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In regards to the veterans bilateral dry eye syndrome, the current 20 percent rating is the maximum schedular rating available for bilateral epiphora.
The biggest difference between TDIU and a 100 percent rating is the impact TDIU has on a veterans future employment status. There are no restrictions on a veterans ability to work with a 100 percent schedular rating.
Generally speaking, veterans will attend a Compensation Pension (CP) examination and the examiner will measure how far they can bend forwards, backwards, and side to side, using a goniometer.
VA Disability Rating for Shoulder Labral Tear is similar: Severe: 40% for dominant and 30% for non-dominant. Moderately severe: 30% for dominant and 20% for non-dominant. Moderate: 20% for both shoulders.
The effective date of a TDIU rating is the date when the VA received the claim for service connection or the date when the VA believes the Veteran became unemployable as a result of their service-connected disabilitywhichever is later. However, this is not necessarily the date the Veteran stopped working.
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No, the VA cannot reduce a Permanent and Total VA rating unless the original disability rating was based on fraud. The major benefit of being deemed both Permanent and Total or 100% PT is that your VA rating is protected from a future rating reduction. This means the VA can NEVER reduce your rating!
The main difference between the two is that with TDIU, a Veteran has been deemed unemployable even though their service-connected disabilities do not add up to 100% overall. Being rated at 100% overall, however, does not necessarily restrict a Veteran from obtaining and securing substantially gainful employment.
Basically, the VA can reevaluate your disability rating every 2 to 5 years unless your rating is permanent or protected. Depending on the results of the reexamination and reevaluation, you may see a reduced rating. Some conditions are likely to fluctuate in severity over time. An example of this?

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