announced today that it is launching Project VIP (Voting with Independence and Privacy), a toll-free hotline that will be available to blind voters across the United States on Election Day. The purpose of the hotline is to help blind voters who are experiencing problems voting independently and privately as required by the Help America Vote Act. The National Federation of the Blind will have voting specialists on call to provide support to blind voters who call from their polling locations and to assist in troubleshooting problems with nonvisual voting technology. If a blind voter is unable to vote independently and privately, the voting specialists will record details such as the city, state, and polling location. The information from situations that cannot be resolved during a phone call to the Project VIP hotline will be referred to the proper authorities for follow-up action. Dr. Marc Maurer, President of the National Federation of the Blind, said: "There is no right that is more fundamental in a democratic nation than the right to vote, and the 2008 presidential election is the first election in which blind Americans are guaranteed the right to cast their vote for president independently and privately. The National Federation of the Blind is setting up Project VIP to ensure that every blind voter can exercise this historic and invaluable right, for which blind Americans have fought and will continue to protect." On November 4, blind voters who experience problems voting independently and privately are urged to call 877-NFB-1940 (877-632-1940) from 7 a.m. to 10 p.m. (EST). The voting specialists answering this number will assist the blind voter and/or the poll worker in resolving the issue. Voters are urged to call directly from their polling location to resolve voting issues rather than simply reporting problems after they occur. ### About the National Federation of the Blind With more than 50,000 members, the National Federation of the Blind is the largest and most influential membership organization of blind people in the United States. The NFB improves blind people's lives through advocacy, education, research, technology, and programs encouraging independence and self-confidence. It is the leading force in the blindness field today and the voice of the nation's blind. In January 2004 the NFB opened the National Federation of the Blind Jernigan Institute, the first research and training center in the United States for the blind led by the blind. Please visit our Web site: www.nfb.org. As a long time member of NFB and a veteran of WW!! even though I am sighted I said that I would not be actually doing anything when I joined a little over a year ago. However, I have just been appointed to the committee on veterans with vision problem of the New York State Jewish War Veterans. So far I have said that I will send to you whatever I get through JWV in return for your sending me whatever new information you receive that I do not have. Sara S. Berger 408 Beach 141 Street Belle Harbor, NY 11694 1 7181634-5505 HIGHPUPEAT AOLDOTCOM _______________________________________________ Blindvet-talk mailing list Blindvet-talk at nfbnet.org http://www.nfbnet.org/mailman/listinfo/blindvet-talk **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) From NABlindVets at aol.com Mon Nov 10 23:50:13 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Mon, 10 Nov 2008 18:50:13 EST Subject: [Blindvet-talk] Revised rule on visual disorders of the eye Message-ID: All Vets, Notice from Jim McCarthy in Baltimore. Read on Please. Dwight ____________________________________ From: JMcCarthy at nfb.org To: MisterAdvocate at aol.com Sent: 11/10/2008 2:36:19 P.M. Eastern Standard Time Subj: Revised rule on visual disorders of the eye Dwight, This is the veteran's revised rule on disabilities of the eye. It has been under consideration from 1998 and perhaps some here were aware of that, but because there was no discussion of the rule, I was not. The rule becomes final after December 10 and here it is as published in the federal Register. Jim McCarthy FR Doc E8-26304[Federal Register: November 10, 2008 (Volume 73, Number 218)] [Rules and Regulations] [Page 66543-66554] >From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr10no08-17] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 4 RIN 2900-AH43 Schedule for Rating Disabilities; Eye AGENCY: Department of Veterans Affairs. ACTION: Final rule. ----------------------------------------------------------------------- SUMMARY: This document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (Rating Schedule) by updating the portion of the schedule that addresses disabilities of the eye. These amendments ensure that the schedule uses current medical terminology, provides unambiguous criteria for evaluating disabilities, and [[Page 66544]] incorporates pertinent medical advances. DATES: Effective Date: This amendment is effective December 10, 2008. Applicability Date: These amendments shall apply to all applications for benefits received by VA on or after December 10, 2008. FOR FURTHER INFORMATION CONTACT: Maya Ferrandino, Consultant, Policy and Regulations Staff (211D), Compensation and Pension Service, Veterans Benefits Administration, Department of Veterans Affairs, 810 Vermont Ave., NW., Washington, DC, 20420, (727) 319-5847. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: As part of its review of the Schedule for Rating Disabilities (38 CFR part 4), VA published a proposal to amend the portion of the schedule pertaining to the eye in the Federal Register of May 11, 1999 (64 FR 25246-25258). Interested persons were invited to submit written comments on or before July 12, 1999. We received comments from the Disabled American Veterans, the Blinded Veterans Association, and one other interested party. Section 4.75 General Considerations for Evaluating Visual Impairment We proposed to add paragraph (c) to Sec. 4.75 to codify the longstanding VA practice that when visual impairment of only one eye is service-connected, either directly or by aggravation, the visual acuity of the nonservice-connected eye must be considered to be 20/40, subject to the provisions of 38 CFR 3.383(a). Section 3.383(a) directs that when there is blindness in one eye as a result of service-connected disability and blindness in the other eye as a result of nonservice- connected disability, VA will pay compensation as if both were service- connected. We also proposed to remove current Sec. 4.78, which provides a method of determining the level of disability when the visual impairment is aggravated during military service. As stated in the proposed rule, Sec. 4.78 is not consistent with VA's method of evaluating visual impairment incurred in service in one eye only, nor is it consistent with VA's statutory scheme governing VA benefits. Its application may, in some cases, result in a higher evaluation for a condition that is aggravated by service than for an identical condition incurred in service, which is not equitable. Section 4.78 is also inconsistent with the method of evaluating other paired organs, such as the hands, where only the service-connected hand is evaluated, regardless of the status of the nonservice-connected hand, subject to the provisions of Sec. 3.383(a). One commenter challenges the rule proposed in Sec. 4.75(c) as contrary to legal authority and long-standing VA practice. According to the commenter, the proper rating of visual disability always considers: (1) The vision of each eye, regardless of whether the origin of the service-connected disability is one or both eyes and (2) the entire disability, regardless of whether service connection is based on incurrence or aggravation. The commenter stated that ``service connection is always bilateral in the legal sense.'' The commenter stated that VA used the term ``service connected'' in current Sec. 4.78 in its literal sense and that the nonservice-connected visual impairment to which Sec. 4.78 refers ``denotes the origin of the disability, not its legal status.'' The commenter further asserted that ``service connection attaches to the impairment of function or disability and not to the organ or body part per se'' and that ``service connection is accordingly established for visual impairment that is incurred in or aggravated by service and is not limited to the eye with the service-related disability.'' The commenter cited VA's Office of the General Counsel opinion VAOPGC 25-60 (9-13-60) and 38 U.S.C. 1160 in support of these assertions. To an extent, the commenter is correct that the proper rating of visual disability always considers the vision of each eye, regardless of whether the origin of the service-connected disability is one or both eyes. However, if visual impairment of only one eye is service- connected, the vision in the other eye is considered to be normal, i.e., 20/40. To do otherwise would violate 38 CFR 4.14, which provides that ``the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation * * * [is] to be avoided.'' Proposed Sec. 4.75(c) merely states long- standing VA practice in this regard. The commenter is mistaken about the entire disability being considered, regardless of whether service connection is based on incurrence or aggravation. As 38 CFR 4.22 plainly states: ``In cases involving aggravation by active service, the rating will reflect only the degree of disability over and above the degree existing at the time of entrance into the active service * * *. It is necessary therefore, in all cases of this character[,] to deduct from the present degree of disability the degree, if ascertainable, of the disability existing at the time of entrance into active service. * * *'' Although there are certain specified exceptions (such as 38 U.S.C. 1151 and 1160), generally the statutes governing VA benefits authorize compensation for service-connected disability only. 38 U.S.C. 101(13), 1110, 1131. Only disabilities that result from injury or disease incurred or aggravated in service may be service connected. 38 U.S.C. 1110, 1131; 38 CFR 3.310(a). VAOPGC 25-60 addressed whether VA had authority to award a 100-percent disability rating for visual impairment where there is service-connected loss or loss of use of one eye and nonservice-connected loss or loss of use of the other eye arising after service. The opinion held that VA did not have statutory authority to compensate veterans for nonservice-connected visual disability arising after service. However, Congress later provided an exception in 38 U.S.C. 1160. If a veteran has visual impairment in one eye as a result of service-connected disability and visual impairment in the other eye as a result of nonservice-connected disability not the result of the veteran's own willful misconduct and either (1) the impairment of visual acuity in each eye is rated at a visual acuity of 20/200 or less or (2) the peripheral field of vision for each eye is 20 degrees or less, VA must pay compensation to the veteran as if the combination of both disabilities were the result of service-connected disability. 38 U.S.C. 1160(a). Thus, VA's authority to consider nonservice-connected visual disability for compensation purposes is limited to the circumstances described in section 1160(a). Absent the degree of visual impairment in both eyes prescribed in section 1160(a), nonservice-connected visual disability is not compensable and therefore not to be considered when rating service-connected disability. Where a claimant has a service-connected disability of only one eye and a nonservice-connected visual impairment but not of the degree prescribed by section 1160(a) in the other eye, deeming the nonservice-connected eye as having a visual acuity of 20/40 results in accurate evaluations that are based solely upon service-connected visual impairment. Our proposal to deem the nonservice-connected eye as having a visual acuity of 20/40 is consistent with current law. We make no change based upon this comment. This commenter also asserted that VA should consider hearing loss less than total deafness and visual impairment less than blindness when evaluating impairment of the nonservice-connected ear and eye, respectively. The [[Page 66545]] commenter disagreed with VA's Office of the General Counsel opinion VAOPGCPREC 32-97, which interpreted the statutes governing compensation for service-connected disabilities and concluded that where a claimant has service-connected hearing loss in one ear and nonservice-connected hearing loss in the other ear, for purposes of evaluating the service- connected disability, the hearing in the ear with nonservice-connected hearing loss should be considered normal, unless the claimant is totally deaf in both ears. The issue raised by the commenter was mooted by the Veterans Benefits Act of 2002, Public Law 107-330, which authorized VA, when a veteran has compensable service-connected hearing loss in one ear and nonservice-connected deafness in the other ear, to assign an evaluation and pay compensation as though both ears were service-connected, and the Dr. James Allen Veteran Vision Equity Act of 2007, Public Law 110-157, which authorized VA, when a veteran has service-connected visual impairment in one eye and nonservice-connected visual impairment in the other eye of the degree described above, to assign an evaluation and pay compensation as though both eye disabilities were service connected. See 38 U.S.C. 1160(a)(1) and (3). Further, while Sec. 4.78 addressed aggravation, it is unnecessary to include this in this regulation as it is covered in 38 CFR 4.22. Section 4.78's discussion of aggravation was duplicative of Sec. 4.22. Proposed Sec. 4.75(d) stated that the evaluation for visual impairment of one eye may be combined with evaluations for other disabilities that are not based on visual impairment and included disfigurement as an example. One commenter suggested that we evaluate phthisis bulbi (shrunken eyeball) or other serious cosmetic defect of the eyeball at 40 percent instead of referring the rater to diagnostic code 7800 (``Scars, disfiguring, head, face, or neck'') under the skin portion of the Rating Schedule. The commenter felt this would provide a standard evaluation for this problem. The portion of the Rating Schedule that addresses the skin has been revised (67 FR 49590, July 31, 2002) since the comment was written. Diagnostic code 7800 is no longer limited to evaluation of scarring of the skin. The revised evaluation criteria include a 30-percent evaluation for gross distortion or asymmetry of a paired set of features with visible or palpable tissue loss. Since by definition, phthisis bulbi is a shrunken or atrophic eyeball, there would be visible or palpable tissue loss, and this level of evaluation under diagnostic code 7800 would apply. Any other cosmetic defect of the eyeball that meets the criteria for disfigurement could also be evaluated under diagnostic code 7800, with the level of evaluation based on application of the criteria for disfigurement. Therefore, we make no change based on this comment. Proposed Sec. 4.75(e) instructed adjudicators to increase evaluations by 10 percent in situations where a claimant has anatomical loss of one eye with inability to wear a prosthesis. One commenter suggested that 10 percent be added in the absence of anatomical loss but with deformity and inability to wear a prosthesis. The evaluation criteria of diagnostic code 7800 would apply in this situation. The level of evaluation for deformity and inability to wear a prosthesis could be more or less than 10 percent, depending on the extent of disfigurement. However, to avoid pyramiding under 38 CFR 4.14 (``the evaluation of the same manifestation under different diagnoses [is] to be avoided''), an evaluation under diagnostic code 7800 would preclude an additional 10 percent for the same deformity under Sec. 4.75. We have decided to also specify in Sec. 4.75(e) that the 10-percent increase in evaluation under that provision for anatomical loss of one eye with inability to wear a prosthesis precludes an evaluation under diagnostic code 7800 based on gross distortion or asymmetry of the eye. We made nonsubstantive revisions to proposed Sec. 4.75(b), (c), (d), (e), and (f) to improve clarity. Section 4.76 Visual Acuity We proposed to delete Sec. 4.83, which stated that a person not able to read at any one of the scheduled steps or distances, but able to read at the ``next scheduled step or distance,'' is to be rated as reading at this latter step or distance. A commenter noted that this rule is vital for determining whether to select the higher or lower evaluation and recommended that we retain Sec. 4.83. In our view, an adjudicator could simply refer to 38 CFR 4.7 to determine the correct evaluation. However, we will retain this instruction to promote consistency of evaluations. We have included the following language in Sec. 4.76(b) at Sec. 4.76(b)(4): ``To evaluate the impairment of visual acuity where a claimant has a reported visual acuity that is between two sequentially listed visual acuities, use the visual acuity which permits the higher evaluation.'' We proposed that visual acuity would generally be evaluated on the basis of corrected distance vision. One commenter suggested that because VA policy is to rate on central acuity, not eccentric viewing, we should revise the proposed language of Sec. 4.76(b)(1) to clarify that even when a central scotoma is present, central visual acuity is evaluated based upon best corrected distance vision with central fixation. We agree that central visual acuity should be emphasized. To assure consistency of evaluation and eliminate the variability that could result if eccentric vision were tested, we have revised the language of proposed Sec. 4.76(b)(1) according to the commenter's suggestion. For the sake of consistency, we have also added ``central'' to Sec. 4.76(a) before ``uncorrected and corrected visual acuity''. Another commenter asked how visual acuity is determined if central fixation is not possible. Visual acuity can be determined in these cases by optometrists and ophthalmologists, because they are routinely trained in special methods and techniques that allow them to assess visual acuity and/or function when there is loss of central fixation. Thus, central visual acuity can still be used to rate visual impairment, even if central fixation is impossible. In Sec. 4.76(b)(1), we proposed to amend how we evaluate visual acuity where there is a significant difference in the lens required to correct distance vision in the poorer eye compared to the lens required to correct distance vision in the better eye. We proposed to evaluate the visual acuity of the poorer eye using either its uncorrected visual acuity or its visual acuity as corrected by a lens that does not differ by more than three diopters from the lens needed for correction of the other eye, whichever results in better combined visual acuity. This provision reduced the diopter difference required for application of this provision from the current requirement of more than four diopters to a requirement of more than three diopters. We proposed to reduce the diopter difference because at more than three diopters there is a significant possibility that a claimant will have visual difficulties. However, we have learned that even reducing the diopter difference required for application of this provision from more than four diopters to more than three diopters may still not assure that the individual's brain will be able to ``fuse'' the two differently sized images. The inability to do so results in an intolerable optical correction from clinically significant aniseikonia (where the ocular image of an object as seen by one eye differs in size and shape from that seen by the other). Therefore, we have decided to remove the language ``by a lens that does not [[Page 66546]] differ by more than three diopters from the lens needed for correction of the other eye.'' By permitting evaluation based on either uncorrected vision or corrected vision without specifying the refractive power of the lens, we can accommodate both individuals who do experience visual difficulty when wearing such different lenses and individuals who do not experience visual difficulty. Further, we have added to Sec. 4.76(b)(1) language stating, ``and either the poorer eye or both eyes are service connected'' to emphasize VA's authority to service connect unilateral visual impairment. This additional language clarifies that VA evaluators must apply this provision whether disability of either only one eye (the poorer eye) or both eyes is service-connected. We made nonsubstantive revisions to proposed Sec. 4.76(a), (b)(1), (b)(2) and (b)(3) to improve clarity. Section 4.76a Computation of Average Concentric Contraction of Visual Fields We proposed to remove Sec. 4.76a because directions for evaluating visual fields were revised and moved to Sec. 4.77. The proposed rule did not make it clear whether or not Table III and Figure 1, which are part of Sec. 4.76a, were to be retained. Table III lists the normal degrees of the visual field at the eight principal meridians and also gives an example of computing concentric contraction of abnormal visual fields. One commenter suggested that we retain the example of computing visual fields because it is useful for understanding the material on average concentric contraction. We agree, and although we have deleted from Sec. 4.76a the text preceding Table III, we have retained Table III (including the example) and Figure 1 in the final rule. Section 4.77 Visual Fields Proposed Sec. 4.77(a) stated that to be adequate for VA purposes, examinations of visual fields must be conducted using a Goldmann kinetic perimeter or equivalent kinetic method, using a standard target size and luminance (Goldmann's equivalent (III/4e)). It required that at least 16 meridians 221/2 degrees apart be charted for each eye. Table III listed the normal extent of the visual fields (in degrees) at the 8 principal meridians (45 degrees apart). It also stated that the examination must be supplemented by the use of a tangent screen when the examiner indicates it is necessary. The preamble to the proposed rule also stated that until there are reliable standards for comparing the results from