The Board has found lack of substantial compliance with its prior remand directives and the matter is being remanded again for further development, including obtaining an addendum opinion from an ophthalmologist regarding the Veteran's right eye disabilities.

The Board dismissed the appeal of entitlement to service connection for dry eye syndrome claimed as visual impairment, including blurry vision, blindness, double vision due to procedural error. The Veteran's claim for service connection for sleep apnea was denied because there is no evidence of a current diagnosis of sleep apnea.

The Veteran's eligibility for PCAFC benefits is remanded due to the AOJ's failure to address whether it is in the best interest of the Veteran to participate in the program. The Board finds that the Veteran has been in need of personal care services for at least six continuous months based on an inability to perform the ADL of bathing.

The Veteran's claim for an initial compensable rating for OSA is denied as his sleep apnea has not been manifested by persistent daytime hypersomnolence or required use of a breathing assistance device such as a CPAP machine.,The Veteran's claims for service connection for dry eye syndrome and an increased rating for left knee disability are remanded due to procedural errors in the adjudication process.

The Veteran's tinnitus and hearing loss claims are denied as there is no current diagnosis of these conditions.,The Veteran's high cholesterol, dementia, stroke, prostate cancer, cataracts, diabetes, hypertension, CHF, and myocardial infarction claims are denied due to lack of service connection evidence or insufficient evidence to establish a nexus between the disabilities and active duty service.,The Veteran was exposed to toxins during his military service but there is no evidence linking these exposures to any of the claimed conditions.