Diagnostic Code 6021 · 38 CFR §4.79
Entropion is a condition where the eyelid turns inward, causing the eyelashes to rub against the cornea and conjunctiva. This constant friction causes pain, tearing, redness, and progressive corneal damage that can lead to scarring and vision loss if untreated. In veterans, entropion may result from eyelid scarring after burns or trauma, trachoma infection contracted during deployment, or surgical complications. The VA assigns a flat 20% for bilateral entropion and 10% for unilateral.
| Rating | Criteria |
|---|---|
| 20% | Bilateral entropion (affecting both eyes). |
| 10% | Unilateral entropion (affecting one eye). |
An ophthalmology examination documenting the entropion and corneal effects is essential. Slit-lamp examination showing any corneal scratching or scarring, documentation of the service-connected cause, treatment records including lubricants, temporary sutures, or surgery, and visual acuity testing if corneal damage has affected vision all strengthen your claim.
Not exactly. Entropion is the inward turning of the entire eyelid margin, while trichiasis is misdirected individual eyelashes without the lid itself turning in. Both cause lashes to rub the cornea, but entropion involves structural change to the eyelid. They are often related, especially in trachoma.
Yes, recurrence is possible, especially if the underlying cause (scarring, inflammation) continues. Each recurrence and required re-operation is documented in your medical records and supports your disability claim.