static and kinetic perimetry, we propose to retain the requirement for the use of Goldmann kinetic perimetry, which is more reliable than the alternatives. One commenter suggested that VA's disability examination worksheet for the eye also specify the use of a Goldmann kinetic perimeter or equivalent kinetic examination method. After the proposed rule was published, software programs for automated perimetry were developed that completely simulate results from Goldmann perimetry and can be charted on standard Goldmann charts. The Compensation and Pension Service, after consultation with the Veterans Health Administration's Chiefs of Ophthalmology and Optometry, sent a letter (FL06-21) on November 8, 2006, to the Veterans Benefits Administration regional offices stating that Humphrey Model 750, Octopus Model 101, and later versions of these perimetric devices with simulated kinetic Goldmann testing capability are acceptable devices for determining the extent of visual field loss for compensation and pension eye rating examinations. Therefore, we have changed proposed Sec. 4.77(a) to indicate that examiners must assess visual fields using either Goldmann kinetic perimetry or automated perimetry using Humphrey Model 750, Octopus Model 101, or later versions of these perimetric devices with simulated kinetic Goldmann testing capability. We also clarified the directions about the Goldmann equivalent that must be used for phakic (normal), aphakic, and pseudophakic individuals. The content of the disability examination worksheets is beyond the scope of this rulemaking, and we make no change based on the comment about the worksheet. We proposed to evaluate visual fields by using a Goldmann kinetic perimeter or equivalent kinetic method, using a standard target size and luminance (Goldmann's equivalent (III/4e)). That Goldmann equivalent is useful for evaluating visual fields except in certain cases where a larger equivalent size is needed. We have therefore clarified the use of Goldmann equivalents in the final rule by revising proposed Sec. 4.77(a) to state that, for phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. For aphakic individuals not well adapted to contact lens correction or pseudophakic individuals not well adapted to intraocular lens implant, visual field examinations must be conducted using Goldmann's equivalent IV/4e. Proposed Sec. 4.77(a) stated that ``[a]t least two recordings of visual fields must be made'' for purposes of VA's disability evaluations. We have learned from vision specialists that this is not necessary and is not standard procedure, since the visual field outline is determined by testing multiple objects along each meridian. Therefore, we have removed the language requiring ``two recordings'' as unnecessary. In conjunction with this change, we have also removed the proposed statement that the confirmed visual fields must be made a part of the examination report. Instead, we have stated in Sec. 4.77(a) that in all cases, the results of visual field examinations must be recorded on a standard Goldmann chart. We additionally require that the Goldmann chart be included with the examination report. Proposed Sec. 4.77(a) also said that the examination must be supplemented by the use of a tangent screen when the examiner indicates it is necessary. We have determined that a 30-degree threshold visual field with the Goldmann III stimulus size could be used in lieu of a tangent screen. This test provides information similar to the tangent screen. For this reason, the final rule provides that adjudicators must consider either of these two tests when additional testing of visual fields becomes necessary, and requires that the examination report include either the tracing of the tangent screen or the tracing of the 30-degree threshold visual field. We made further nonsubstantive revisions to proposed Sec. 4.77(a), (b), and (c) to improve clarity. Section 4.78 Muscle Function In proposed Sec. 4.78(b)(1), we provided guidance concerning the evaluation of diplopia, and proposed that adjudicators assign an evaluation for diplopia for only one eye. Further, we proposed that where a claimant has both diplopia and decreased visual acuity or a visual field defect, the corrected visual acuity for the poorer eye (or the affected eye, if only one eye is service-connected) is deemed to be, depending on the severity of the diplopia, between one and three steps poorer, provided that the adjusted level of corrected visual acuity does not exceed 5/200. Using the adjusted visual acuity for the poorer eye (or the affected eye) and the corrected visual acuity for the better eye, we proposed that the claimant's visual impairment be evaluated under diagnostic codes 6064 through 6066. [[Page 66547]] Proposed diagnostic code 6064 refers to light perception only (LPO), which exceeds a visual acuity level of 5/200. Hence, an evaluation under diagnostic code 6064 is not permitted under Sec. 4.78(b). Therefore, in Sec. 4.78(b)(1) we have omitted reference to diagnostic code 6064. We proposed not to retain in Sec. 4.78(b)(1) the rule from former Sec. 4.77 (Examination of muscle function) which stated that ``[d]iplopia which is only occasional or correctable is not considered a disability,'' since it pertains to the issue of service connection rather than evaluation. Section 4.78(b)(1) addresses evaluation of muscle function rather than service connection. One commenter stated that this rule provides useful guidance to adjudicators considering claims for service connection for diplopia. In response to this comment, and because disease of or injury to one or more extraocular eye muscles may cause diplopia which is occasional or correctable, rather than including this language in Sec. 4.78(b)(1), we have added a note under diagnostic code 6090 (diplopia) stating that in accordance with 38 CFR 4.31, diplopia that is occasional or that is correctable with spectacles is evaluated at 0 percent. This would clarify how to evaluate diplopia with these characteristics. In order to remove any doubt about the difference between Sec. 4.78(b)(2), which explains how to evaluate diplopia that is present in more than one quadrant or range of degrees, and Sec. 4.78(b)(3), which explains how to evaluate diplopia that exists in two separate areas of the same eye, we have changed the language of Sec. 4.78(b)(2) from ``[w]hen diplopia is present in more than one quadrant,'' as proposed, to ``[w]hen diplopia extends beyond more than one quadrant''. This is similar to the language in the current rating schedule and will ensure a clear distinction between these provisions. We made nonsubstantive revisions to proposed Sec. 4.78 (a) and (b) to improve clarity. Section 4.79 Schedule of Ratings--Eye We proposed to evaluate angle-closure glaucoma (diagnostic code 6012), which often presents as a red, painful eye, sometimes accompanied by nausea and vomiting, either on the basis of visual impairment or on the basis of incapacitating episodes, whichever results in a higher evaluation. We proposed to evaluate open-angle glaucoma (diagnostic code 6013), which generally presents as painless, chronic, progressive loss of vision, solely on the basis of visual impairment because open-angle glaucoma is unlikely to result in incapacitating episodes. One commenter questioned why angle-closure glaucoma based on incapacitating episodes does not include a 10-percent evaluation for incapacitating episodes of at least 1 week, but less than 2 weeks total duration per year, when diagnostic codes 6000 through 6009 provide for such an evaluation. Under the proposed rule, a minimum evaluation of 10 percent would be assigned for angle-closure glaucoma if continuous medication is required. In our view, virtually all claimants with symptomatic angle-closure glaucoma would require continuous medication, which would entitle them to a minimum 10-percent evaluation. Therefore, we did not propose a 10-percent evaluation based on incapacitating episodes. We make no change based upon this comment. One commenter suggested that we evaluate both angle-closure and open-angle glaucoma on the basis of visual field loss or central visual acuity impairment, whichever results in a higher evaluation. Section 4.75(a) states that the evaluation of visual impairment is based on impairment of visual acuity (excluding developmental errors of refraction), visual field, and muscle function. All three elements of visual impairment may be present in glaucoma, although visual field loss is most common. Not only would the commenter's suggestion limit the rating possibilities to two of the three elements of visual impairment, it also would not allow for evaluation of angle-closure glaucoma based on incapacitating episodes. Section 4.75(b) states that eye examinations must be conducted by a licensed optometrist or ophthalmologist, and such specialists are unlikely to overlook a visual field defect or any other type of visual impairment in an individual with glaucoma. In our judgment, allowing evaluation to be based on any of the three elements of visual impairment or on incapacitating episodes is a fair way to assess glaucoma and to assure that the veteran is evaluated based on the disabling effects that provide the higher benefit. We have therefore not adopted the commenter's suggestion. We proposed that certain eye disabilities be evaluated either on visual impairment or on incapacitating episodes, whichever results in a higher evaluation. We proposed to define an incapacitating episode as a period of acute symptoms severe enough to require bed rest and treatment by a physician or other healthcare provider. One commenter suggested that the rating formula based on incapacitating episodes--60 percent if there are incapacitating episodes of at least 6 weeks total duration per year, 40 percent if there are incapacitating episodes of at least 4 weeks, but less than 6 weeks, total duration per year, etc.--is miserly because a veteran will be compensated only for visual impairment or periods of incapacitation, but not both, and with less than bedrest, the veteran receives nothing. In most eye diseases, visual impairment will be the major problem and therefore the more common basis of evaluation. With modern medical and surgical treatment, few patients require bedrest of any duration for eye disease. However, an evaluation based on incapacitating episodes might be higher in those few cases in which bedrest might be required, e.g., angle-closure glaucoma with severe pain, nausea, and vomiting. If bedrest is not required, evaluation is based on visual impairment. The evaluations based on visual impairment and those based on incapacitating episodes are both meant to account for the average occupational impairment. Providing alternative criteria allows the rater to evaluate using the set of criteria more favorable to the veteran. The same commenter asked why there is a maximum evaluation of 60 percent for incapacitating episodes. As stated above, with modern medical and surgical treatment, very few, if any, veterans will experience incapacitating episodes of more than 6 weeks total duration per year due to eye disease. However, for any who do, 38 CFR 4.16(a), which provides for a total evaluation based on individual unemployability, and 38 CFR 3.321(b)(1), which provides for extra-schedular evaluations in cases where an evaluation is inadequate because the condition presents such an unusual disability picture that applying the regular schedular standards would be impractical, provide reasonable alternatives for assigning an evaluation greater than 60 percent. In our judgment, the range of evaluations we have provided based on incapacitating episodes of eye disease will adequately compensate veterans, and a 100-percent evaluation level based on incapacitating episodes is not warranted. Conditions evaluated on the basis of incapacitating episodes are entitled to a 60-percent evaluation when the claimant has experienced at least 6 weeks of incapacitating episodes over the preceding 12 months. One commenter suggested that, in some cases, an adjudicator would not be able [[Page 66548]] to assign the maximum 60-percent evaluation until after the passage of an entire year, and felt that evaluations based upon incapacitating episodes should be retroactive to the date of the first incapacitating episode, regardless of when it occurred. By statute (38 U.S.C. 5110(a)), except as otherwise provided, the effective date of an award of compensation will be fixed in accordance with the facts but not before the date of receipt of the claim. Furthermore, an award of increased compensation will be effective the earliest date it is ascertainable that an increase in disability occurred if application is received within 1 year of that date. 38 U.S.C. 5110(b)(2). Otherwise, the effective date is the date the claim was received. 38 CFR 3.400(o)(2). We are aware of no special provisions that would apply to the evaluation of incapacitating episodes of the eye. Under governing law, entitlement to a 60-percent rating would not arise until 6 weeks of incapacitating episodes have taken place, and the effective date could not be established before then. Once the claimant has experienced 6 weeks of incapacitating episodes, the 60- percent evaluation will be assigned, even if the evaluation occurs within several months of the initial incapacitating episode. In cases where it takes the entire 12-month period for a claimant to experience 6 weeks of incapacitating episodes, the 60-percent evaluation will be assigned at that time. However, during the interim, a rating corresponding to the total duration of incapacitating episodes already experienced may be assigned. That is to say, once 1 week of incapacitating episodes is experienced, a 10-percent rating may be assigned; once 2 weeks of incapacitating episodes are experienced, a 20-percent rating may be assigned; etc. We make no change based on this comment. The proposed criteria based on incapacitating episodes referred to the total duration of incapacitating episodes ``per year''. To clarify that we mean during the preceding 12-month period, and not the calendar year, we have changed this language to refer to incapacitating episodes ``during the past 12 months''. This language is consistent with other provisions in the rating schedule that evaluate incapacitating episodes (e.g., diagnostic code 5243, intervertebral disc syndrome, and diagnostic code 7354, hepatitis C). We are also adding language to indicate that bed rest must be prescribed by a physician to the notes following diagnostic codes 6000 through 6009 and diagnostic code 6012 of the rating schedule. This clarifies VA's intent in the proposed rule and makes a nonsubstantive change for clarification purposes. One commenter asked for clarification as to whether the absence of light perception is to be evaluated as anatomical loss of one eye (diagnostic code 6063) or light perception only (diagnostic code 6064). Section 4.75(d) states that the evaluation for visual impairment of one eye must not exceed 30-percent unless there is anatomical loss of the eye. This is clear and straightforward and names no exceptions. Therefore, in evaluating visual acuity of one eye, no light perception is evaluated the same as light perception only. To avoid confusion, we have revised the titles of diagnostic codes 6062 to ``No more than light perception in both eyes'' and 6064 to ``No more than light perception in one eye.'' As previously discussed under one of the comments about diplopia, we have added a note to diagnostic code 6090 stating that occasional or correctable diplopia will be evaluated as 0-percent disabling. One commenter asked that we clarify whether the use of an eye patch for diplopia warrants special monthly compensation (SMC) (see 38 CFR 3.350) for loss or loss of use of an eye. Since the eye is present when an eye patch is used for diplopia, SMC for loss of an eye is not warranted. Visual impairment due to diplopia is determined without the eye patch, and it could be at any level of severity, so SMC for loss of use of an eye is also not warranted. The fact that the eye is not being used when it is patched does not necessarily mean it cannot be used, which would be required for loss of use. We use the word ``alternatively'' instead of the proposed ``otherwise'' in diagnostic code 6011 for clarity and add ``if this would result in a higher evaluation'' for further guidance. We use similar language in diagnostic code 6081 for the same purpose. We additionally edited the proposed criteria for evaluating malignant neoplasms of the eyeball (diagnostic code 6014) for the sake of clarity. VA appreciates the comments submitted in response to the proposed rule. Based on the rationale stated in the proposed rule and in this document, the proposed rule is adopted as final with the changes noted. Unfunded Mandates The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 1532, that agencies prepare an assessment of anticipated costs and benefits before issuing any rule that may result in the expenditure by State, local, and tribal governments, in the aggregate, or by the private sector, of $100 million or more (adjusted annually for inflation) in any year. This final rule would have no such effect on State, local, and tribal governments, or on the private sector. Paperwork Reduction Act This document contains no provisions constituting a collection of information under the Paperwork Reduction Act (44 U.S.C. 3501-3521). Executive Order 12866 Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety, and other advantages; distributive impacts; and equity). The Executive Order classifies a ``significant regulatory action,'' requiring review by the Office of Management and Budget (OMB) unless OMB waives such review, as any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities; (2) create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; (3) materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in the Executive Order. The economic, interagency, budgetary, legal, and policy implications of this final rule has been examined, and it has been determined to be a significant regulatory action under the Executive Order because it is likely to result in a rule that may raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in the Executive Order. Regulatory Flexibility Act The Secretary hereby certifies that this final rule will not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601- 612. This final rule would not affect any small entities. Only VA beneficiaries could be directly [[Page 66549]] affected. Therefore, pursuant to 5 U.S.C. 605(b), this final rule is exempt from the initial and final regulatory flexibility analysis requirements of sections 603 and 604. Catalog of Federal Domestic Assistance Numbers and Titles The Catalog of Federal Domestic Assistance program numbers and titles are 64.104, Pension for Non-Service-Connected Disability for Veterans, and 64.109, Veterans Compensation for Service-Connected Disability. List of Subjects in 38 CFR Part 4 Disability benefits, Pensions, Veterans. Approved: August 6, 2008. Gordon H. Mansfield, Deputy Secretary of Veterans Affairs. 0 For the reasons set out in the preamble, 38 CFR part 4, subpart B, is amended as set forth below: PART 4--SCHEDULE FOR RATING DISABILITIES 0 1. The authority citation for part 4 continues to read as follows: Authority: 38 U.S.C. 1155, unless otherwise noted. Subpart B--Disability Ratings 0 2. Section 4.75 is revised to read as follows: Sec. 4.75 General considerations for evaluating visual impairment. (a) Visual impairment. The evaluation of visual impairment is based on impairment of visual acuity (excluding developmental errors of refraction), visual field, and muscle function. (b) Examination for visual impairment. The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. Examinations of visual fields or muscle function will be conducted only when there is a medical indication of disease or injury that may be associated with visual field defect or impaired muscle function. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. (c) Service-connected visual impairment of only one eye. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. (d) Maximum evaluation for visual impairment of one eye. The evaluation for visual impairment of one eye must not exceed 30 percent unless there is anatomical loss of the eye. Combine the evaluation for visual impairment of one eye with evaluations for other disabilities of the same eye that are not based on visual impairment (e.g., disfigurement under diagnostic code 7800). (e) Anatomical loss of one eye with inability to wear a prosthesis. When the claimant has anatomical loss of one eye and is unable to wear a prosthesis, increase the evaluation for visual acuity under diagnostic code 6063 by 10 percent, but the maximum evaluation for visual impairment of both eyes must not exceed 100 percent. A 10- percent increase under this paragraph precludes an evaluation under diagnostic code 7800 based on gross distortion or asymmetry of the eye but not an evaluation under diagnostic code 7800 based on other characteristics of disfigurement. (f) Special monthly compensation. