In 2004, when rating bilateral vision loss, how is the disability rated?

• A. Ratings are based on vision with best practicable correction
• B. Whichever eye rates highest in used
• C. Ratings are based on uncorrected vision
• D. The standard rating shall be based on disability found under reduction of vision plus 1/2 the difference between disabilities 2.4 and 2.3

Answer: (A)

The key idea is that disability for bilateral vision loss is measured using vision with the best practicable correction. This means you evaluate how well the person could see after applying the maximum feasible correction (glasses, contact lenses, surgery if applicable) and base the rating on that level of vision, not on their uncorrected sight.

This approach ensures the rating reflects the person’s permanent impairment after optimizing vision and provides a consistent standard across cases. It avoids penalizing someone for poor current correction or for refractive issues that can be corrected.

The other options don’t fit because uncorrected vision doesn’t capture the person’s maximal functional potential, and choosing the eye with the higher impairment or applying a specific reduction-and-difference formula would not align with rating practice for bilateral vision loss in 2004.