6080 homonymous hemianopsia

M

macgrinch

PEB Forum Regular Member
Registered Member
Idk if anyone else has been diagnosed with this condition I have a Concentric contraction of visual field with 15% in the left and 18.75 in the right. My 199 came back and was FUBAR because they rated me for a 6080 homonymous hemianopsia but in the description and rating area it was rated as a 6066 Visual acuity and was rated at 0% due to not having any issue with my visual acuity W/ glasses!

V/R,
Brendan
 
I have been diagnosed and it was a fight to actually get the condition to appear on my DA3947. My conditon is a little different as it is left sided homonymous hemianopsia with macular sparing. Zero left sided vision that is directly related to right side occipital lobe head trauma. I also have retinal hemorrhaging in my right eye that is being treated.

Homonymous hemianopsia in itself warrants a referral to the MEB and is rated by the VASRD at 30% It would be up to the PEB to determine if it is a fitting or no fitting condition. I beleive the PEB found mine to be non fitting.

My case is at the VA getting rated so I do not have my 199 yet.
 
I also had a trama to the right side of my face due to a fight, had multiple fractures to the right side of my orbital bone and it is a left sided bilateral for me . in the initial sheet to go up to the PEB did it show each eye separately with a 6080 or were both of them listed together ?
 
Intitially they were trying to rate each eye seperately with the terminology peripheral vision defect. I did an IMR (assuming they were rating each eye separately) and the physican agreed however my corrected DA3947 after the IMR had the condition was omitted. I pitched a fit and my DA3947 was sent to a QA team and the conditon was added to the DA3947 as unfitting.

None of my conditions on my DA3947 have the actual code from the VASRD on them.
 
hmm interesting cause my 199 shows the 6080 twice. What documentation did you need from the fight, mine happened over a year ago in korea and now im back in the states and trying to get the documentation has been a struggle
 
Since you are stating that you have concentric contraction (however listing a percentage rather than degrees) take a look at your Goldmann chart to see if they have listed it in degrees.
 
I meant degrees my bad and it comes out the same doing it by degrees or by just a straight 6080 homonymous hemianopsia. cause from what the lawyer told me it would be rated in the degree part

VISUAL ACUITY RATING
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
VISUAL FIELD 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)
 
macgrinch said:
hmm interesting cause my 199 shows the 6080 twice. What documentation did you need from the fight, mine happened over a year ago in korea and now im back in the states and trying to get the documentation has been a struggle
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I did not have a fight but rather a LOD injury in which I had TBI and a broken neck. I had complained of vision issues for a couple of years and the visual field defect was diagnosed by occupational therapy. Just by dumb luck, TRICARE referred me to a macular specialist instead of a neuro-opthamologist and they found my retinal hemmorhage.

I actually had to ask to be diagnosed with homonymous hemianopsia since I was continually be diagnosed as visial field defect. I had at least 10 Humphrey Field Examinations. I also have MRI evidence to support the trauma to the occipital lobe.
 
I actually had to ask to be diagnosed with homonymous hemianopsia since I was continually be diagnosed as visial field defect. I had at least 10 Humphrey Field Examinations. I also have MRI evidence to support the trauma to the occipital lobe.
Click to expand...
I also had issues with them making the correct diagnosis they said that a left Homonymous hemianopsia meant left eye and I knew something was wrong with my vision but never had it looked at till I went for PRK surgery and the ophthalmologist noticed something not right and did the dot machine thingy I guess its the Humphrey exam and have had that done many times also since. they ended up giving me prisms to help compensate for the lost field area in my left eye and they work wonders
 
To be honest I think it will come down to a formal PEB for you in order to get the correct rating. It appears the rater is using the fact that you vision is being corrected with the eyeglasses that you have been prescribed.

I suppose that I will be in the same boat since I was too prescribed eyeglasses and peli-prisims.
 
not the case for me since the glasses were prescribed while my case was up for ratings and they just made a bad call
 
Actually the same scenario for me, my prescription was made while my case is at ratings.
 
Well best of luck to you in this ill keep this updated with what the outcome is I am currently on hold because of the adjustment disorder disaster which has transpired so you may find out before me
 
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