Evidence Checklist: Dry Eye Syndrome

Ophthalmology evaluation documenting dry eye diagnosis and severityCritical

Records from an ophthalmologist documenting Schirmer test results, TBUT, corneal staining (fluorescein/rose bengal), and dry eye severity grade.

Nexus opinion linking dry eye to service (desert/wind exposure, medications, blast injury)Critical

Medical opinion connecting dry eye syndrome to military service, including environmental exposures (dust, wind, low humidity in deployment), blast injury, or medications used in service.

Treatment records (artificial tears, cyclosporine drops, punctal plugs)

Records documenting the treatment regimen needed to manage dry eye symptoms and any treatment failures.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.