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Footnotes in the schedule indicate levels of visual impairment that potentially establish entitlement to special monthly compensation; however, other levels of visual impairment combined with disabilities of other body systems may also establish entitlement. (Authority: 38 U.S.C. 1114 and 1155) 0 3. Section 4.76 is revised to read as follows: Sec. 4.76 Visual acuity. (a) Examination of visual acuity. Examination of visual acuity must include the central uncorrected and corrected visual acuity for distance and near vision using Snellen's test type or its equivalent. (b) Evaluation of visual acuity. (1) Evaluate central visual acuity on the basis of corrected distance vision with central fixation, even if a central scotoma is present. However, when the lens required to correct distance vision in the poorer eye differs by more than three diopters from the lens required to correct distance vision in the better eye (and the difference is not due to congenital or developmental refractive error), and either the poorer eye or both eyes are service connected, evaluate the visual acuity of the poorer eye using either its uncorrected or corrected visual acuity, whichever results in better combined visual acuity. (2) Provided that he or she customarily wears contact lenses, evaluate the visual acuity of any individual affected by a corneal disorder that results in severe irregular astigmatism that can be improved more by contact lenses than by eyeglass lenses, as corrected by contact lenses. (3) In any case where the examiner reports that there is a difference equal to two or more scheduled steps between near and distance corrected vision, with the near vision being worse, the examination report must include at least two recordings of near and distance corrected vision and an explanation of the reason for the difference. In these cases, evaluate based on corrected distance vision adjusted to one step poorer than measured. (4) To evaluate the impairment of visual acuity where a claimant has a reported visual acuity that is between two sequentially listed visual acuities, use the visual acuity which permits the higher evaluation. (Authority: 38 U.S.C. 1155) 0 4. In Sec. 4.76a, remove the introductory text, retain Table III-- Normal Visual Field Extent at 8 Principal Meridians, retain Figure 1. Chart of visual field showing normal field right eye and abnormal contraction visual field left eye and the text and table following Figure 1, and add an authority citation at the end of the section to read as follows. Sec. 4.76a Computation of average concentric contraction of visual fields. * * * * * (Authority: 38 U.S.C. 1155) 0 5. Section 4.77 is amended by: 0 a. Revising the section heading. 0 b. Removing the introductory text and adding, in its place, paragraphs (a), (b), and (c). 0 c. Retaining Figure 2. Goldmann Perimeter Chart. 0 d. Adding an authority citation at the end of the section. The additions read as follows: Sec. 4.77 Visual fields. (a) Examination of visual fields. Examiners must use either Goldmann kinetic perimetry or automated perimetry using Humphrey Model 750, Octopus Model 101, or later versions of these perimetric devices with simulated kinetic Goldmann testing capability. For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size [[Page 66550]] and luminance, which is Goldmann's equivalent III/4e. For aphakic individuals not well adapted to contact lens correction or pseudophakic individuals not well adapted to intraocular lens implant, visual field examinations must be conducted using Goldmann's equivalent IV/4e. In all cases, the results must be recorded on a standard Goldmann chart (see Figure 1), and the Goldmann chart must be included with the examination report. The examiner must chart at least 16 meridians 22\1/ 2\ degrees apart for each eye and indicate the Goldmann equivalent used. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). When the examiner indicates that additional testing is necessary to evaluate visual fields, the additional testing must be conducted using either a tangent screen or a 30-degree threshold visual field with the Goldmann III stimulus size. The examination report must then include the tracing of either the tangent screen or of the 30-degree threshold visual field with the Goldmann III stimulus size. (b) Evaluation of visual fields. Determine the average concentric contraction of the visual field of each eye by measuring the remaining visual field (in degrees) at each of eight principal meridians 45 degrees apart, adding them, and dividing the sum by eight. (c) Combination of visual field defect and decreased visual acuity. To determine the evaluation for visual impairment when both decreased visual acuity and visual field defect are present in one or both eyes and are service connected, separately evaluate the visual acuity and visual field defect (expressed as a level of visual acuity), and combine them under the provisions of Sec. 4.25. * * * * * (Authority: 38 U.S.C. 1155) 0 6. Section 4.78 is revised to read as follows: Sec. 4.78 Muscle function. (a) Examination of muscle function. The examiner must use a Goldmann perimeter chart that identifies the four major quadrants (upward, downward, left and right lateral) and the central field (20 degrees or less) (see Figure 2). The examiner must chart the areas of diplopia and include the plotted chart with the examination report. (b) Evaluation of muscle function. (1) An evaluation for diplopia will be assigned to only one eye. When a claimant has both diplopia and decreased visual acuity or visual field defect, assign a level of corrected visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected) that is: one step poorer than it would otherwise warrant if the evaluation for diplopia under diagnostic code 6090 is 20/70 or 20/100; two steps poorer if the evaluation under diagnostic code 6090 is 20/200 or 15/200; or three steps poorer if the evaluation under diagnostic code 6090 is 5/200. This adjusted level of corrected visual acuity, however, must not exceed a level of 5/200. Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service- connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service- connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. (2) When diplopia extends beyond more than one quadrant or range of degrees, evaluate diplopia based on the quadrant and degree range that provides the highest evaluation. (3) When diplopia exists in two separate areas of the same eye, increase the equivalent visual acuity under diagnostic code 6090 to the next poorer level of visual acuity, not to exceed 5/200. (Authority: 38 U.S.C. 1155) 0 7. Section 4.79 is revised to read as follows: Sec. 4.79 Schedule of ratings--eye. Diseases of the Eye ------------------------------------------------------------------------ Rating ------------------------------------------------------------------------ 6000 Choroidopathy, including uveitis, iritis, cyclitis, and choroiditis. 6001 Keratopathy. 6002 Scleritis. 6006 Retinopathy or maculopathy. 6007 Intraocular hemorrhage. 6008 Detachment of retina. 6009 Unhealed eye injury. ------------------------------------------------------------------------ General Rating Formula for Diagnostic Codes 6000 through 6009 ------------------------------------------------------------------------ Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation. With incapacitating episodes having a total duration of 60 at least 6 weeks during the past 12 months.............. With incapacitating episodes having a total duration of 40 at least 4 weeks, but less than 6 weeks, during the past 12 months............................................... With incapacitating episodes having a total duration of 20 at least 2 weeks, but less than 4 weeks, during the past 12 months............................................... With incapacitating episodes having a total duration of 10 at least 1 week, but less than 2 weeks, during the past 12 months............................................... Note: For VA purposes, an incapacitating episode is a period of acute symptoms severe enough to require prescribed bed rest and treatment by a physician or other healthcare provider. 6010 Tuberculosis of eye: Active................................................... 100 Inactive: Evaluate under Sec. 4.88c or Sec. 4.89 of this part, whichever is appropriate. 6011 Retinal scars, atrophy, or irregularities: Localized scars, atrophy, or irregularities of the 10 retina, unilateral or bilateral, that are centrally located and that result in an irregular, duplicated, enlarged, or diminished image........................... Alternatively, evaluate based on visual impairment due to retinal scars, atrophy, or irregularities, if this would result in a higher evaluation. 6012 Angle-closure glaucoma: Evaluate on the basis of either visual impairment due to angle-closure glaucoma or incapacitating episodes, whichever results in a higher evaluation. With incapacitating episodes having a total duration of 60 at least 6 weeks during the past 12 months.............. [[Page 66551]] With incapacitating episodes having a total duration of 40 at least 4 weeks, but less than 6 weeks, during the past 12 months............................................... With incapacitating episodes having a total duration of 20 at least 2 weeks, but less than 4 weeks, during the past 12 months............................................... Minimum evaluation if continuous medication is required.. 10 Note: For VA purposes, an incapacitating episode is a period of acute symptoms severe enough to require prescribed bed rest and treatment by a physician or other healthcare provider. 6013 Open-angle glaucoma: Evaluate based on visual impairment due to open-angle glaucoma. Minimum evaluation if continuous medication is required.. 10 6014 Malignant neoplasms (eyeball only): Malignant neoplasm of the eyeball that requires therapy 100 that is comparable to that 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 enucleation......................... Note: 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 Sec. 3.105(e) of this chapter. If there has been no local recurrence or metastasis, evaluate based on residuals. Malignant neoplasm of the eyeball that does not require therapy comparable to that for systemic malignancies: Separately evaluate visual impairment and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 6015 Benign neoplasms (of eyeball and adnexa): Separately evaluate visual impairment and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 6016 Nystagmus, central...................................... 10 6017 Trachomatous conjunctivitis: Active: Evaluate based on visual impairment, minimum..... 30 Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800). 6018 Chronic conjunctivitis (nontrachomatous): Active (with objective findings, such as red, thick 10 conjunctivae, mucous secretion, etc.)................... Inactive: 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: Bilateral................................................ 20 Unilateral............................................... 10 6021 Entropion: Bilateral................................................ 20 Unilateral............................................... 10 6022 Lagophthalmos: Bilateral................................................ 20 Unilateral............................................... 10 6023 Loss of eyebrows, complete, unilateral or bilateral..... 10 6024 Loss of eyelashes, complete, unilateral or bilateral.... 10 6025 Disorders of the lacrimal apparatus (epiphora, dacryocystitis, etc.): Bilateral................................................ 20 Unilateral............................................... 10 6026 Optic neuropathy: Evaluate based on visual impairment. 6027 Cataract of any type: Preoperative: Evaluate based on visual impairment. Postoperative: If a replacement lens is present (pseudophakia), evaluate based on visual impairment. If there is no replacement lens, evaluate based on aphakia. 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)........................ 30 6030 Paralysis of accommodation (due to neuropathy of the 20 Oculomotor Nerve (cranial nerve III)). 6032 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 based on visual impairment, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings. 6035 Keratoconus: Evaluate based on impairment of visual acuity. 6036 Status post corneal transplant: Evaluate based on visual impairment. Minimum, if there is pain, photophobia, and glare 10 sensitivity............................................. 6037 Pinguecula: Evaluate based on disfigurement (diagnostic code 7800). ------------------------------------------------------------------------ [[Page 66552]] Impairment of Central Visual Acuity ------------------------------------------------------------------------ 6061 Anatomical loss of both eyes \1\........................ 100 6062 No more than light perception in both eyes \1\.......... 100 6063 Anatomical loss of one eye: \1\ In the other eye 5/200 (1.5/60).......................... 100 In the other eye 10/200 (3/60)........................... 90 In the other eye 15/200 (4.5/60)......................... 80 In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 60 In the other eye 20/50 (6/15)............................ 50 In the other eye 20/40 (6/12)............................ 40 6064 No more than light perception in one eye: \1\ In the other eye 5/200 (1.5/60).......................... 100 In the other eye 10/200 (3/60)........................... 90 In the other eye 15/200 (4.5/60)......................... 80 In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 50 In the other eye 20/50 (6/15)............................ 40 In the other eye 20/40 (6/12)............................ 30 6065 Vision in one eye 5/200 (1.5/60): In the other eye 5/200 (1.5/60).......................... \1\100 In the other eye 10/200 (3/60)........................... 90 In the other eye 15/200 (4.5/60)......................... 80 In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 50 In the other eye 20/50 (6/15)............................ 40 In the other eye 20/40 (6/12)............................ 30 6066 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)........................... 90 In the other eye 15/200 (4.5/60)......................... 80 In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 50 In the other eye 20/50 (6/15)............................ 40 In the other eye 20/40 (6/12)............................ 30 Vision in one eye 15/200 (4.5/60): In the other eye 15/200 (4.5/60)......................... 80 In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 40 In the other eye 20/50 (6/15)............................ 30 In the other eye 20/40 (6/12)............................ 20 Vision in one eye 20/200 (6/60): In the other eye 20/200 (6/60)........................... 70 In the other eye 20/100 (6/30)........................... 60 In the other eye 20/70 (6/21)............................ 40 In the other eye 20/50 (6/15)............................ 30 In the other eye 20/40 (6/12)............................ 20 Vision in one eye 20/100 (6/30): In the other eye 20/100 (6/30)........................... 50 In the other eye 20/70 (6/21)............................ 30 In the other eye 20/50 (6/15)............................ 20 In the other eye 20/40 (6/12)............................ 10 Vision in one eye 20/70 (6/21): In the other eye 20/70 (6/21)............................ 30 In the other eye 20/50 (6/15)............................ 20 In the other eye 20/40 (6/12)............................ 10 Vision in one eye 20/50 (6/15): In the other eye 20/50 (6/15)............................ 10 In the other eye 20/40 (6/12)............................ 10 Vision 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. [[Page 66553]] Ratings for Impairment of Visual Fields ------------------------------------------------------------------------ Rating ------------------------------------------------------------------------ 6080 Visual field defects: Homonymous hemianopsia................................... 30 Loss of temporal half of visual field: Bilateral................................................ 30 Unilateral............................................... 10 Or evaluate each affected eye as 20/70 (6/21)............ Loss of nasal half of visual field: Bilateral................................................ 10 Unilateral............................................... 10 Or evaluate each affected eye as 20/50 (6/15)............ Loss of inferior half of visual field: Bilateral................................................ 30 Unilateral............................................... 10 Or evaluate each affected eye as 20/70 (6/21)............ Loss of superior half of visual field: Bilateral................................................ 10 Unilateral............................................... 10 Or evaluate each affected eye as 20/50 (6/15)............ Concentric contraction of visual field: With remaining field of 5 degrees: \1\ Bilateral................................................ 100 Unilateral............................................... 30 Or evaluate each affected eye as 5/200 (1.5/60).......... With remaining field of 6 to 15 degrees: Bilateral................................................ 70 Unilateral............................................... 20 Or evaluate each affected eye as 20/200 (6/60)........... With remaining field of 16 to 30 degrees: Bilateral................................................ 50 Unilateral............................................... 10 Or evaluate each affected eye as 20/100 (6/30)........... With remaining field of 31 to 45 degrees: Bilateral................................................ 30 Unilateral............................................... 10 Or evaluate each affected eye as 20/70 (6/21)............ With remaining field of 46 to 60 degrees: Bilateral................................................ 10 Unilateral............................................... 10 Or evaluate each affected eye as 20/50 (6/15)............ 6081 Scotoma, unilateral: Minimum, with scotoma affecting at least one-quarter of 10 the visual field (quadrantanopsia) or with centrally located scotoma of any size............................. Alternatively, 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. Ratings for Impairment of Muscle Function ------------------------------------------------------------------------ Equivalent Degree of diplopia visual acuity ------------------------------------------------------------------------ 6090 Diplopia (double vision): (a) Central 20 degrees........................... 5/200 (1.5/60) (b) 21 degrees to 30 degrees (1) Down..................................... 15/200 (4.5/60) (2) Lateral.................................. 20/100 (6/30) (3) Up....................................... 20/70 (6/21) (c) 31 degrees to 40 degrees (1) Down..................................... 20/200 (6/60) (2) Lateral.................................. 20/70 (6/21) (3) Up....................................... 20/40 (6/12) 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 based on visual impairment, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings. ------------------------------------------------------------------------ [[Page 66554]] (Authority: 38 U.S.C. 1155) Sec. Sec. 4.80, 4.83, and 4.84 [Removed and Reserved] 0 8. Sections 4.80, 4.83, and 4.84 are removed and reserved. Sec. Sec. 4.83a and 4.84a [Removed] 0 9. Sections 4.83a and 4.84a are removed. [FR Doc. E8-26304 Filed 11-7-08; 8:45 am] BILLING CODE 8320-01-P ____________________________________ AOL Search: Your one stop for directions, recipes and all other Holiday needs. _Search Now_ (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from-aol-searc h/?ncid=emlcntussear00000001) . **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) From kvh54 at cfl.rr.com Tue Nov 11 00:31:19 2008 From: kvh54 at cfl.rr.com (Kirk Harmon) Date: Mon, 10 Nov 2008 19:31:19 -0500 Subject: [Blindvet-talk] Revised rule on visual disorders of the eye References: Message-ID: <7D5945BFFF594E91B817838E0F4B17A3@B89HHH1> Thanks for the informmation good Man!Kirk ----- Original Message ----- From: To: Sent: Monday, November 10, 2008 6:50 PM Subject: [Blindvet-talk] Revised rule on visual disorders of the eye > All Vets, > Notice from Jim McCarthy in Baltimore. > Read on Please. > Dwight > > > > ____________________________________ > From: JMcCarthy at nfb.org > To: MisterAdvocate at aol.com > Sent: 11/10/2008 2:36:19 P.M. Eastern Standard Time > Subj: Revised rule on visual disorders of the eye > > > Dwight, > This is the veteran's revised rule on disabilities of the eye. It has > been under consideration from 1998 and perhaps some here were aware of > that, but because there was no discussion of the rule, I was not. The > rule becomes final after December 10 and here it is as published in the > federal Register. > Jim McCarthy > > FR Doc E8-26304[Federal Register: November 10, 2008 (Volume 73, Number > 218)] > [Rules and Regulations] > [Page 66543-66554] >>From the Federal Register Online via GPO Access [wais.access.gpo.gov] > [DOCID:fr10no08-17] > > ======================================================================= > ----------------------------------------------------------------------- > > DEPARTMENT OF VETERANS AFFAIRS > > 38 CFR Part 4 > > RIN 2900-AH43 > > > Schedule for Rating Disabilities; Eye > > AGENCY: Department of Veterans Affairs. > > ACTION: Final rule. > > ----------------------------------------------------------------------- > > SUMMARY: This document amends the Department of Veterans Affairs (VA) > Schedule for Rating Disabilities (Rating Schedule) by updating the > portion of the schedule that addresses disabilities of the eye. These > amendments ensure that the schedule uses current medical terminology, > provides unambiguous criteria for evaluating disabilities, and > > [[Page 66544]] > > incorporates pertinent medical advances. > > DATES: Effective Date: This amendment is effective December 10, 2008. > Applicability Date: These amendments shall apply to all > applications for benefits received by VA on or after December 10, 2008. > > FOR FURTHER INFORMATION CONTACT: Maya Ferrandino, Consultant, Policy > and Regulations Staff (211D), Compensation and Pension Service, > Veterans Benefits Administration, Department of Veterans Affairs, 810 > Vermont Ave., NW., Washington, DC, 20420, (727) 319-5847. (This is not > a toll-free number.) > > SUPPLEMENTARY INFORMATION: As part of its review of the Schedule for > Rating Disabilities (38 CFR part 4), VA published a proposal to amend > the portion of the schedule pertaining to the eye in the Federal > Register of May 11, 1999 (64 FR 25246-25258). Interested persons were > invited to submit written comments on or before July 12, 1999. We > received comments from the Disabled American Veterans, the Blinded > Veterans Association, and one other interested party. > > Section 4.75 General Considerations for Evaluating Visual Impairment > > We proposed to add paragraph (c) to Sec. 4.75 to codify the > longstanding VA practice that when visual impairment of only one eye is > service-connected, either directly or by aggravation, the visual acuity > of the nonservice-connected