Citation Nr: 18124023
Decision Date: 08/03/18	Archive Date: 08/03/18

DOCKET NO. 14-24 344
DATE:	August 3, 2018
REMANDED
Entitlement to service connection for a Meibomian Gland Dysfunction (claimed as cyst right eyelid) is remanded.
REASONS FOR REMAND
The Veteran served on active duty in the United States Army from November 1995 to January 2009. 
1. Entitlement to service connection for a Meibomian Gland Dysfunction (claimed as cyst right eyelid) is remanded.
Remand is required for a VA examination and opinion. A medical opinion may be considered adequate when it is based upon consideration of the Veteran’s prior medical history and examinations and provides a sufficiently detailed description of the disability so that the Board’s evaluation of the claimed disability will be a fully informed one. Barr v. Nicholson, 21 Vet. App. 303, 311 (2007); Green v. Derwinski, 1 Vet. App. 121, 124 (1991).
Here, the Veteran has been afforded VA examinations for the right eye in September 2010, October 2010, and July 2015. However, none of these examinations are adequate. The September 2010 VA examination is inadequate because the examiner was unable to perform an eye examination due to the Veteran experiencing severe sensitivity to light. At the October 2010, the examiner was able to examine the Veteran and provided a diagnosis of meibomian. However, this examination and opinion is inadequate because the examiner did not consider the Veteran’s complaints of in-service occurrence of eye symptoms, nor did the examiner offer an opinion regarding the etiology of the disorder. Prior to June 2014, the record only contained a partial copy of the Veteran’s service treatment records (STRs). However, in June 2014, the Veteran was able to provide his copies of the STRs. The STRs indicate that the Veteran was treated for a stye on the right eye from June to September 2007. The July 2015 VA examiner was able to consider the STRs, but the examiner did not provide an opinion regarding the etiology of the observed chalazion located on the eyelid. Further, the July 2015 examiner also stated under diagnosis that no chalazion noted on examination, thereby presenting conflicting information. Thus, a new VA examination must be provided.
The matter is REMANDED for the following action:
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Schedule the Veteran for an examination by an appropriate clinician to determine the nature and etiology of any right eye disorder, specifically Meibomian.  The examiner must opine whether it is at least as likely as not related to an in-service injury, event, or disease, including a right eye stye treated in June through September 2007.
 
Thomas H. O'Shay
Veterans Law Judge
Board of Veterans’ Appeals
ATTORNEY FOR THE BOARD	M. Thompson, Associate Counsel

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