Reasonable Hypothesis SOP [1] | 38 of 2017 |
Balance of Probabilities SOP [2] | 39 of 2017 |
Bulletin 197 [3]
In accommodation disorder the function of the oculomotor nerve to the eye or the ciliary body of the eye is impaired, affecting the ability to change the shape of the lens of the eye and to focus on objects at different distances. The term accommodation disorder, in general usage, may include presbyopia. Presbyopia is covered by a separate SOP and is excluded from the accommodation disorder SOP.
The diagnosis is made on clinical grounds, on examination of the eye.
The relevant medical speciailist is an ophthalmologist.
* another SOP applies
Symptoms of accommodation disorder (particularly blurred vision) are generally non-specific. It may be difficult to back date clinical onset to before the time of diagnosis. However, onset may be at the time of an event (e.g. an injury) and so clinical onset may be able to be dated, on that basis.
Worsening may be evidenced by a decline in powers of accommodation beyond that which occurs with age. Treatment is with corrective lenses.
Place holder node for Rulebase for accommodation disorder
Accommodation disorder - Inability to obtain appropriate clinical management for accommodation disorder Factor
Last reviewed for CCPS 09 September 2009.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [21599] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [6] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [9] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [14] [15] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [14] [15]
Accommodation disorder - Injury or disorder affecting the function of the oculomotor nerve or ciliary muscle Factor
Last reviewed for CCPS 09 September 2009.
Preliminary questions [21598]
21604 [22] the veteran has had an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle at some time. the veteran has had an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle of side and site of the body at some time. 21606 — an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle means any pathological process affecting the brain stem or the oculomotor nerve anywhere along its course (including the oculomotor nucleus, fascicles, subarachnoid space, cavernous sinus or orbit) that leads to a disturbance in the oculomotor nerve function, or ciliary muscle function, causing impairment of accommodation. [Default true]
21608 — the veteran has established the causal connection between the injury or disorder affecting the function of the oculomotor nerve or ciliary muscle and VEA service for the clinical onset of accommodation disorder.
21609 — the veteran has established the causal connection between the injury or disorder affecting the function of the oculomotor nerve or ciliary muscle and operational service for the clinical onset of accommodation disorder.
or
21610 — the veteran has established the causal connection between the injury or disorder affecting the function of the oculomotor nerve or ciliary muscle and eligible service for the clinical onset of accommodation disorder.
Clinical onset and operational service [21609]
21611 — the identified illness or injury, which affected the function of the oculomotor nerve or ciliary muscle of side and site of the body at the time of the clinical onset of the condition under consideration, is causally related to operational service. [25] [26]
Clinical onset and eligible service [21610]
21612 — the identified illness or injury, which affected the function of the oculomotor nerve or ciliary muscle of side and site of the body at the time of the clinical onset of the condition under consideration, is causally related to eligible service. [27] [26]
Links
[1] http://www.rma.gov.au/assets/SOP/2017/038.pdf
[2] http://www.rma.gov.au/assets/SOP/2017/039.pdf
[3] https://clik.dva.gov.au/system/files/media/Bulletin%20197.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63172%23comment-form
[5] https://clik.dva.gov.au/ccpsother-31
[6] https://clik.dva.gov.au/node/69644
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/Accommodation disorder/ACM - contributed to worsening
[10] clikpopup://CCPS/ACM/NoContribution
[11] clikpopup://CCPS/ACM/NotOpService
[12] clikpopup://CCPS/ACM/NotOperDuties
[13] clikpopup://CCPS/rejectwilful
[14] clikpopup://CCPS/ACM/NoIllness
[15] clikpopup://CCPS/reject7390,7391No
[16] clikpopup://CCPS/Accommodation disorder/ACM - onset prior to operational service
[17] clikpopup://CCPS/ACM/OnsetFailOper
[18] clikpopup://CCPS/ACM/NotEligService
[19] clikpopup://CCPS/ACM/NotEligDuties
[20] clikpopup://CCPS/Accommodation disorder/ACM - onset prior to eligible service
[21] clikpopup://CCPS/ACM/OnsetFailElig
[22] https://clik.dva.gov.au/standard-commentary-29
[23] https://clik.dva.gov.au/reasons-decision-58
[24] clikpopup://CCPS/reject21605No
[25] clikpopup://CCPS/reject21611No
[26] clikpopup://CCPS/reject21611,21612No
[27] clikpopup://CCPS/reject21612No