Diagnostic Code 6020 · 38 CFR §4.79
Ectropion is a condition where the eyelid turns outward, away from the eyeball, exposing the inner eyelid surface and leaving the eye inadequately protected. This causes chronic tearing, irritation, redness, and leaves the cornea vulnerable to drying and damage. In veterans, ectropion commonly results from facial scarring after burns or trauma, nerve damage (especially facial nerve paralysis from TBI), or surgical complications affecting the eyelid area. The VA assigns a flat 20% for bilateral ectropion and 10% for unilateral.
| Rating | Criteria |
|---|---|
| 20% | Bilateral ectropion (affecting both eyes). |
| 10% | Unilateral ectropion (affecting one eye). |
An ophthalmology examination documenting the ectropion and its severity is essential. Photographs showing the eyelid position, documentation of the cause (facial scarring, nerve damage, surgery), treatment records including lubricants, taping, or surgical correction, and visual acuity testing if corneal damage has occurred from exposure all strengthen your claim.
Yes. Cicatricial ectropion from burn or trauma scarring is a direct mechanical consequence of the scar contracture. If the burn or facial injury occurred during service, the ectropion is a secondary condition to the service-connected scar.
Yes. The VA provides surgical correction for ectropion when it causes functional problems. Even after surgery, if there are residual symptoms or the condition recurs, it remains ratable based on the ongoing impairment.