eye must be considered to be 20/40, subject > to the provisions of 38 CFR 3.383(a). Section 3.383(a) directs that > when there is blindness in one eye as a result of service-connected > disability and blindness in the other eye as a result of nonservice- > connected disability, VA will pay compensation as if both were service- > connected. > We also proposed to remove current Sec. 4.78, which provides a > method of determining the level of disability when the visual > impairment is aggravated during military service. As stated in the > proposed rule, Sec. 4.78 is not consistent with VA's method of > evaluating visual impairment incurred in service in one eye only, nor > is it consistent with VA's statutory scheme governing VA benefits. Its > application may, in some cases, result in a higher evaluation for a > condition that is aggravated by service than for an identical condition > incurred in service, which is not equitable. Section 4.78 is also > inconsistent with the method of evaluating other paired organs, such as > the hands, where only the service-connected hand is evaluated, > regardless of the status of the nonservice-connected hand, subject to > the provisions of Sec. 3.383(a). > One commenter challenges the rule proposed in Sec. 4.75(c) as > contrary to legal authority and long-standing VA practice. According to > the commenter, the proper rating of visual disability always considers: > (1) The vision of each eye, regardless of whether the origin of the > service-connected disability is one or both eyes and (2) the entire > disability, regardless of whether service connection is based on > incurrence or aggravation. The commenter stated that ``service > connection is always bilateral in the legal sense.'' The commenter > stated that VA used the term ``service connected'' in current Sec. > 4.78 in its literal sense and that the nonservice-connected visual > impairment to which Sec. 4.78 refers ``denotes the origin of the > disability, not its legal status.'' The commenter further asserted that > ``service connection attaches to the impairment of function or > disability and not to the organ or body part per se'' and that > ``service connection is accordingly established for visual impairment > that is incurred in or aggravated by service and is not limited to the > eye with the service-related disability.'' The commenter cited VA's > Office of the General Counsel opinion VAOPGC 25-60 (9-13-60) and 38 > U.S.C. 1160 in support of these assertions. > To an extent, the commenter is correct that the proper rating of > visual disability always considers the vision of each eye, regardless > of whether the origin of the service-connected disability is one or > both eyes. However, if visual impairment of only one eye is service- > connected, the vision in the other eye is considered to be normal, > i.e., 20/40. To do otherwise would violate 38 CFR 4.14, which provides > that ``the use of manifestations not resulting from service-connected > disease or injury in establishing the service-connected evaluation * * > * [is] to be avoided.'' Proposed Sec. 4.75(c) merely states long- > standing VA practice in this regard. > The commenter is mistaken about the entire disability being > considered, regardless of whether service connection is based on > incurrence or aggravation. As 38 CFR 4.22 plainly states: ``In cases > involving aggravation by active service, the rating will reflect only > the degree of disability over and above the degree existing at the time > of entrance into the active service * * *. It is necessary therefore, > in all cases of this character[,] to deduct from the present degree of > disability the degree, if ascertainable, of the disability existing at > the time of entrance into active service. * * *'' > Although there are certain specified exceptions (such as 38 U.S.C. > 1151 and 1160), generally the statutes governing VA benefits authorize > compensation for service-connected disability only. 38 U.S.C. 101(13), > 1110, 1131. Only disabilities that result from injury or disease > incurred or aggravated in service may be service connected. 38 U.S.C. > 1110, 1131; 38 CFR 3.310(a). VAOPGC 25-60 addressed whether VA had > authority to award a 100-percent disability rating for visual > impairment where there is service-connected loss or loss of use of one > eye and nonservice-connected loss or loss of use of the other eye > arising after service. The opinion held that VA did not have statutory > authority to compensate veterans for nonservice-connected visual > disability arising after service. However, Congress later provided an > exception in 38 U.S.C. 1160. If a veteran has visual impairment in one > eye as a result of service-connected disability and visual impairment > in the other eye as a result of nonservice-connected disability not the > result of the veteran's own willful misconduct and either (1) the > impairment of visual acuity in each eye is rated at a visual acuity of > 20/200 or less or (2) the peripheral field of vision for each eye is 20 > degrees or less, VA must pay compensation to the veteran as if the > combination of both disabilities were the result of service-connected > disability. 38 U.S.C. 1160(a). Thus, VA's authority to consider > nonservice-connected visual disability for compensation purposes is > limited to the circumstances described in section 1160(a). Absent the > degree of visual impairment in both eyes prescribed in section 1160(a), > nonservice-connected visual disability is not compensable and therefore > not to be considered when rating service-connected disability. Where a > claimant has a service-connected disability of only one eye and a > nonservice-connected visual impairment but not of the degree prescribed > by section 1160(a) in the other eye, deeming the nonservice-connected > eye as having a visual acuity of 20/40 results in accurate evaluations > that are based solely upon service-connected visual impairment. Our > proposal to deem the nonservice-connected eye as having a visual acuity > of 20/40 is consistent with current law. We make no change based upon > this comment. > This commenter also asserted that VA should consider hearing loss > less than total deafness and visual impairment less than blindness when > evaluating impairment of the nonservice-connected ear and eye, > respectively. The > > [[Page 66545]] > > commenter disagreed with VA's Office of the General Counsel opinion > VAOPGCPREC 32-97, which interpreted the statutes governing compensation > for service-connected disabilities and concluded that where a claimant > has service-connected hearing loss in one ear and nonservice-connected > hearing loss in the other ear, for purposes of evaluating the service- > connected disability, the hearing in the ear with nonservice-connected > hearing loss should be considered normal, unless the claimant is > totally deaf in both ears. The issue raised by the commenter was mooted > by the Veterans Benefits Act of 2002, Public Law 107-330, which > authorized VA, when a veteran has compensable service-connected hearing > loss in one ear and nonservice-connected deafness in the other ear, to > assign an evaluation and pay compensation as though both ears were > service-connected, and the Dr. James Allen Veteran Vision Equity Act of > 2007, Public Law 110-157, which authorized VA, when a veteran has > service-connected visual impairment in one eye and nonservice-connected > visual impairment in the other eye of the degree described above, to > assign an evaluation and pay compensation as though both eye > disabilities were service connected. See 38 U.S.C. 1160(a)(1) and (3). > Further, while Sec. 4.78 addressed aggravation, it is unnecessary > to include this in this regulation as it is covered in 38 CFR 4.22. > Section 4.78's discussion of aggravation was duplicative of Sec. 4.22. > Proposed Sec. 4.75(d) stated that the evaluation for visual > impairment of one eye may be combined with evaluations for other > disabilities that are not based on visual impairment and included > disfigurement as an example. One commenter suggested that we evaluate > phthisis bulbi (shrunken eyeball) or other serious cosmetic defect of > the eyeball at 40 percent instead of referring the rater to diagnostic > code 7800 (``Scars, disfiguring, head, face, or neck'') under the skin > portion of the Rating Schedule. The commenter felt this would provide a > standard evaluation for this problem. > The portion of the Rating Schedule that addresses the skin has been > revised (67 FR 49590, July 31, 2002) since the comment was written. > Diagnostic code 7800 is no longer limited to evaluation of scarring of > the skin. The revised evaluation criteria include a 30-percent > evaluation for gross distortion or asymmetry of a paired set of > features with visible or palpable tissue loss. Since by definition, > phthisis bulbi is a shrunken or atrophic eyeball, there would be > visible or palpable tissue loss, and this level of evaluation under > diagnostic code 7800 would apply. Any other cosmetic defect of the > eyeball that meets the criteria for disfigurement could also be > evaluated under diagnostic code 7800, with the level of evaluation > based on application of the criteria for disfigurement. Therefore, we > make no change based on this comment. > Proposed Sec. 4.75(e) instructed adjudicators to increase > evaluations by 10 percent in situations where a claimant has anatomical > loss of one eye with inability to wear a prosthesis. One commenter > suggested that 10 percent be added in the absence of anatomical loss > but with deformity and inability to wear a prosthesis. The evaluation > criteria of diagnostic code 7800 would apply in this situation. The > level of evaluation for deformity and inability to wear a prosthesis > could be more or less than 10 percent, depending on the extent of > disfigurement. However, to avoid pyramiding under 38 CFR 4.14 (``the > evaluation of the same manifestation under different diagnoses [is] to > be avoided''), an evaluation under diagnostic code 7800 would preclude > an additional 10 percent for the same deformity under Sec. 4.75. We > have decided to also specify in Sec. 4.75(e) that the 10-percent > increase in evaluation under that provision for anatomical loss of one > eye with inability to wear a prosthesis precludes an evaluation under > diagnostic code 7800 based on gross distortion or asymmetry of the eye. > We made nonsubstantive revisions to proposed Sec. 4.75(b), (c), > (d), (e), and (f) to improve clarity. > > Section 4.76 Visual Acuity > > We proposed to delete Sec. 4.83, which stated that a person not > able to read at any one of the scheduled steps or distances, but able > to read at the ``next scheduled step or distance,'' is to be rated as > reading at this latter step or distance. A commenter noted that this > rule is vital for determining whether to select the higher or lower > evaluation and recommended that we retain Sec. 4.83. In our view, an > adjudicator could simply refer to 38 CFR 4.7 to determine the correct > evaluation. However, we will retain this instruction to promote > consistency of evaluations. We have included the following language in > Sec. 4.76(b) at Sec. 4.76(b)(4): ``To evaluate the impairment of > visual acuity where a claimant has a reported visual acuity that is > between two sequentially listed visual acuities, use the visual acuity > which permits the higher evaluation.'' > We proposed that visual acuity would generally be evaluated on the > basis of corrected distance vision. One commenter suggested that > because VA policy is to rate on central acuity, not eccentric viewing, > we should revise the proposed language of Sec. 4.76(b)(1) to clarify > that even when a central scotoma is present, central visual acuity is > evaluated based upon best corrected distance vision with central > fixation. We agree that central visual acuity should be emphasized. To > assure consistency of evaluation and eliminate the variability that > could result if eccentric vision were tested, we have revised the > language of proposed Sec. 4.76(b)(1) according to the commenter's > suggestion. For the sake of consistency, we have also added ``central'' > to Sec. 4.76(a) before ``uncorrected and corrected visual acuity''. > Another commenter asked how visual acuity is determined if central > fixation is not possible. Visual acuity can be determined in these > cases by optometrists and ophthalmologists, because they are routinely > trained in special methods and techniques that allow them to assess > visual acuity and/or function when there is loss of central fixation. > Thus, central visual acuity can still be used to rate visual > impairment, even if central fixation is impossible. > In Sec. 4.76(b)(1), we proposed to amend how we evaluate visual > acuity where there is a significant difference in the lens required to > correct distance vision in the poorer eye compared to the lens required > to correct distance vision in the better eye. We proposed to evaluate > the visual acuity of the poorer eye using either its uncorrected visual > acuity or its visual acuity as corrected by a lens that does not differ > by more than three diopters from the lens needed for correction of the > other eye, whichever results in better combined visual acuity. This > provision reduced the diopter difference required for application of > this provision from the current requirement of more than four diopters > to a requirement of more than three diopters. We proposed to reduce the > diopter difference because at more than three diopters there is a > significant possibility that a claimant will have visual difficulties. > However, we have learned that even reducing the diopter difference > required for application of this provision from more than four diopters > to more than three diopters may still not assure that the individual's > brain will be able to ``fuse'' the two differently sized images. The > inability to do so results in an intolerable optical correction from > clinically significant aniseikonia (where the ocular image of an object > as seen by one eye differs in size and shape from that seen by the > other). > Therefore, we have decided to remove the language ``by a lens that > does not > > [[Page 66546]] > > differ by more than three diopters from the lens needed for correction > of the other eye.'' By permitting evaluation based on either > uncorrected vision or corrected vision without specifying the > refractive power of the lens, we can accommodate both individuals who > do experience visual difficulty when wearing such different lenses and > individuals who do not experience visual difficulty. > Further, we have added to Sec. 4.76(b)(1) language stating, ``and > either the poorer eye or both eyes are service connected'' to emphasize > VA's authority to service connect unilateral visual impairment. This > additional language clarifies that VA evaluators must apply this > provision whether disability of either only one eye (the poorer eye) or > both eyes is service-connected. > We made nonsubstantive revisions to proposed Sec. 4.76(a), (b)(1), > (b)(2) and (b)(3) to improve clarity. > > Section 4.76a Computation of Average Concentric Contraction of Visual > Fields > > We proposed to remove Sec. 4.76a because directions for evaluating > visual fields were revised and moved to Sec. 4.77. The proposed rule > did not make it clear whether or not Table III and Figure 1, which are > part of Sec. 4.76a, were to be retained. Table III lists the normal > degrees of the visual field at the eight principal meridians and also > gives an example of computing concentric contraction of abnormal visual > fields. One commenter suggested that we retain the example of computing > visual fields because it is useful for understanding the material on > average concentric contraction. We agree, and although we have deleted > from Sec. 4.76a the text preceding Table III, we have retained Table > III (including the example) and Figure 1 in the final rule. > > Section 4.77 Visual Fields > > Proposed Sec. 4.77(a) stated that to be adequate for VA purposes, > examinations of visual fields must be conducted using a Goldmann > kinetic perimeter or equivalent kinetic method, using a standard target > size and luminance (Goldmann's equivalent (III/4e)). It required that > at least 16 meridians 221/2 degrees apart be charted for each eye. > Table III listed the normal extent of the visual fields (in degrees) at > the 8 principal meridians (45 degrees apart). It also stated that the > examination must be supplemented by the use of a tangent screen when > the examiner indicates it is necessary. > The preamble to the proposed rule also stated that until there are > reliable standards for comparing the results from static and kinetic > perimetry, we propose to retain the requirement for the use of Goldmann > kinetic perimetry, which is more reliable than the alternatives. One > commenter suggested that VA's disability examination worksheet for the > eye also specify the use of a Goldmann kinetic perimeter or equivalent > kinetic examination method. > After the proposed rule was published, software programs for > automated perimetry were developed that completely simulate results > from Goldmann perimetry and can be charted on standard Goldmann charts. > The Compensation and Pension Service, after consultation with the > Veterans Health Administration's Chiefs of Ophthalmology and Optometry, > sent a letter (FL06-21) on November 8, 2006, to the Veterans Benefits > Administration regional offices stating that Humphrey Model 750, > Octopus Model 101, and later versions of these perimetric devices with > simulated kinetic Goldmann testing capability are acceptable devices > for determining the extent of visual field loss for compensation and > pension eye rating examinations. > Therefore, we have changed proposed Sec. 4.77(a) to indicate that > examiners must assess visual fields using either Goldmann kinetic > perimetry or automated perimetry using Humphrey Model 750, Octopus > Model 101, or later versions of these perimetric devices with simulated > kinetic Goldmann testing capability. We also clarified the directions > about the Goldmann equivalent that must be used for phakic (normal), > aphakic, and pseudophakic individuals. The content of the disability > examination worksheets is beyond the scope of this rulemaking, and we > make no change based on the comment about the worksheet. > We proposed to evaluate visual fields by using a Goldmann kinetic > perimeter or equivalent kinetic method, using a standard target size > and luminance (Goldmann's equivalent (III/4e)). That Goldmann > equivalent is useful for evaluating visual fields except in certain > cases where a larger equivalent size is needed. We have therefore > clarified the use of Goldmann equivalents in the final rule by revising > proposed Sec. 4.77(a) to state that, for phakic (normal) individuals, > as well as for pseudophakic or aphakic individuals who are well adapted > to intraocular lens implant or contact lens correction, visual field > examinations must be conducted using a standard target size and > luminance, which is Goldmann's equivalent III/4e. For aphakic > individuals not well adapted to contact lens correction or pseudophakic > individuals not well adapted to intraocular lens implant, visual field > examinations must be conducted using Goldmann's equivalent IV/4e. > Proposed Sec. 4.77(a) stated that ``[a]t least two recordings of > visual fields must be made'' for purposes of VA's disability > evaluations. We have learned from vision specialists that this is not > necessary and is not standard procedure, since the visual field outline > is determined by testing multiple objects along each meridian. > Therefore, we have removed the language requiring ``two recordings'' as > unnecessary. In conjunction with this change, we have also removed the > proposed statement that the confirmed visual fields must be made a part > of the examination report. Instead, we have stated in Sec. 4.77(a) > that in all cases, the results of visual field examinations must be > recorded on a standard Goldmann chart. We additionally require that the > Goldmann chart be included with the examination report. > Proposed Sec. 4.77(a) also said that the examination must be > supplemented by the use of a tangent screen when the examiner indicates > it is necessary. We have determined that a 30-degree threshold visual > field with the Goldmann III stimulus size could be used in lieu of a > tangent screen. This test provides information similar to the tangent > screen. For this reason, the final rule provides that adjudicators must > consider either of these two tests when additional testing of visual > fields becomes necessary, and requires that the examination report > include either the tracing of the tangent screen or the tracing of the > 30-degree threshold visual field. > We made further nonsubstantive revisions to proposed Sec. 4.77(a), > (b), and (c) to improve clarity. > > Section 4.78 Muscle Function > > In proposed Sec. 4.78(b)(1), we provided guidance concerning the > evaluation of diplopia, and proposed that adjudicators assign an > evaluation for diplopia for only one eye. Further, we proposed that > where a claimant has both diplopia and decreased visual acuity or a > visual field defect, the corrected visual acuity for the poorer eye (or > the affected eye, if only one eye is service-connected) is deemed to > be, depending on the severity of the diplopia, between one and three > steps poorer, provided that the adjusted level of corrected visual > acuity does not exceed 5/200. Using the adjusted visual acuity for the > poorer eye (or the affected eye) and the corrected visual acuity for > the better eye, we proposed that the claimant's visual impairment be > evaluated under diagnostic codes 6064 through 6066. > > [[Page 66547]] > > Proposed diagnostic code 6064 refers to light perception only (LPO), > which exceeds a visual acuity level of 5/200. Hence, an evaluation > under diagnostic code 6064 is not permitted under Sec. 4.78(b). > Therefore, in Sec. 4.78(b)(1) we have omitted reference to diagnostic > code 6064. > We proposed not to retain in Sec. 4.78(b)(1) the rule from former > Sec. 4.77 (Examination of muscle function) which stated that > ``[d]iplopia which is only occasional or correctable is not considered > a disability,'' since it pertains to the issue of service connection > rather than evaluation. Section 4.78(b)(1) addresses evaluation of > muscle function rather than service connection. One commenter stated > that this rule provides useful guidance to adjudicators considering > claims for service connection for diplopia. In response to this > comment, and because disease of or injury to one or more extraocular > eye muscles may cause diplopia which is occasional or correctable, > rather than including this language in Sec. 4.78(b)(1), we have added > a note under diagnostic code 6090 (diplopia) stating that in accordance > with 38 CFR 4.31, diplopia that is occasional or that is correctable > with spectacles is evaluated at 0 percent. This would clarify how to > evaluate diplopia with these characteristics. > In order to remove any doubt about the difference between Sec. > 4.78(b)(2), which explains how to evaluate diplopia that is present in > more than one quadrant or range of degrees, and Sec. 4.78(b)(3), which > explains how to evaluate diplopia that exists in two separate areas of > the same eye, we have changed the language of Sec. 4.78(b)(2) from > ``[w]hen diplopia is present in more than one quadrant,'' as proposed, > to ``[w]hen diplopia extends beyond more than one quadrant''. This is > similar to the language in the current rating schedule and will ensure > a clear distinction between these provisions. > We made nonsubstantive revisions to proposed Sec. 4.78 (a) and (b) > to improve clarity. > > Section 4.79 Schedule of Ratings--Eye > > We proposed to evaluate angle-closure glaucoma (diagnostic code > 6012), which often presents as a red, painful eye, sometimes > accompanied by nausea and vomiting, either on the basis of visual > impairment or on the basis of incapacitating episodes, whichever > results in a higher evaluation. We proposed to evaluate open-angle > glaucoma (diagnostic code 6013), which generally presents as painless, > chronic, progressive loss of vision, solely on the basis of visual > impairment because open-angle glaucoma is unlikely to result in > incapacitating episodes. > One commenter questioned why angle-closure glaucoma based on > incapacitating episodes does not include a 10-percent evaluation for > incapacitating episodes of at least 1 week, but less than 2 weeks total > duration per year, when diagnostic codes 6000 through 6009 provide for > such an evaluation. Under the proposed rule, a minimum evaluation of 10 > percent would be assigned for angle-closure glaucoma if continuous > medication is required. In our view, virtually all claimants with > symptomatic angle-closure glaucoma would require continuous medication, > which would entitle them to a minimum 10-percent evaluation. Therefore, > we did not propose a 10-percent evaluation based on incapacitating > episodes. We make no change based upon this comment. > One commenter suggested that we evaluate both angle-closure and > open-angle glaucoma on the basis of visual field loss or central visual > acuity impairment, whichever results in a higher evaluation. Section > 4.75(a) states that the evaluation of visual impairment is based on > impairment of visual acuity (excluding developmental errors of > refraction), visual field, and muscle function. All three elements of > visual impairment may be present in glaucoma, although visual field > loss is most common. Not only would the commenter's suggestion limit > the rating possibilities to two of the three elements of visual > impairment, it also would not allow for evaluation of angle-closure > glaucoma based on incapacitating episodes. Section 4.75(b) states that > eye examinations must be conducted by a licensed optometrist or > ophthalmologist, and such specialists are unlikely to overlook a visual > field defect or any other type of visual impairment in an individual > with glaucoma. In our judgment, allowing evaluation to be based on any > of the three elements of visual impairment or on incapacitating > episodes is a fair way to assess glaucoma and to assure that the > veteran is evaluated based on the disabling effects that provide the > higher benefit. We have therefore not adopted the commenter's > suggestion. > We proposed that certain eye disabilities be evaluated either on > visual impairment or on incapacitating episodes, whichever results in a > higher evaluation. We proposed to define an incapacitating episode as a > period of acute symptoms severe enough to require bed rest and > treatment by a physician or other healthcare provider. > One commenter suggested that the rating formula based on > incapacitating episodes--60 percent if there are incapacitating > episodes of at least 6 weeks total duration per year, 40 percent if > there are incapacitating episodes of at least 4 weeks, but less than 6 > weeks, total duration per year, etc.--is miserly because a veteran will > be compensated only for visual impairment or periods of incapacitation, > but not both, and with less than bedrest, the veteran receives nothing. > In most eye diseases, visual impairment will be the major problem > and therefore the more common basis of evaluation. With modern medical > and surgical treatment, few patients require bedrest of any duration > for eye disease. However, an evaluation based on incapacitating > episodes might be higher in those few cases in which bedrest might be > required, e.g., angle-closure glaucoma with severe pain, nausea, and > vomiting. If bedrest is not required, evaluation is based on visual > impairment. The evaluations based on visual impairment and those based > on incapacitating episodes are both meant to account for the average > occupational impairment. Providing alternative criteria allows the > rater to evaluate using the set of criteria more favorable to the > veteran. > The same commenter asked why there is a maximum evaluation of 60 > percent for incapacitating episodes. > As stated above, with modern medical and surgical treatment, very > few, if any, veterans will experience incapacitating episodes of more > than 6 weeks total duration per year due to eye disease. However, for > any who do, 38 CFR 4.16(a), which provides for a total evaluation based > on individual unemployability, and 38 CFR 3.321(b)(1), which provides > for extra-schedular evaluations in cases where an evaluation is > inadequate because the condition presents such an unusual disability > picture that applying the regular schedular standards would be > impractical, provide reasonable alternatives for assigning an > evaluation greater than 60 percent. In our judgment, the range of > evaluations we have provided based on incapacitating episodes of eye > disease will adequately compensate veterans, and a 100-percent > evaluation level based on incapacitating episodes is not warranted. > Conditions evaluated on the basis of incapacitating episodes are > entitled to a 60-percent evaluation when the claimant has experienced > at least 6 weeks of incapacitating episodes over the preceding 12 > months. One commenter suggested that, in some cases, an adjudicator > would not be able > > [[Page 66548]] > > to assign the maximum 60-percent evaluation until after the passage of > an entire year, and felt that evaluations based upon incapacitating > episodes should be retroactive to the date of the first incapacitating > episode, regardless of when it occurred. > By statute (38 U.S.C. 5110(a)), except as otherwise provided, the > effective date of an award of compensation will be fixed in accordance > with the facts but not before the date of receipt of the claim. > Furthermore, an award of increased compensation will be effective the > earliest date it is ascertainable that an increase in disability > occurred if application is received within 1 year of that date. 38 > U.S.C. 5110(b)(2). Otherwise, the effective date is the date the claim > was received. 38 CFR 3.400(o)(2). We are aware of no special provisions > that would apply to the evaluation of incapacitating episodes of the > eye. Under governing law, entitlement to a 60-percent rating would not > arise until 6 weeks of incapacitating episodes have taken place, and > the effective date could not be established before then. Once the > claimant has experienced 6 weeks of incapacitating episodes, the 60- > percent evaluation will be assigned, even if the evaluation occurs > within several months of the initial incapacitating episode. In cases > where it takes the entire 12-month period for a claimant to experience > 6 weeks of incapacitating episodes, the 60-percent evaluation will be > assigned at that time. However, during the interim, a rating > corresponding to the total duration of incapacitating episodes already > experienced may be assigned. That is to say, once 1 week of > incapacitating episodes is experienced, a 10-percent rating may be > assigned; once 2 weeks of incapacitating episodes are experienced, a > 20-percent rating may be assigned; etc. We make no change based on this > comment. > The proposed criteria based on incapacitating episodes referred to > the total duration of incapacitating episodes ``per year''. To clarify > that we mean during the preceding 12-month period, and not the calendar > year, we have changed this language to refer to incapacitating episodes > ``during the past 12 months''. This language is consistent with other > provisions in the rating schedule that evaluate incapacitating episodes > (e.g., diagnostic code 5243, intervertebral disc syndrome, and > diagnostic code 7354, hepatitis C). We are also adding language to > indicate that bed rest must be prescribed by a physician to the notes > following diagnostic codes 6000 through 6009 and diagnostic code 6012 > of the rating schedule. This clarifies VA's intent in the proposed rule > and makes a nonsubstantive change for clarification purposes. > One commenter asked for clarification as to whether the absence of > light perception is to be evaluated as anatomical loss of one eye > (diagnostic code 6063) or light perception only (diagnostic code 6064). > Section 4.75(d) states that the evaluation for visual impairment of > one eye must not exceed 30-percent unless there is anatomical loss of > the eye. This is clear and straightforward and names no exceptions. > Therefore, in evaluating visual acuity of one eye, no light perception > is evaluated the same as light perception only. To avoid confusion, we > have revised the titles of diagnostic codes 6062 to ``No more than > light perception in both eyes'' and 6064 to ``No more than light > perception in one eye.'' > As previously discussed under one of the comments about diplopia, > we have added a note to diagnostic code 6090 stating that occasional or > correctable diplopia will be evaluated as 0-percent disabling. > One commenter asked that we clarify whether the use of an eye patch > for diplopia warrants special monthly compensation (SMC) (see 38 CFR > 3.350) for loss or loss of use of an eye. Since the eye is present when > an eye patch is used for diplopia, SMC for loss of an eye is not > warranted. Visual impairment due to diplopia is determined without the > eye patch, and it could be at any level of severity, so SMC for loss of > use of an eye is also not warranted. The fact that the eye is not being > used when it is patched does not necessarily mean it cannot be used, > which would be required for loss of use. > We use the word ``alternatively'' instead of the proposed > ``otherwise'' in diagnostic code 6011 for clarity and add ``if this > would result in a higher evaluation'' for further guidance. We use > similar language in diagnostic code 6081 for the same purpose. We > additionally edited the proposed criteria for evaluating malignant > neoplasms of the eyeball (diagnostic code 6014) for the sake of > clarity. > VA appreciates the comments submitted in response to the proposed > rule. Based on the rationale stated in the proposed rule and in this > document, the proposed rule is adopted as final with the changes noted. > > Unfunded Mandates > > The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. > 1532, that agencies prepare an assessment of anticipated costs and > benefits before issuing any rule that may result in the expenditure by > State, local, and tribal governments, in the aggregate, or by the > private sector, of $100 million or more (adjusted annually for > inflation) in any year. This final rule would have no such effect on > State, local, and tribal governments, or on the private sector. > > Paperwork Reduction Act > > This document contains no provisions constituting a collection of > information under the Paperwork Reduction Act (44 U.S.C. 3501-3521). > > Executive Order 12866 > > Executive Order 12866 directs agencies to assess all costs and > benefits of available regulatory alternatives and, when regulation is > necessary, to select regulatory approaches that maximize net benefits > (including potential economic, environmental, public health and safety, > and other advantages; distributive impacts; and equity). The Executive > Order classifies a ``significant regulatory action,'' requiring review > by the Office of Management and Budget (OMB) unless OMB waives such > review, as any regulatory action that is likely to result in a rule > that may: (1) Have an annual effect on the economy of $100 million or > more or adversely affect in a material way the economy, a sector of the > economy, productivity, competition, jobs, the environment, public > health or safety, or State, local, or tribal governments or > communities; (2) create a serious inconsistency or otherwise interfere > with an action taken or planned by another agency; (3) materially alter > the budgetary impact of entitlements, grants, user fees, or loan > programs or the rights and obligations of recipients thereof; or (4) > raise novel legal or policy issues arising out of legal mandates, the > President's priorities, or the principles set forth in the Executive > Order. > The economic, interagency, budgetary, legal, and policy > implications of this final rule has been examined, and it has been > determined to be a significant regulatory action under the Executive > Order because it is likely to result in a rule that may raise novel > legal or policy issues arising out of legal mandates, the President's > priorities, or the principles set forth in the Executive Order. > > Regulatory Flexibility Act > > The Secretary hereby certifies that this final rule will not have a > significant economic impact on a substantial number of small entities > as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601- > 612. This final rule would not affect any small entities. Only VA > beneficiaries could be directly > > [[Page 66549]] > > affected. Therefore, pursuant to 5 U.S.C. 605(b), this final rule is > exempt from the initial and final regulatory flexibility analysis > requirements of sections 603 and 604. > > Catalog of Federal Domestic Assistance Numbers and Titles > > The Catalog of Federal Domestic Assistance program numbers and > titles are 64.104, Pension for Non-Service-Connected Disability for > Veterans, and 64.109, Veterans Compensation for Service-Connected > Disability. > > List of Subjects in 38 CFR Part 4 > > Disability benefits, Pensions, Veterans. > > Approved: August 6, 2008. > Gordon H. Mansfield, > Deputy Secretary of Veterans Affairs. > > 0 > For the reasons set out in the preamble, 38 CFR part 4, subpart B, is > amended as set forth below: > > PART 4--SCHEDULE FOR RATING DISABILITIES > > 0 > 1. The authority citation for part 4 continues to read as follows: > > Authority: 38 U.S.C. 1155, unless otherwise noted. > > Subpart B--Disability Ratings > > 0 > 2. Section 4.75 is revised to read as follows: > > > Sec. 4.75 General considerations for evaluating visual impairment. > > (a) Visual impairment. The evaluation of visual impairment is based > on impairment of visual acuity (excluding developmental errors of > refraction), visual field, and muscle function. > (b) Examination for visual impairment. The examination must be > conducted by a licensed optometrist or by a licensed ophthalmologist. > The examiner must identify the disease, injury, or other pathologic > process responsible for any visual impairment found. Examinations of > visual fields or muscle function will be conducted only when there is a > medical indication of disease or injury that may be associated with > visual field defect or impaired muscle function. Unless medically > contraindicated, the fundus must be examined with the claimant's pupils > dilated. > (c) Service-connected visual impairment of only one eye. Subject to > the provisions of 38 CFR 3.383(a), if visual impairment of only one eye > is service-connected, the visual acuity of the other eye will be > considered to be 20/40 for purposes of evaluating the service-connected > visual impairment. > (d) Maximum evaluation for visual impairment of one eye. The > evaluation for visual impairment of one eye must not exceed 30 percent > unless there is anatomical loss of the eye. Combine the evaluation for > visual impairment of one eye with evaluations for other disabilities of > the same eye that are not based on visual impairment (e.g., > disfigurement under diagnostic code 7800). > (e) Anatomical loss of one eye with inability to wear a prosthesis. > When the claimant has anatomical loss of one eye and is unable to wear > a prosthesis, increase the evaluation for visual acuity under > diagnostic code 6063 by 10 percent, but the maximum evaluation for > visual impairment of both eyes must not exceed 100 percent. A 10- > percent increase under this paragraph precludes an evaluation under > diagnostic code 7800 based on gross distortion or asymmetry of the eye > but not an evaluation under diagnostic code 7800 based on other > characteristics of disfigurement. > (f) Special monthly compensation. When evaluating visual > impairment, refer to 38 CFR 3.350 to determine whether the claimant may > be entitled to special monthly compensation. Footnotes in the schedule > indicate levels of visual impairment that potentially establish > entitlement to special monthly compensation; however, other levels of > visual impairment combined with disabilities of other body systems may > also establish entitlement. > > (Authority: 38 U.S.C. 1114 and 1155) > > > > 0 > 3. Section 4.76 is revised to read as follows: > > > Sec. 4.76 Visual acuity. > > (a) Examination of visual acuity. Examination of visual acuity must > include the central uncorrected and corrected visual acuity for > distance and near vision using Snellen's test type or its equivalent. > (b) Evaluation of visual acuity. (1) Evaluate central visual acuity > on the basis of corrected distance vision with central fixation, even > if a central scotoma is present. However, when the lens required to > correct distance vision in the poorer eye differs by more than three > diopters from the lens required to correct distance vision in the > better eye (and the difference is not due to congenital or > developmental refractive error), and either the poorer eye or both eyes > are service connected, evaluate the visual acuity of the poorer eye > using either its uncorrected or corrected visual acuity, whichever > results in better combined visual acuity. > (2) Provided that he or she customarily wears contact lenses, > evaluate the visual acuity of any individual affected by a corneal > disorder that results in severe irregular astigmatism that can be > improved more by contact lenses than by eyeglass lenses, as corrected > by contact lenses. > (3) In any case where the examiner reports that there is a > difference equal to two or more scheduled steps between near and > distance corrected vision, with the near vision being worse, the > examination report must include at least two recordings of near and > distance corrected vision and an explanation of the reason for the > difference. In these cases, evaluate based on corrected distance vision > adjusted to one step poorer than measured. > (4) To evaluate the impairment of visual acuity where a claimant > has a reported visual acuity that is between two sequentially listed > visual acuities, use the visual acuity which permits the higher > evaluation. > > (Authority: 38 U.S.C. 1155) > > > > 0 > 4. In Sec. 4.76a, remove the introductory text, retain Table III-- > Normal Visual Field Extent at 8 Principal Meridians, retain Figure 1. > Chart of visual field showing normal field right eye and abnormal > contraction visual field left eye and the text and table following > Figure 1, and add an authority citation at the end of the section to > read as follows. > > > Sec. 4.76a Computation of average concentric contraction of visual > fields. > > * * * * * > > (Authority: 38 U.S.C. 1155) > > > > 0 > 5. Section 4.77 is amended by: > 0 > a. Revising the section heading. > 0 > b. Removing the introductory text and adding, in its place, paragraphs > (a), (b), and (c). > 0 > c. Retaining Figure 2. Goldmann Perimeter Chart. > 0 > d. Adding an authority citation at the end of the section. > The additions read as follows: > > > Sec. 4.77 Visual fields. > > (a) Examination of visual fields. Examiners must use either > Goldmann kinetic perimetry or automated perimetry using Humphrey Model > 750, Octopus Model 101, or later versions of these perimetric devices > with simulated kinetic Goldmann testing capability. For phakic (normal) > individuals, as well as for pseudophakic or aphakic individuals who are > well adapted to intraocular lens implant or contact lens correction, > visual field examinations must be conducted using a standard target > size > > [[Page 66550]] > > and luminance, which is Goldmann's equivalent III/4e. For aphakic > individuals not well adapted to contact lens correction or pseudophakic > individuals not well adapted to intraocular lens implant, visual field > examinations must be conducted using Goldmann's equivalent IV/4e. In > all cases, the results must be recorded on a standard Goldmann chart > (see Figure 1), and the Goldmann chart must be included with the > examination report. The examiner must chart at least 16 meridians 22\1/ > 2\ degrees