09-48 267
09-48 267
| Board of Vet. App. | May 31, 2017Background
- Veteran served on active duty 1986–2007; filed initial claim for service connection for atypical Coat's disease of the right eye in October 2007 and was granted effective January 1, 2008.
- Appeal to the Board followed a May 2009 RO rating decision; Board remanded in March 2016 and again in May 2017.
- The core dispute is entitlement to a rating in excess of 10% for the right eye condition.
- April 2016 VA examination did not use required Goldmann visual field testing and appears to have only one visual field recording; it also failed to perform the required two visual acuity recordings/analysis where near vision is two steps worse than distance.
- Because the claim onset predates the December 2008 VA regulatory changes, the pre-2008 criteria govern from Jan 1, 2008 to April 14, 2016; for April 15, 2016 onward both old and new criteria must be considered and the most favorable applied.
- Board found the April 2016 exam insufficient under both pre-2008 and post-2008 rules and remanded for a new, compliant examination and readjudication.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the record contains adequate evidence to rate visual field contraction for right eye above 10% | Veteran contends current impairment warrants >10% rating based on service-connected Coat's disease | VA relied on April 2016 exam results but those are procedurally deficient | Remand: exam insufficient; additional compliant testing required |
| Which rating schedule governs the claim period | Veteran implicitly seeks most favorable criteria; initial claim predates 2008 rule changes | VA applied some post-2008 criteria in 2016 but must apply pre-2008 rules for earlier period | Pre-2008 criteria govern Jan 1, 2008–Apr 14, 2016; from Apr 15, 2016 both old and new must be considered and the more favorable applied (Kuzma rule) |
| Whether the April 2016 VA exam complied with regulatory test requirements | Veteran argues exam findings should be adequate to decide appeal | April 2016 exam did not use Goldmann or required automated perimetry, did not chart required meridians, and lacked required repeat acuity testing/explanation | Exam fails to meet either pre- or post-2008 evidentiary standards; new exam ordered |
| Whether further development is required before deciding rating | Veteran requests decision on merits based on existing record | VA/Board finds record incomplete and development discretionary but necessary | Further VA examination and readjudication required; claimant given opportunity to respond |
Key Cases Cited
- Kuzma v. Principi, 341 F.3d 1327 (Fed. Cir. 2003) (where multiple rating schemes could apply, apply the scheme most favorable to the veteran)
- Kowalski v. Nicholson, 19 Vet. App. 171 (2005) (VA has discretion to order a medical examination when necessary to decide a claim)
- Kutscherousky v. West, 12 Vet. App. 369 (1999) (veteran retains right to submit additional evidence and argument after a remand)
