The Board granted service connection for bilateral dry eye syndrome and gout, finding that the evidence was at least evenly balanced as to whether these conditions had onset in service.

The Board granted service connection for eye conditions, an acquired psychiatric disorder, and obstructive sleep apnea as secondary to the Veteran's service-connected diabetes mellitus type II with erectile dysfunction and left eye retinopathy. However, it denied increased ratings for multiple peripheral neuropathies, hypertension, and status post tympanoplasty.

The Board granted an initial evaluation of 20 percent for left and right ankle strains, denied a compensable evaluation for bilateral hearing loss, and remanded claims for hypertension and gout.

The Board granted a 20 percent initial rating for bilateral dry eye syndrome and service connection for left knee strain, but denied other claims including increased ratings for right lower extremity radiculopathy, bilateral hearing loss, incomplete right bundle branch block (claimed as cardiac arrhythmia), degenerative disc disease of the thoracolumbar spine with IVDS, scarring of the left inguinal area, status post varicocele surgery, and service connection for left shoulder strain and restless leg syndrome.

The Board denied service connection for all the conditions listed as there was no evidence of an in-service event, nor is there evidence demonstrating a nexus to service.