apart for each eye and indicate the Goldmann equivalent > used. See Table III for the normal extent (in degrees) of the visual > fields at the 8 principal meridians (45 degrees apart). When the > examiner indicates that additional testing is necessary to evaluate > visual fields, the additional testing must be conducted using either a > tangent screen or a 30-degree threshold visual field with the Goldmann > III stimulus size. The examination report must then include the tracing > of either the tangent screen or of the 30-degree threshold visual field > with the Goldmann III stimulus size. > (b) Evaluation of visual fields. Determine the average concentric > contraction of the visual field of each eye by measuring the remaining > visual field (in degrees) at each of eight principal meridians 45 > degrees apart, adding them, and dividing the sum by eight. > (c) Combination of visual field defect and decreased visual acuity. > To determine the evaluation for visual impairment when both decreased > visual acuity and visual field defect are present in one or both eyes > and are service connected, separately evaluate the visual acuity and > visual field defect (expressed as a level of visual acuity), and > combine them under the provisions of Sec. 4.25. > * * * * * > > (Authority: 38 U.S.C. 1155) > > > > 0 > 6. Section 4.78 is revised to read as follows: > > > Sec. 4.78 Muscle function. > > (a) Examination of muscle function. The examiner must use a > Goldmann perimeter chart that identifies the four major quadrants > (upward, downward, left and right lateral) and the central field (20 > degrees or less) (see Figure 2). The examiner must chart the areas of > diplopia and include the plotted chart with the examination report. > (b) Evaluation of muscle function. (1) An evaluation for diplopia > will be assigned to only one eye. When a claimant has both diplopia and > decreased visual acuity or visual field defect, assign a level of > corrected visual acuity for the poorer eye (or the affected eye, if > disability of only one eye is service-connected) that is: one step > poorer than it would otherwise warrant if the evaluation for diplopia > under diagnostic code 6090 is 20/70 or 20/100; two steps poorer if the > evaluation under diagnostic code 6090 is 20/200 or 15/200; or three > steps poorer if the evaluation under diagnostic code 6090 is 5/200. > This adjusted level of corrected visual acuity, however, must not > exceed a level of 5/200. Use the adjusted visual acuity for the poorer > eye (or the affected eye, if disability of only one eye is service- > connected), and the corrected visual acuity for the better eye (or > visual acuity of 20/40 for the other eye, if only one eye is service- > connected) to determine the percentage evaluation for visual impairment > under diagnostic codes 6065 through 6066. > (2) When diplopia extends beyond more than one quadrant or range of > degrees, evaluate diplopia based on the quadrant and degree range that > provides the highest evaluation. > (3) When diplopia exists in two separate areas of the same eye, > increase the equivalent visual acuity under diagnostic code 6090 to the > next poorer level of visual acuity, not to exceed 5/200. > > (Authority: 38 U.S.C. 1155) > > > > 0 > 7. Section 4.79 is revised to read as follows: > > > Sec. 4.79 Schedule of ratings--eye. > > Diseases of the Eye > ------------------------------------------------------------------------ > Rating > ------------------------------------------------------------------------ > 6000 Choroidopathy, including uveitis, iritis, cyclitis, and > choroiditis. > 6001 Keratopathy. > 6002 Scleritis. > 6006 Retinopathy or maculopathy. > 6007 Intraocular hemorrhage. > 6008 Detachment of retina. > 6009 Unhealed eye injury. > ------------------------------------------------------------------------ > General Rating Formula for Diagnostic Codes 6000 through 6009 > ------------------------------------------------------------------------ > Evaluate on the basis of either visual impairment due to > the particular condition or on incapacitating episodes, > whichever results in a higher evaluation. > With incapacitating episodes having a total duration of 60 > at least 6 weeks during the past 12 months.............. > With incapacitating episodes having a total duration of 40 > at least 4 weeks, but less than 6 weeks, during the past > 12 months............................................... > With incapacitating episodes having a total duration of 20 > at least 2 weeks, but less than 4 weeks, during the past > 12 months............................................... > With incapacitating episodes having a total duration of 10 > at least 1 week, but less than 2 weeks, during the past > 12 months............................................... > Note: For VA purposes, an incapacitating episode is a period > of acute symptoms severe enough to require prescribed bed > rest and treatment by a physician or other healthcare > provider. > 6010 Tuberculosis of eye: > Active................................................... 100 > Inactive: Evaluate under Sec. 4.88c or Sec. 4.89 of > this part, whichever is appropriate. > 6011 Retinal scars, atrophy, or irregularities: > Localized scars, atrophy, or irregularities of the 10 > retina, unilateral or bilateral, that are centrally > located and that result in an irregular, duplicated, > enlarged, or diminished image........................... > Alternatively, evaluate based on visual impairment due to > retinal scars, atrophy, or irregularities, if this would > result in a higher evaluation. > 6012 Angle-closure glaucoma: > Evaluate on the basis of either visual impairment due to > angle-closure glaucoma or incapacitating episodes, > whichever results in a higher evaluation. > With incapacitating episodes having a total duration of 60 > at least 6 weeks during the past 12 months.............. > > [[Page 66551]] > > > With incapacitating episodes having a total duration of 40 > at least 4 weeks, but less than 6 weeks, during the past > 12 months............................................... > With incapacitating episodes having a total duration of 20 > at least 2 weeks, but less than 4 weeks, during the past > 12 months............................................... > Minimum evaluation if continuous medication is required.. 10 > Note: For VA purposes, an incapacitating episode is a period > of acute symptoms severe enough to require prescribed bed > rest and treatment by a physician or other healthcare > provider. > 6013 Open-angle glaucoma: > Evaluate based on visual impairment due to open-angle > glaucoma. > Minimum evaluation if continuous medication is required.. 10 > 6014 Malignant neoplasms (eyeball only): > Malignant neoplasm of the eyeball that requires therapy 100 > that is comparable to that 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 enucleation......................... > Note: 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 Sec. 3.105(e) of this > chapter. If there has been no local recurrence or > metastasis, evaluate based on residuals. > Malignant neoplasm of the eyeball that does not require > therapy comparable to that for systemic malignancies: > Separately evaluate visual impairment and nonvisual > impairment, e.g., disfigurement (diagnostic code 7800), > and combine the evaluations. > 6015 Benign neoplasms (of eyeball and adnexa): > Separately evaluate visual impairment and nonvisual > impairment, e.g., disfigurement (diagnostic code 7800), > and combine the evaluations. > 6016 Nystagmus, central...................................... 10 > 6017 Trachomatous conjunctivitis: > Active: Evaluate based on visual impairment, minimum..... 30 > Inactive: Evaluate based on residuals, such as visual > impairment and disfigurement (diagnostic code 7800). > 6018 Chronic conjunctivitis (nontrachomatous): > Active (with objective findings, such as red, thick 10 > conjunctivae, mucous secretion, etc.)................... > Inactive: 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: > Bilateral................................................ 20 > Unilateral............................................... 10 > 6021 Entropion: > Bilateral................................................ 20 > Unilateral............................................... 10 > 6022 Lagophthalmos: > Bilateral................................................ 20 > Unilateral............................................... 10 > 6023 Loss of eyebrows, complete, unilateral or bilateral..... 10 > 6024 Loss of eyelashes, complete, unilateral or bilateral.... 10 > 6025 Disorders of the lacrimal apparatus (epiphora, > dacryocystitis, etc.): > Bilateral................................................ 20 > Unilateral............................................... 10 > 6026 Optic neuropathy: > Evaluate based on visual impairment. > 6027 Cataract of any type: > Preoperative: > Evaluate based on visual impairment. > Postoperative: > If a replacement lens is present (pseudophakia), evaluate > based on visual impairment. If there is no replacement > lens, evaluate based on aphakia. > 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)........................ 30 > 6030 Paralysis of accommodation (due to neuropathy of the 20 > Oculomotor Nerve (cranial nerve III)). > 6032 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 based on visual impairment, disfigurement > (diagnostic code 7800), conjunctivitis (diagnostic code > 6018), etc., depending on the particular findings. > 6035 Keratoconus: > Evaluate based on impairment of visual acuity. > 6036 Status post corneal transplant: > Evaluate based on visual impairment. > Minimum, if there is pain, photophobia, and glare 10 > sensitivity............................................. > 6037 Pinguecula: > Evaluate based on disfigurement (diagnostic code 7800). > ------------------------------------------------------------------------ > > [[Page 66552]] > > > Impairment of Central Visual Acuity > ------------------------------------------------------------------------ > 6061 Anatomical loss of both eyes \1\........................ 100 > 6062 No more than light perception in both eyes \1\.......... 100 > 6063 Anatomical loss of one eye: \1\ > In the other eye 5/200 (1.5/60).......................... 100 > In the other eye 10/200 (3/60)........................... 90 > In the other eye 15/200 (4.5/60)......................... 80 > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 60 > In the other eye 20/50 (6/15)............................ 50 > In the other eye 20/40 (6/12)............................ 40 > 6064 No more than light perception in one eye: \1\ > In the other eye 5/200 (1.5/60).......................... 100 > In the other eye 10/200 (3/60)........................... 90 > In the other eye 15/200 (4.5/60)......................... 80 > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 50 > In the other eye 20/50 (6/15)............................ 40 > In the other eye 20/40 (6/12)............................ 30 > 6065 Vision in one eye 5/200 (1.5/60): > In the other eye 5/200 (1.5/60).......................... \1\100 > In the other eye 10/200 (3/60)........................... 90 > In the other eye 15/200 (4.5/60)......................... 80 > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 50 > In the other eye 20/50 (6/15)............................ 40 > In the other eye 20/40 (6/12)............................ 30 > 6066 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)........................... 90 > In the other eye 15/200 (4.5/60)......................... 80 > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 50 > In the other eye 20/50 (6/15)............................ 40 > In the other eye 20/40 (6/12)............................ 30 > Vision in one eye 15/200 (4.5/60): > In the other eye 15/200 (4.5/60)......................... 80 > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 40 > In the other eye 20/50 (6/15)............................ 30 > In the other eye 20/40 (6/12)............................ 20 > Vision in one eye 20/200 (6/60): > In the other eye 20/200 (6/60)........................... 70 > In the other eye 20/100 (6/30)........................... 60 > In the other eye 20/70 (6/21)............................ 40 > In the other eye 20/50 (6/15)............................ 30 > In the other eye 20/40 (6/12)............................ 20 > Vision in one eye 20/100 (6/30): > In the other eye 20/100 (6/30)........................... 50 > In the other eye 20/70 (6/21)............................ 30 > In the other eye 20/50 (6/15)............................ 20 > In the other eye 20/40 (6/12)............................ 10 > Vision in one eye 20/70 (6/21): > In the other eye 20/70 (6/21)............................ 30 > In the other eye 20/50 (6/15)............................ 20 > In the other eye 20/40 (6/12)............................ 10 > Vision in one eye 20/50 (6/15): > In the other eye 20/50 (6/15)............................ 10 > In the other eye 20/40 (6/12)............................ 10 > Vision 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. > > > [[Page 66553]] > > > Ratings for Impairment of Visual Fields > ------------------------------------------------------------------------ > Rating > ------------------------------------------------------------------------ > 6080 Visual field defects: > Homonymous hemianopsia................................... 30 > Loss of temporal half of visual field: > Bilateral................................................ 30 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/70 (6/21)............ > Loss of nasal half of visual field: > Bilateral................................................ 10 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/50 (6/15)............ > Loss of inferior half of visual field: > Bilateral................................................ 30 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/70 (6/21)............ > Loss of superior half of visual field: > Bilateral................................................ 10 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/50 (6/15)............ > Concentric contraction of visual field: > With remaining field of 5 degrees: \1\ > Bilateral................................................ 100 > Unilateral............................................... 30 > Or evaluate each affected eye as 5/200 (1.5/60).......... > With remaining field of 6 to 15 degrees: > Bilateral................................................ 70 > Unilateral............................................... 20 > Or evaluate each affected eye as 20/200 (6/60)........... > With remaining field of 16 to 30 degrees: > Bilateral................................................ 50 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/100 (6/30)........... > With remaining field of 31 to 45 degrees: > Bilateral................................................ 30 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/70 (6/21)............ > With remaining field of 46 to 60 degrees: > Bilateral................................................ 10 > Unilateral............................................... 10 > Or evaluate each affected eye as 20/50 (6/15)............ > 6081 Scotoma, unilateral: > Minimum, with scotoma affecting at least one-quarter of 10 > the visual field (quadrantanopsia) or with centrally > located scotoma of any size............................. > Alternatively, 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. > > > Ratings for Impairment of Muscle Function > ------------------------------------------------------------------------ > Equivalent > Degree of diplopia visual acuity > ------------------------------------------------------------------------ > 6090 Diplopia (double vision): > (a) Central 20 degrees........................... 5/200 (1.5/60) > (b) 21 degrees to 30 degrees > (1) Down..................................... 15/200 (4.5/60) > (2) Lateral.................................. 20/100 (6/30) > (3) Up....................................... 20/70 (6/21) > (c) 31 degrees to 40 degrees > (1) Down..................................... 20/200 (6/60) > (2) Lateral.................................. 20/70 (6/21) > (3) Up....................................... 20/40 (6/12) > 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 based on visual impairment, > lagophthalmos (diagnostic code 6022), > disfigurement (diagnostic code 7800), etc., > depending on the particular findings. > ------------------------------------------------------------------------ > > > [[Page 66554]] > > > (Authority: 38 U.S.C. 1155) > > > Sec. Sec. 4.80, 4.83, and 4.84 [Removed and Reserved] > > 0 > 8. Sections 4.80, 4.83, and 4.84 are removed and reserved. > > > Sec. Sec. 4.83a and 4.84a [Removed] > > 0 > 9. Sections 4.83a and 4.84a are removed. > > [FR Doc. E8-26304 Filed 11-7-08; 8:45 am] > > BILLING CODE 8320-01-P > > > > > > > > ____________________________________ > AOL Search: Your one stop for directions, recipes and all other Holiday > needs. _Search Now_ > (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from-aol-searc > h/?ncid=emlcntussear00000001) . > **************AOL Search: Your one stop for directions, recipes and all > other > Holiday needs. Search Now. > (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from > -aol-search/?ncid=emlcntussear00000001) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org > From NABlindVets at aol.com Tue Nov 11 17:28:12 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 11 Nov 2008 12:28:12 EST Subject: [Blindvet-talk] VETERANS DAY! ! ! Message-ID: Ladies and Gentleman, >From : The National Association of Blind Veterans, President , Dwight D. Sayer , Patricia Sayer , Amanda, Austin and Justin want to personally wish you all the best on this very important day. VETERANS all over the world both living and gone on to rest have served this country with honor and we want to THANK them today for all they have provided this great nation. TIME , TALENT and TREASURE! " FREEDOM ISN'T FREE" NO ONE KNOWS that better than our VETERANS and we SALUTE you today and everyday for all your sacrifices and the sacrifices of your families . May GOD BLESS and KEEP YOU and May GOD BLESS THE UNITED STATES OF AMERICA! **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) From NABlindVets at aol.com Tue Nov 11 17:51:16 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 11 Nov 2008 12:51:16 EST Subject: [Blindvet-talk] Fwd: VETERANS DAY! ! ! Message-ID: Ladies and Gentleman, >From : The National Association of Blind Veterans, President , Dwight D. Sayer , Patricia Sayer , Amanda, Austin and Justin We want to personally wish you all the best on this very important day. VETERANS all over the world both living and gone on to rest have served this country with honor and we want to THANK them today for all they have provided this great nation. TIME , TALENT and TREASURE! " FREEDOM ISN'T FREE" NO ONE KNOWS that better than our VETERANS and we SALUTE you today and everyday for all your sacrifices and the sacrifices of your families . May GOD BLESS and KEEP YOU and May GOD BLESS THE UNITED STATES OF AMERICA! ____________________________________ AOL Search: Your one stop for directions, recipes and all other Holiday needs. _Search Now_ (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from-aol-searc h/?ncid=emlcntussear00000001) . **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) From nfbnj at yahoo.com Tue Nov 11 20:15:04 2008 From: nfbnj at yahoo.com (Joe Ruffalo) Date: Tue, 11 Nov 2008 15:15:04 -0500 Subject: [Blindvet-talk] VETERANS DAY! ! ! References: Message-ID: Thanks for your comforting words. Let FREEDOM Ring! Joe Keep believing. Keep dreaming. Keep learning Let's work together. Let's make a difference! Joseph J. Ruffalo President, National Federation of the Blind of New Jersey Phone: 973-743-0075 Please visit our State and National Web Sites http://www.nfbnj.org http://www.thruoureyes.org http://www.blindchildren.org http://www.nfb.org Email: nfbnj at yahoo.com ----- Original Message ----- From: To: Sent: Tuesday, November 11, 2008 12:28 PM Subject: [Blindvet-talk] VETERANS DAY! ! ! > Ladies and Gentleman, >>From : > The National Association of Blind Veterans, > President , Dwight D. Sayer , Patricia Sayer , Amanda, Austin and Justin > want to personally wish you all the best on this very important day. > VETERANS all over the world both living and gone on to rest have served > this > country with honor and we want to THANK them today for all > they have provided this great nation. TIME , TALENT and TREASURE! > " FREEDOM ISN'T FREE" > NO ONE KNOWS that better than our VETERANS and we SALUTE you today and > everyday for all your sacrifices and the sacrifices of your families . > May GOD BLESS and KEEP YOU and May GOD BLESS THE UNITED STATES OF > AMERICA! > **************AOL Search: Your one stop for directions, recipes and all > other > Holiday needs. Search Now. > (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from > -aol-search/?ncid=emlcntussear00000001) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org From NABlindVets at aol.com Wed Nov 12 01:43:00 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 11 Nov 2008 20:43:00 EST Subject: [Blindvet-talk] Fwd: [Nfbf-l] NABV Member in Iraq's Message to Us Message-ID: >From Captain Jason Ballard NABV Member and one great soldier! Dwight -----Original Message----- From: Ballard, Jason A CPT Commander Sent: Tuesday, November 11, 2008 5:07 PM To: Dwight Sayer Subject: RE: VETERANS DAY MESSAGE (UNCLASSIFIED) Classification: UNCLASSIFIED Caveats: NONE Good Morning ALL! CPT Jason Ballard US Army here, It is 0021 on the morning of the 12th of November as I sit in my Command Post on Forward Operating Base ECHO Iraq. As the lights of a nearby Iraqi town shine in the distance I thought today of how proud I was to join the ranks of so many before me. From the snowy woods of France, the frozen highlands of Korea, jungles of Vietnam, sands and deserts of conflicts past and present we are the reason. To step forward and answer the call to duty for every American...grateful or not as it is not our duty to judge...but defend! As I walk through the company visiting with the seasoned vets of the last 6 years and the MANY new vets that have joined our rank and files the traditions of the day are alive and well in our ranks, however the true meaning won't hit these young Americans hard until they are safe...many years from now when they too sleep at night covered by a blanket of safety that they once provided. There are great Americans here, sons and daughters of Americans deserving of your support on their day..our day! Thank you very much and many thanks from the Officers and Soldiers of FANTOM COMPANY, 2-8 Infantry as I will share your well thought thanks and blessings! Respectfully, Jason A. Ballard CPT , LG Commanding THE FSC, 2-8IN SEAMLESS!!!!! "On THE NET...Standing by! Providing Seamless support to TALON since 2007" -----Original Message----- From: Dwight Sayer [mailto:misteradvocate at mvtransit.com] Sent: Tuesday, November 11, 2008 8:51 PM : VETERANS DAY MESSAGE Ladies and Gentleman, >From : The National Association of Blind Veterans, President , Dwight D. Sayer , Patricia Sayer , Amanda, Austin and Justin We want to personally wish you all the best on this very important day. VETERANS all over the world both living and gone on to rest have served this country with honor and we want to THANK them today for all they have provided this great nation. TIME , TALENT and TREASURE! " FREEDOM ISN'T FREE" NO ONE KNOWS that better than our VETERANS and we SALUTE you today and every day for all your sacrifices and the sacrifices of your families . May GOD BLESS and KEEP YOU and May GOD BLESS THE UNITED STATES OF AMERICA! Dwight D . Sayer President, The National Association of Blind Veterans A Division of the NFB Classification: UNCLASSIFIED Caveats: NONE **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http: //searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) _______________________________________________ Nfbf-l mailing list Nfbf-l at nfbnet.org http://www.nfbnet.org/mailman/listinfo/nfbf-l_nfbnet.org To unsubscribe, change your list options or get your account info for Nfbf-l: http://www.nfbnet.org/mailman/options/nfbf-l_nfbnet.org/repcodds%40aol.com ____________________________________ AOL Search: Your one stop for directions, recipes and all other Holiday needs. _Search Now_ (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from-aol-searc h/?ncid=emlcntussear00000001) . **************AOL Search: Your one stop for directions, recipes and all other Holiday needs. Search Now. (http://pr.atwola.com/promoclk/100000075x1212792382x1200798498/aol?redir=http://searchblog.aol.com/2008/11/04/happy-holidays-from -aol-search/?ncid=emlcntussear00000001) From NABlindVets at aol.com Wed Nov 19 00:27:01 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 18 Nov 2008 19:27:01 EST Subject: [Blindvet-talk] Honor our Troops Message-ID: ____________________________________ From: sayoung125 at cfl.rr.com To: Undisclosed-Recipient:; CC: kvharmon54 at gmail.com Sent: 11/18/2008 6:44:08 A.M. Eastern Standard Time Subj: Our troops Those who sacrifice every minute of every day?? Your cell phone is in your pocket. He clutches the cross hanging on his chain next to his dog tags. You talk trash about your 'buddies' that aren't with you. He knows he may not see some of his buddies again. You walk down the beach, staring at all the pretty girls. He patrols the streets, searching for insurgents and terrorists. You complain about how hot it is He wears his heavy gear, not daring to take off his helmet to wipe his brow. You go out to lunch, and complain because the restaurant got your order wrong. He doesn't get to eat today. Your maid makes your bed and washes your clothes. He wears the same things for weeks, but makes sure his weapons are clean. You go to the mall and get your hair redone. He doesn't have time to brush his teeth today. You're angry because your class ran 5 minutes over. He's told he will be held over an extra 2 months. You call your girlfriend and set a date for tonight. He waits for the mail to see if there is a letter from home. You hug and kiss your girlfriend, like you do everyday. He holds his letter close and smells his love's perfume. You roll your eyes as a baby cries. He gets a letter with pictures of his new child, and wonders if they'll ever meet. You criticize your government, and say that war never solves anything. He sees the innocent tortured and killed by their own people and remembers why he is fighting. You hear the jokes about the war, and make fun of men like him. He hears the gunfire, bombs and screams of the wounded. You see only what the media wants you to see. He sees the broken bodies lying around him. You are asked to go to the store by your parents. You don't. He does exactly what he is told even if it puts his life in danger. You stay at home and watch TV. He takes whatever time he is given to call, write home, sleep, and eat. You crawl into your soft bed, with down pillows, and get comfortable. He tries to sleep but gets woken by mortars and helicopters all night long. If you support your troops, send this to 7 people. REMEMBER our Troops, and do not forget them LATER Lest we forget - KEEP THE CHAIN GOING ____________________________________ _Get the Moviefone Toolbar_ (http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=http://toolbar.aol.com/moviefone/download.html?ncid=e mlcntusdown00000001) . Showtimes, theaters, movie news & more! **************You Rock! One month of free movies delivered by mail from blockbuster.com (http://pr.atwola.com/promoclk/100000075x1212639737x1200784900/aol?redir=https://www.blockbuster.com/signup/y/reg/p.26978/r.email_footer) From NABlindVets at aol.com Wed Nov 19 00:34:49 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 18 Nov 2008 19:34:49 EST Subject: [Blindvet-talk] Members of the NABV Message-ID: Hello NABV Members, Just a quick reminder that Sidonia Starnes needs your shirt size so we can order your NABV Logo polo shirt. Please call her or email her at _grandmatimessix at yahoo.com_ (mailto:grandmatimessix at yahoo.com) We need these right away. Dwight Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org **************You Rock! One month of free movies delivered by mail from blockbuster.com (http://pr.atwola.com/promoclk/100000075x1212639737x1200784900/aol?redir=https://www.blockbuster.com/signup/y/reg/p.26978/r.email_footer) From MisterAdvocate at aol.com Wed Nov 19 02:19:16 2008 From: MisterAdvocate at aol.com (MisterAdvocate at aol.com) Date: Tue, 18 Nov 2008 21:19:16 EST Subject: [Blindvet-talk] Join our Blind Veterans March For Independence Team! Message-ID: ATTENTION VETERANS! Hello , Please go to one of the following March for Independence pages depending on what you would like to do. If you want to join the Blind Vets in Action team goto _www.marchforindependence.org/goto/blindveterans_ (http://www.marchforindependence.org/goto/blindveterans) If you just want to support Dwight go to _www.marchforindependence.org/goto/Dsayer_ (http://www.marchforindependence.org/goto/Dsayer) Either page will let you support the Veterans who are supporting the March for Independence! Dwight ____________________________________ _Get the Moviefone Toolbar_ (http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=http://toolbar.aol.com/moviefone/download.html?ncid=e mlcntusdown00000001) . Showtimes, theaters, movie news & more! ____________________________________ _Get the Moviefone Toolbar_ (http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=http://toolbar.aol.com/moviefone /download.html?ncid=emlcntusdown00000001) . Showtimes, theaters, movie news & more! **************Get the Moviefone Toolbar. Showtimes, theaters, movie news & more!(http://pr.atwola.com/promoclk/100000075x1212774565x1200812037/aol?redir=htt p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown00000001) From MisterAdvocate at aol.com Wed Nov 19 20:55:11 2008 From: MisterAdvocate at aol.com (MisterAdvocate at aol.com) Date: Wed, 19 Nov 2008 15:55:11 EST Subject: [Blindvet-talk] Blind Veterans March for Independence in Detroit ! Message-ID: Please visit the following March For Independence Web Site! _www.marchforindependence.org/goto/Dsayer_ (http://www.marchforindependence.org/goto/Dsayer) If the link doesn't take you there just cut and paste the URL into your web browser. I really appreciate you supporting me and my fellow Blind Vets! Dwight Dwight D. Sayer President, The National Association of Blind Veterans _www.nabv.org_ (http://www.nabv.org/) ____________________________________ One site has it all. Your email accounts, your social networks, and the things you love. Try the new _AOL.com_ (http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?optin=new-dp&icid=aolcom40va nity&ncid=emlcntaolcom00000001) today! **************One site has it all. Your email accounts, your social networks, and the things you love. Try the new AOL.com today!(http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?optin=new-dp %26icid=aolcom40vanity%26ncid=emlcntaolcom00000001) From nfbnj at yahoo.com Thu Nov 20 11:11:57 2008 From: nfbnj at yahoo.com (Joe Ruffalo) Date: Thu, 20 Nov 2008 06:11:57 -0500 Subject: [Blindvet-talk] Members of the NABV References: Message-ID: <00824AAF402C43CBA40C8C9E8E074E5A@JoeRuffalo> Greetings, For some reason, when I email my information, it comes back as undelivered. Therefore, my shirt size is extra large. Thanks, Joe Ruffalo Keep believing. Keep dreaming. Keep learning Let's work together. Let's make a difference! Joseph J. Ruffalo President, National Federation of the Blind of New Jersey Phone: 973-743-0075 Please visit our State and National Web Sites http://www.nfbnj.org http://www.thruoureyes.org http://www.blindchildren.org http://www.nfb.org Email: nfbnj at yahoo.com ----- Original Message ----- From: To: Sent: Tuesday, November 18, 2008 7:34 PM Subject: [Blindvet-talk] Members of the NABV > Hello NABV Members, > Just a quick reminder that Sidonia Starnes needs your shirt size so we > can > order your NABV Logo polo shirt. Please call her or email her at > _grandmatimessix at yahoo.com_ (mailto:grandmatimessix at yahoo.com) > We need these right away. > Dwight > > > Dwight D. Sayer > President, > The National Association of Blind Veterans > A Division of the NFB > Email - presidentnabv at aol.com > or president at nabv.org > **************You Rock! One month of free movies delivered by mail from > blockbuster.com > (http://pr.atwola.com/promoclk/100000075x1212639737x1200784900/aol?redir=https://www.blockbuster.com/signup/y/reg/p.26978/r.email_footer) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org From eajoeb at hughes.net Thu Nov 20 21:36:14 2008 From: eajoeb at hughes.net (Joe Brack) Date: Thu, 20 Nov 2008 16:36:14 -0500 (Eastern Standard Time) Subject: [Blindvet-talk] Members of the NABV References: <00824AAF402C43CBA40C8C9E8E074E5A@JoeRuffalo> Message-ID: <4925D84D.000009.00248@FQM8MC1> Joe, Your information about ordering your shirt size came to me by mistake I also a blind vet and ordered also, I guess someone out there is receiving an extra large and a XXX extra large polo shirt. ? ? E. A. (Joe) Brack, Jr . 7729 West Ridge Estates Drive Glen St. Mary, FL 32040 P (904) 259-1404 C (904) 540-4822 F (904) 259-9348 E-mail eajoeb@ hughes.net What Is A Veteran? A "Veteran" -- whether active duty, discharged, retired, or reserve -- is someone who, at one point in his life, wrote a blank check made payable to The United States of America," for an amount of "up to, and including his life." That is honor, and there are way too many people in this country today, who no longer understand that fact. -------Original Message------- From: Joe Ruffalo Date: 11/20/2008 6:33:56 AM To: Info and discussion list for blind veterans. Subject: Re: [Blindvet-talk] Members of the NABV Greetings, For some reason, when I email my information, it comes back as undelivered. Therefore, my shirt size is extra large. Thanks, Joe Ruffalo Keep believing. Keep dreaming. Keep learning Let's work together. Let's make a difference! Joseph J. Ruffalo President, National Federation of the Blind of New Jersey Phone: 973-743-0075 Please visit our State and National Web Sites http://www.nfbnj.org http://www.thruoureyes.org http://www.blindchildren.org http://www.nfb.org Email: nfbnj at yahoo.com ----- Original Message ----- From: To: Sent: Tuesday, November 18, 2008 7:34 PM Subject: [Blindvet-talk] Members of the NABV > Hello NABV Members, > Just a quick reminder that Sidonia Starnes needs your shirt size so we > can > order your NABV Logo polo shirt. Please call her or email her at > _grandmatimessix at yahoo.com_ (mailto:grandmatimessix at yahoo.com) > We need these right away. > Dwight > > > Dwight D. Sayer > President, > The National Association of Blind Veterans > A Division of the NFB > Email - presidentnabv at aol.com > or president at nabv.org > **************You Rock! One month of free movies delivered by mail from > blockbuster.com > (http://pr.atwola com/promoclk/100000075x1212639737x1200784900/aol?redir=https://www blockbuster.com/signup/y/reg/p.26978/r.email_footer) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org _______________________________________________ Blindvet-talk mailing list Blindvet-talk at nfbnet.org http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org . From NABlindVets at aol.com Fri Nov 21 21:00:38 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Fri, 21 Nov 2008 16:00:38 EST Subject: [Blindvet-talk] AFB shutting Down its Audio Section serving NLS Message-ID: ____________________________________ October2009 Subject: [Nfb-seniors] AFB to Close its Audio Production Division in October2009 AFB to Close its Audio Production Division in October 2009 AFB to Close its Audio Production Division in October 2009 New York (November 17, 2008)­After 75 years of participating in the National Library Service (NLS) Talking Book Program, the American Foundation for the Blind (AFB) is closing its audio book division in October 2009 with the expiration of AFB's New York headquarters' lease. Fans of talking books will continue to have access to high quality audio books from the many other accomplished audio book producers participating in the NLS program, as well as through increasingly popular, accessible, and affordable commercially produced books and internet downloads. Since pioneering the development of recorded books in the 1930s, AFB has produced tens of thousands of Talking Books for the Library of Congress­a program championed by Helen Keller during her tenure at AFB. AFB expects to continue producing audio material for NLS and our other customers until AFB leaves its present facility. "As a Talking Book user myself, I take enormous pride in the role AFB has played in providing high-quality audio books to people who are blind or visually impaired," said Carl R. Augusto, AFB President & CEO. "While we are saddened to be exiting the Talking Book business, we are confident that other audio book producers have sufficient studio production capacity to handle NLS requirements and that blind and visually impaired consumers will continue to have access to audio material through the NLS program and other avenues." AFB's decision to exit the Talking Book program was based on a number of factors, including the financial costs that AFB incurs by participating in the government-funded NLS program and the need to apply donor funds to those programs that AFB is in a unique position to deliver. "AFB is proud to have produced so many amazing audio books, and we owe a huge thank you to AFB's audio book production staff and to the actors and narrators whose much-loved voices have created wonderful and enduring recordings," added Augusto. _______________________________________________ Nfb-seniors mailing list _Nfb-seniors at Nfb-senior_ (mailto:Nfb-seniors at nfbnet.org) _http://www.nfbnet.http://www.nhttp://wwhttp://www.nhttp://www_ (http://www.nfbnet.org/mailman/listinfo/nfb-seniors_nfbnet.org) To unsubscribe, change your list options or get your account info for Nfb-seniors: _http://www.nfbnet.http://www.nhttp://www.nhttp://www.nfbnhttp://www.http://ww _ (http://www.nfbnet.org/mailman/options/nfb-seniors_nfbnet.org/pitre4 at cox.net) __._,_.___ _Messages in this topic _ (http://groups.yahoo.com/group/BattingTheBreeze/message/10917;_ylc=X3oDMTM3aGRnOG5lBF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3BGdycHNwSW QDMTcwNTAwNzcwOQRtc2dJZAMxMDkxNwRzZWMDZnRyBHNsawN2dHBjBHN0aW1lAzEyMjcyOTA4MjAE dHBjSWQDMTA5MTc-) (1) _Reply (via web post) _ (http://groups.yahoo.com/group/BattingTheBreeze/post;_ylc=X3oDMTJyMXQ0czNpBF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3 BGdycHNwSWQDMTcwNTAwNzcwOQRtc2dJZAMxMDkxNwRzZWMDZnRyBHNsawNycGx5BHN0aW1lAzEyMj cyOTA4MjA-?act=reply&messageNum=10917) | _Start a new topic _ (http://groups.yahoo.com/group/BattingTheBreeze/post;_ylc=X3oDMTJmcTUxZDY2BF9TAzk3MzU5NzE0BGd ycElkAzExMDk5ODQ3BGdycHNwSWQDMTcwNTAwNzcwOQRzZWMDZnRyBHNsawNudHBjBHN0aW1lAzEyM jcyOTA4MjA-) _Messages_ (http://groups.yahoo.com/group/BattingTheBreeze/messages;_ylc=X3oDMTJmNmVxazRzBF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3BGdycHNwSWQDMTcwNTAwNzcwOQRzZWM DZnRyBHNsawNtc2dzBHN0aW1lAzEyMjcyOTA4MjA-) | _Members_ (http://groups.yahoo.com/group/BattingTheBreeze/members;_ylc=X3oDMTJmczUwMnBiBF9TAzk3MzU5NzE0BGdycE lkAzExMDk5ODQ3BGdycHNwSWQDMTcwNTAwNzcwOQRzZWMDZnRyBHNsawNtYnJzBHN0aW1lAzEyMjcy OTA4MjA-) | _Calendar_ (http://groups.yahoo.com/group/BattingTheBreeze/calendar;_ylc=X3oDMTJlbTRvZWRiBF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3BGdycHNwSWQDMTcwN TAwNzcwOQRzZWMDZnRyBHNsawNjYWwEc3RpbWUDMTIyNzI5MDgyMA--) MARKETPLACE ____________________________________ _From kitchen basics to easy recipes - join the Group from Kraft Foods _ (http://us.ard.yahoo.com/SIG=13r1mv6tt/M=493064.12016295.13271503.10835568/D=gro ups/S=1705007709:MKP1/Y=YAHOO/EXP=1227298020/L=/B=LuPRA0LaX.4-/J=1227290820618 805/A=5530388/R=0/SIG=11nuutlas/*http://explore.yahoo.com/groups/kraftmealsmad esimple/) (http://groups.yahoo.com/;_ylc=X3oDMTJlOWRoY2plBF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3BGdycHNwSWQDMTcwNTAwNzcwOQRzZWMDZnRyBHNsawNnZnAEc3RpbWUDMTIyNzI5MDgyMA-- ) _Change settings via the Web_ (http://groups.yahoo.com/group/BattingTheBreeze/join;_ylc=X3oDMTJnMHNyaG92BF9TAzk3MzU5NzE0BGdycElkAzExMDk5ODQ3BGdycHNwSWQDMTc wNTAwNzcwOQRzZWMDZnRyBHNsawNzdG5ncwRzdGltZQMxMjI3MjkwODIw) (Yahoo! 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Messenger _Instant hello_ (http://us.ard.yahoo.com/SIG=13oo4ppue/M=493064.12016274.12445679.8674578/D=groups/S=1705007709:NC/Y=YAHOO/EXP=1227298020/L=/B=MOPRA0LaX.4- /J=1227290820618805/A=3848582/R=0/SIG=11umg3fun/*http://us.rd.yahoo.com/evt=42 403/*http://messenger.yahoo.com) Chat over IM with group members. John McEnroe _on Yahoo! Groups_ (http://us.ard.yahoo.com/SIG=13ontrbqd/M=493064.12016283.12445687.8674578/D=groups/S=1705007709:NC/Y=YAHOO/EXP=1227298020/L=/B=MePRA0LaX .4-/J=1227290820618805/A=5202321/R=0/SIG=11aijbghb/*http://new.groups.yahoo.co m/allbrangroup) Join him for the 10 Day Challenge. . __,_._,___ ____________________________________ One site has it all. Your email accounts, your social networks, and the things you love. Try the new _AOL.com_ (http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?optin=new-dp&icid=aolcom40va nity&ncid=emlcntaolcom00000001) today! Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org **************Check out smokin? hot deals on laptops, desktops and more from Dell. Shop Deals (http://pr.atwola.com/promoclk/100000075x1213345834x1200842686/aol?redir=http://ad.doubleclick.net/clk;209513277;31396581;l) From NABlindVets at aol.com Tue Nov 25 23:38:54 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Tue, 25 Nov 2008 18:38:54 EST Subject: [Blindvet-talk] Here is a Christmas Poem for the Presidential Release! Message-ID: Please read on below my signature! Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or _president at nabv.org_ (mailto:president at nabv.org) ____________________________________ A Soldiers Christmas Poem! The embers glowed softly, and in their dim light, I gazed round the room and I cherished the sight. My wife was asleep, her head on my chest, My daughter beside me, angelic in rest. Outside the snow fell, a blanket of white, Transforming the yard to a winter delight. The sparkling lights in the tree I believe, Completed the magic that was Christmas Eve. My eyelids were heavy, my breathing was deep, Secure and surrounded by love I would sleep. In perfect contentment, or so it would seem, So I slumbered, perhaps I started to dream. The sound wasn't loud, and it wasn't too near, But I opened my eyes when it tickled my ear. Perhaps just a cough, I didn't quite know, Then the sure sound of footsteps outside in the snow. My soul gave a tremble, I struggled to hear, And I crept to the door just to see who was near. Standing out in the cold and the dark of the night, A lone figure stood, his face weary and tight. A soldier, I puzzled, some twenty years old, Perhaps a Marine, huddled here in the cold. Alone in the dark, he looked up and smiled, Standing watch over me, and my wife and my child. "What are you doing?" I asked without fear, "Come in this moment, it's freezing out here! Put down your pack, brush the snow from your sleeve, You should be at home on a cold Christmas Eve!" For barely a moment I saw his eyes shift, Away from the cold and the snow blown in drifts.. To the window that danced with a warm fire's light Then he sighed and he said "Its really all right, I'm out here by choice. I'm here every night." "It's my duty to stand at the front of the line, That separates you from the darkest of times. No one had to ask or beg or implore me, I'm proud to stand here like my fathers before me. My Gramps died at ' Pearl on a day in December," Then he sighed, "That's a Christmas 'Gram always remembers." My dad stood his watch in the jungles of ' Nam ', And now it is my turn and so, here I am. I've not seen my own son in more than a while, But my wife sends me pictures, he's sure got her smile. Then he bent and he carefully pulled from his bag, The red, white, and blue... an American flag. I can live through the cold and the being alone, Away from my family, my house and my home. I can stand at my post through the rain and the sleet, I can sleep in a foxhole with little to eat. I can carry the weight of killing another, Or lay down my life with my sister and brother.. Who stand at the front against any and all, To ensure for all time that this flag will not fall." " So go back inside," he said, "harbor no fright, Your family is waiting and I'll be all right." "But isn't there something I can do, at the least, "Give you money," I asked, "or prepare you a feast? It seems all too little for all that you've done, For being away from your wife and your son." Then his eye welled a tear that held no regret, "Just tell us you love us, and never forget. To fight for our rights back at home while we're gone, To stand your own watch, no matter how long. For when we come home, either standing or dead, To know you remember we fought and we bled. Is payment enough, and with that we will trust, That we mattered to you as you mattered to us." PLEASE, would you do me the kind favor of sending this to as many people as you can? Christmas will be coming soon and some credit is due to our U.S service men and women for our being able to celebrate these festivities. Let's try in this small way to pay a tiny bit of what we owe. Make people stop and think of our heroes, living and dead, who sacrificed them selves for us. LCDR Jeff Giles, SC, USN 30th Naval Construction Regiment OIC, Logistics Cell One Al Taqqadum, Iraq Right-click here to download pictures. To help protect your privacy, Outlook prevented automatic download of this picture from the Internet. _http://www.incredimail.com/index.asp?id=109094&rui=94738186_ (http://www.incredimail.com/index.asp?id=109094&rui=94738186) Right-click here to download pictures. To help protect your privacy, Outlook prevented automatic download of this picture from the Internet. _http://www.incredimail.com/index.asp?id=109096&rui=50125286_ (http://www.incredimail.com/index.asp?id=109096&rui=50125286) block quote end ------------------------------------------------------------------------------ -- Check out smokin' hot deals on laptops, desktops and more from Dell. Shop Deals ------------------------------------------------------------------------------ -- Right-click here to download pictures. To help protect your privacy, Outlook prevented automatic download of this picture from the Internet. ------------------------------------------------------------------------------ -- No virus found in this incoming message. Checked by AVG. Version: 7.5.549 / Virus Database: 270.9.9/1807 - Release Date: 11/23/2008 10:59 AM ------------------------------------------------------------------------------ -- No virus found in this incoming message. Checked by AVG. Version: 7.5.549 / Virus Database: 270.9.9/1807 - Release Date: 11/23/2008 10:59 AM ------------------------------------------------------------------------------ -- Get more done, have more fun, and stay more connected with Windows Mobile?. See how. block quote end block quote end **************Check out smokin? hot deals on laptops, desktops and more from Dell. Shop Deals (http://pr.atwola.com/promoclk/100000075x1213345834x1200842686/aol?redir=http://ad.doubleclick.net/clk;209513277;31396581;l) From MisterAdvocate at aol.com Wed Nov 26 20:31:50 2008 From: MisterAdvocate at aol.com (MisterAdvocate at aol.com) Date: Wed, 26 Nov 2008 15:31:50 EST Subject: [Blindvet-talk] Happy Thanksgiving Message-ID: Happy Thanksgiving T'WAS THE NIGHT OF THANKSGIVING, BUT I JUST COULDN'T SLEEP I TRIED COUNTING BACKWARDS, I TRIED COUNTING SHEEP. THE LEFTOVERS BECKONED - THE DARK MEAT AND WHITE BUT I FOUGHT THE TEMPTATION WITH ALL OF MY MIGHT. TOSSING AND TURNING WITH ANTICIPATION THE THOUGHT OF A SNACK BECAME INFATUATION. SO, I RACED TO THE KITCHEN, FLUNG OPEN THE DOOR AND GAZED AT THE FRIDGE, FULL OF GOODIES GALORE. I GOBBLED UP TURKEY AND BUTTERED POTATOES, PICKLES AND CARROTS, BEANS AND TOMATOES. I FELT MYSELF SWELLING SO PLUMP AND SO ROUND. 'TIL ALL OF A SUDDEN, I ROSE OFF THE GROUND. I CRASHED THROUGH THE CEILING, FLOATING INTO THE SKY WITH A MOUTHFUL OF PUDDING AND A HANDFUL OF PIE. BUT, I MANAGED TO YELL AS I SOARED PAST THE TREES... HAPPY EATING TO ALL PASS THE CRANBERRIES, PLEASE. MAY YOUR STUFFING BE TASTY, MAY YOUR TURKEY BE PLUMP. MAY YOUR POTATOES 'N GRAVEY HAVE NARY A LUMP. MAY YOUR YAMS BE DELICIOUS MAY YOUR PIES TAKE THE PRIZE, MAY YOUR THANKSGIVING DINNER STAY OFF OF YOUR THIGHS. HAVE A WONDERFUL THANKSGIVING. Dwight, Patty, amanda and austin **************Life should be easier. So should your homepage. Try the NEW AOL.com. (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000002) From NABlindVets at aol.com Thu Nov 27 01:59:56 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Wed, 26 Nov 2008 20:59:56 EST Subject: [Blindvet-talk] Fwd: Fw: [VIVN#1556] Vets Fighting Mad Message-ID: Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org ____________________________________ From: BlindguysRus1 To: NABlindVets Sent: 11/26/2008 8:40:57 P.M. Eastern Standard Time Subj: Fwd: Fw: [VIVN#1556] Vets Fighting Mad ____________________________________ From: rickyf50 at hotmail.com To: jdmcneil at bellsouth.net Sent: 11/26/2008 7:39:34 P.M. Eastern Standard Time Subj: Fw: [VIVN#1556] Vets Fighting Mad ----- Original Message ----- From: "sceptre" To: "VIVetNet" Sent: Wednesday, November 26, 2008 3:57 PM Subject: [VIVN#1556] Vets Fighting Mad > > Thousand of injured vets are fighting a new battle > - - - By Rory Devine - - - > > The Pentagon narrowed the definition of a combat > related injury. As of March, those with disabilities incurred while > in a direct combat situation would get more benefits than those > disabled during a training exercise for example. > > The Supervisor for Disabled American Veterans in San Diego calls that > "inherently unfair." "An injury is an injury, whether it happened in > a war or whether it happened jumping out of a plane during an > exercise," said Jim Galliher. Galliher feels there is no greater or > lesser veteran, and he is upset the Pentagon, as he said, "took it > upon itself to redefine the law." > > The Pentagon says benefits should be greater for those wounded in > combat than for those wounded during training, or hazardous duty not > related to combat, or even while being sprayed with agent orange. > Galliher said the differentiation doesn't stop there. He said the > Pentagon also differentiates disabilities incurred in the same war > zone. For example, military personnel who hurt themselves jumping > into a fox hole to avoid a mortar attack during combat may not be > classified as having a combat related injury because they were not > shot or shelled. > > In Galliher's opinion, the Pentagon is making the change to save > money. "It's a tough economy, let's not try to win the economy back > on the back of a veteran," he said. > > He hopes people will write their representatives in Congress asking > the Pentagon "to follow the law." > > For its part, the Pentagon reportedly says the change is in keeping > with the law. > > First Published: Nov 25, 2008 5:43 PM PST > -- > FAIR USE NOTICE > This email may contain copyrighted material the use of > which has not always been specifically authorized by the > copyright owner. We are making such material available in > an effort to advance the understanding of visually impaired > veterans to issues concerning the veterans' community. We > believe this constitutes a 'fair use' of any such copyrighted > material as provided for in section 107 of the US Copyright > Law. In accordance with Title 17 U.S.C. Section 107, the > material in this email is distributed without profit to > those who have expressed an interest in receiving the > included information for educational purposes. If you > wish to use copyrighted material from this email for > purposes of your own that go beyond 'fair use', you > must obtain permission from the copyright owner. > -- > > --~--~---------~--~----~------------~-------~--~----~ > Visually Impaired Veterans Network > -~----------~----~----~----~------~----~------~--~--- > > ____________________________________ Life should be easier. So should your homepage. _Try the NEW AOL.com_ (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000002) . **************Finally, one site has it all: your friends, your email, your favorite sites. Try the NEW AOL.com. (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000006) From NABlindVets at aol.com Thu Nov 27 02:07:45 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Wed, 26 Nov 2008 21:07:45 EST Subject: [Blindvet-talk] Fwd: Fwd: Fw: [VIVN#1556] Vets Fighting Mad Message-ID: Dear Mr. President, We must stand fast and keep this nations promises to it's veterans. If the article below is true then we are committing a terrible injustice against those who pay the price for our freedom , whether injured by a bullet or a jump line they are serving this nation. They expect to be provided for if injured and we have promised them they would not have to worry, just follow orders and get the job done. Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org _www.nabv.org_ (http://www.nabv.org) ____________________________________ From: NABlindVets at aol.com Reply-to: blindvet-talk at nfbnet.org To: blindvet-talk at nfbnet.org Sent: 11/26/2008 9:00:25 P.M. Eastern Standard Time Subj: [Blindvet-talk] Fwd: Fw: [VIVN#1556] Vets Fighting Mad Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org ____________________________________ From: BlindguysRus1 To: NABlindVets Sent: 11/26/2008 8:40:57 P.M. Eastern Standard Time Subj: Fwd: Fw: [VIVN#1556] Vets Fighting Mad ____________________________________ From: rickyf50 at hotmail.com To: jdmcneil at bellsouth.net Sent: 11/26/2008 7:39:34 P.M. Eastern Standard Time Subj: Fw: [VIVN#1556] Vets Fighting Mad ----- Original Message ----- From: "sceptre" To: "VIVetNet" Sent: Wednesday, November 26, 2008 3:57 PM Subject: [VIVN#1556] Vets Fighting Mad > > Thousand of injured vets are fighting a new battle > - - - By Rory Devine - - - > > The Pentagon narrowed the definition of a combat > related injury. As of March, those with disabilities incurred while > in a direct combat situation would get more benefits than those > disabled during a training exercise for example. > > The Supervisor for Disabled American Veterans in San Diego calls that > "inherently unfair." "An injury is an injury, whether it happened in > a war or whether it happened jumping out of a plane during an > exercise," said Jim Galliher. Galliher feels there is no greater or > lesser veteran, and he is upset the Pentagon, as he said, "took it > upon itself to redefine the law." > > The Pentagon says benefits should be greater for those wounded in > combat than for those wounded during training, or hazardous duty not > related to combat, or even while being sprayed with agent orange. > Galliher said the differentiation doesn't stop there. He said the > Pentagon also differentiates disabilities incurred in the same war > zone. For example, military personnel who hurt themselves jumping > into a fox hole to avoid a mortar attack during combat may not be > classified as having a combat related injury because they were not > shot or shelled. > > In Galliher's opinion, the Pentagon is making the change to save > money. "It's a tough economy, let's not try to win the economy back > on the back of a veteran," he said. > > He hopes people will write their representatives in Congress asking > the Pentagon "to follow the law." > > For its part, the Pentagon reportedly says the change is in keeping > with the law. > > First Published: Nov 25, 2008 5:43 PM PST > -- > FAIR USE NOTICE > This email may contain copyrighted material the use of > which has not always been specifically authorized by the > copyright owner. We are making such material available in > an effort to advance the understanding of visually impaired > veterans to issues concerning the veterans' community. We > believe this constitutes a 'fair use' of any such copyrighted > material as provided for in section 107 of the US Copyright > Law. In accordance with Title 17 U.S.C. Section 107, the > material in this email is distributed without profit to > those who have expressed an interest in receiving the > included information for educational purposes. If you > wish to use copyrighted material from this email for > purposes of your own that go beyond 'fair use', you > must obtain permission from the copyright owner. > -- > > --~--~---------~--~----~------------~-------~--~----~ > Visually Impaired Veterans Network > -~----------~----~----~----~------~----~------~--~--- > > ____________________________________ Life should be easier. So should your homepage. _Try the NEW AOL.com_ (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom0000000 2) . **************Finally, one site has it all: your friends, your email, your favorite sites. Try the NEW AOL.com. (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom0000000 6) _______________________________________________ Blindvet-talk mailing list Blindvet-talk at nfbnet.org http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org **************Finally, one site has it all: your friends, your email, your favorite sites. Try the NEW AOL.com. (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000006) From Funpro at carolina.rr.com Thu Nov 27 15:04:25 2008 From: Funpro at carolina.rr.com (LJH) Date: Thu, 27 Nov 2008 10:04:25 -0500 Subject: [Blindvet-talk] informative web site References: Message-ID: For upcoming developments regarding veteran's interests, perhaps a visit to this website might be of interest to all. http://change.gov/agenda/veterans_agenda/ ----- Original Message ----- From: To: Cc: Sent: Wednesday, November 26, 2008 9:07 PM Subject: [Blindvet-talk] Fwd: Fwd: Fw: [VIVN#1556] Vets Fighting Mad > Dear Mr. President, > We must stand fast and keep this nations promises to it's veterans. > If the article below is true then we are committing a terrible injustice > against > those who pay the price for our freedom , whether injured by a bullet > or > a jump line they are serving this nation. They expect to be provided for > if > injured > and we have promised them they would not have to worry, just follow > orders > and > get the job done. > > Dwight D. Sayer > President, > The National Association of Blind Veterans > A Division of the NFB > Email - presidentnabv at aol.com > or president at nabv.org > _www.nabv.org_ (http://www.nabv.org) > > > ____________________________________ > From: NABlindVets at aol.com > Reply-to: blindvet-talk at nfbnet.org > To: blindvet-talk at nfbnet.org > Sent: 11/26/2008 9:00:25 P.M. Eastern Standard Time > Subj: [Blindvet-talk] Fwd: Fw: [VIVN#1556] Vets Fighting Mad > > > > > Dwight D. Sayer > President, > The National Association of Blind Veterans > A Division of the NFB > Email - presidentnabv at aol.com > or president at nabv.org > > > > ____________________________________ > From: BlindguysRus1 > To: NABlindVets > Sent: 11/26/2008 8:40:57 P.M. Eastern Standard Time > Subj: Fwd: Fw: [VIVN#1556] Vets Fighting Mad > > > > > > > ____________________________________ > From: rickyf50 at hotmail.com > To: jdmcneil at bellsouth.net > Sent: 11/26/2008 7:39:34 P.M. Eastern Standard Time > Subj: Fw: [VIVN#1556] Vets Fighting Mad > > > > ----- Original Message ----- > From: "sceptre" > To: "VIVetNet" > Sent: Wednesday, November 26, 2008 3:57 PM > Subject: [VIVN#1556] Vets Fighting Mad > > >> >> Thousand of injured vets are fighting a new battle >> - - - By Rory Devine - - - >> >> The Pentagon narrowed the definition of a combat >> related injury. As of March, those with disabilities incurred while >> in a direct combat situation would get more benefits than those >> disabled during a training exercise for example. >> >> The Supervisor for Disabled American Veterans in San Diego calls that >> "inherently unfair." "An injury is an injury, whether it happened in >> a war or whether it happened jumping out of a plane during an >> exercise," said Jim Galliher. Galliher feels there is no greater or >> lesser veteran, and he is upset the Pentagon, as he said, "took it >> upon itself to redefine the law." >> >> The Pentagon says benefits should be greater for those wounded in >> combat than for those wounded during training, or hazardous duty not >> related to combat, or even while being sprayed with agent orange. >> Galliher said the differentiation doesn't stop there. He said the >> Pentagon also differentiates disabilities incurred in the same war >> zone. For example, military personnel who hurt themselves jumping >> into a fox hole to avoid a mortar attack during combat may not be >> classified as having a combat related injury because they were not >> shot or shelled. >> >> In Galliher's opinion, the Pentagon is making the change to save >> money. "It's a tough economy, let's not try to win the economy back >> on the back of a veteran," he said. >> >> He hopes people will write their representatives in Congress asking >> the Pentagon "to follow the law." >> >> For its part, the Pentagon reportedly says the change is in keeping >> with the law. >> >> First Published: Nov 25, 2008 5:43 PM PST >> -- >> FAIR USE NOTICE >> This email may contain copyrighted material the use of >> which has not always been specifically authorized by the >> copyright owner. We are making such material available in >> an effort to advance the understanding of visually impaired >> veterans to issues concerning the veterans' community. We >> believe this constitutes a 'fair use' of any such copyrighted >> material as provided for in section 107 of the US Copyright >> Law. In accordance with Title 17 U.S.C. Section 107, the >> material in this email is distributed without profit to >> those who have expressed an interest in receiving the >> included information for educational purposes. If you >> wish to use copyrighted material from this email for >> purposes of your own that go beyond 'fair use', you >> must obtain permission from the copyright owner. >> -- >> >> --~--~---------~--~----~------------~-------~--~----~ >> Visually Impaired Veterans Network >> -~----------~----~----~----~------~----~------~--~--- >> >> > > > > > > > ____________________________________ > Life should be easier. So should your homepage. _Try the NEW AOL.com_ > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom0000000 > 2) . > > > > **************Finally, one site has it all: your friends, your email, > your > favorite sites. Try the NEW AOL.com. > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom0000000 > 6) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org > > > > **************Finally, one site has it all: your friends, your email, your > favorite sites. Try the NEW AOL.com. > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000006) > _______________________________________________ > Blindvet-talk mailing list > Blindvet-talk at nfbnet.org > http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From bigmanhuggi at yahoo.com Thu Nov 27 23:28:10 2008 From: bigmanhuggi at yahoo.com (Clarence Huggins) Date: Thu, 27 Nov 2008 15:28:10 -0800 (PST) Subject: [Blindvet-talk] Happy Thanksgiving In-Reply-To: Message-ID: <112607.28350.qm@web35602.mail.mud.yahoo.com> HAPPY THANKSGIVING TO YOU allt ?TO I Hope you didn't eat to much turkey and ham like I did. It was so good and now i will have to get out and walk 5 miles. God bless You Yours truly GENE HUGGINS --- On Wed, 11/26/08, MisterAdvocate at aol.com wrote: From: MisterAdvocate at aol.com Subject: [Blindvet-talk] Happy Thanksgiving To: Lesa at floridareading.com Cc: blindvet-talk at nfbnet.org Date: Wednesday, November 26, 2008, 3:31 PM Happy Thanksgiving T'WAS THE NIGHT OF THANKSGIVING, BUT I JUST COULDN'T SLEEP I TRIED COUNTING BACKWARDS, I TRIED COUNTING SHEEP. THE LEFTOVERS BECKONED - THE DARK MEAT AND WHITE BUT I FOUGHT THE TEMPTATION WITH ALL OF MY MIGHT. TOSSING AND TURNING WITH ANTICIPATION THE THOUGHT OF A SNACK BECAME INFATUATION. SO, I RACED TO THE KITCHEN, FLUNG OPEN THE DOOR AND GAZED AT THE FRIDGE, FULL OF GOODIES GALORE. I GOBBLED UP TURKEY AND BUTTERED POTATOES, PICKLES AND CARROTS, BEANS AND TOMATOES. I FELT MYSELF SWELLING SO PLUMP AND SO ROUND. 'TIL ALL OF A SUDDEN, I ROSE OFF THE GROUND. I CRASHED THROUGH THE CEILING, FLOATING INTO THE SKY WITH A MOUTHFUL OF PUDDING AND A HANDFUL OF PIE. BUT, I MANAGED TO YELL AS I SOARED PAST THE TREES... HAPPY EATING TO ALL PASS THE CRANBERRIES, PLEASE. MAY YOUR STUFFING BE TASTY, MAY YOUR TURKEY BE PLUMP. MAY YOUR POTATOES 'N GRAVEY HAVE NARY A LUMP. MAY YOUR YAMS BE DELICIOUS MAY YOUR PIES TAKE THE PRIZE, MAY YOUR THANKSGIVING DINNER STAY OFF OF YOUR THIGHS. HAVE A WONDERFUL THANKSGIVING. Dwight, Patty, amanda and austin **************Life should be easier. So should your homepage. Try the NEW AOL.com. (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000002) _______________________________________________ Blindvet-talk mailing list Blindvet-talk at nfbnet.org http://www.nfbnet.org/mailman/listinfo/blindvet-talk_nfbnet.org From NABlindVets at aol.com Fri Nov 28 18:49:05 2008 From: NABlindVets at aol.com (NABlindVets at aol.com) Date: Fri, 28 Nov 2008 13:49:05 EST Subject: [Blindvet-talk] Blind Veterans March for Independence in Detroit ! Message-ID: Dwight D. Sayer President, The National Association of Blind Veterans A Division of the NFB Email - presidentnabv at aol.com or president at nabv.org ____________________________________ From: REPCODDS To: nfbf-l at nfbnet.org CC: NABlindVets Sent: 11/25/2008 6:18:44 P.M. Eastern Standard Time Subj: Blind Veterans March for Independence in Detroit ! ATTENTION FEDERATIONISTS / FRIENDS / INTERESTED PARTIES Please visit the following March For Independence Web Site! _www.marchforindependence.org/goto/Dsayer_ (http://www.marchforindependence.org/goto/Dsayer) If the link doesn't take you there just cut and paste the URL into your web browser. I really appreciate you supporting me and my fellow Blind Vets! Dwight Dwight D. Sayer President, The National Association of Blind Veterans _www.nabv.org_ (http://www.nabv.org/) ____________________________________ One site has it all. Your email accounts, your social networks, and the things you love. Try the new _AOL.com_ (http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?optin=new-dp&icid=aolcom40va nity&ncid=emlcntaolcom00000001) today! ____________________________________ One site has it all. Your email accounts, your social networks, and the things you love. 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