Section 68A of the Act
19 The first ground of appeal was that the trial judge -
" … erred in not deducting from the amount awarded pursuant to section 66 for the loss of sight in the right eye an amount in accordance with Section 68A of the Workers Compensation Act 1987 due to the pre-existing condition of keratoconus."
20 So far as presently material, s 68A of the Act provides -
"68A(1) In determining the compensation payable under this Division for a loss, there is to be a deduction for any proportion of the loss that is due to any previous injury (whether or not it is an injury for which compensation has been paid or is payable under this Division) or that is due to any pre-existing condition or abnormality.
(2) The proportion of a loss that is required to be deducted because of subsection (1) is the deductible proportion for that loss.
…
(6) If there is a deductible proportion for a loss but the extent of the deductible proportion (or a part of it) will be difficult or costly to determine (because, for example, of the absence of medical evidence), it is to be assumed (for the purpose of avoiding litigation) that the deductible proportion for the loss (or the relevant part of it) is 10 per cent of the loss, unless this assumption is at odds with the available evidence.
(7) The reference in subsection (6) to medical evidence is, in the context of court proceedings, a reference to medical evidence properly admitted in the proceedings or accepted or preferred by the court."
21 The trial judge did not in his reasons refer to s 68A or to deduction of a deductible proportion. The employer's amended answer as filed had not raised it, nor had it been raised in the employer's submissions in chief. It was raised at the conclusion of the worker's submissions, which were not followed by any submissions in reply from the employer. According to the transcript -
"HIS HONOUR: Very well. What about, do I have to consider 68A then if we suppose it is degenerative, it is not pleaded, I do not suppose. What do you say about that then? Can I, I'd that my? [sic]
MR CALLAWAY: If it is relevant, your Honour, 10 per cent, but if it is relevant, I have just, off the top of my head, your Honour. It is not being pleaded, I do not -
HIS HONOUR: You concede that it did -
MR CALLAWAY: I do not recall what section 68A says, about impaired sight, if anything.
HIS HONOUR: No, no. I am talking about pre-existing condition.
MR CALLAWAY: Yes, your Honour. I am just not in a position to conceded [sic] that it applies, you know to site [sic] cases. It is GHT.
MR MENARY: It applied to all section 66, as I understand it, your Honour.
HIS HONOUR: Yes -
MR CALLAWAY: I think that is probably right, your Honour.
HIS HONOUR: It just says 'In determining a compensation payable under the provision for a loss there is to be a deduction for any proportion of the loss that is due to any previous injury, whether or not the injury, compensation is paid or payable under the Act or that it is due to any pre-existing condition or abnormality.
MR CALLAWAY: 10 per cent, your Honour, and your Honour, I do not need to take your Honour through the transcript in relation to complaints because the loss appears to be 85 per cent -
HIS HONOUR: Yes. I do not know whether that is -
MR CALLAWAY: There does not seem to be much dispute about that.
HIS HONOUR: No. Do I take the corrected vision, 35 per cent?
MR CALLAWAY: No, your Honour.
HIS HONOUR: I do not know about that. Why do I not take that?
MR CALLAWAY: Because your Honour does not take into account the use of any prosthesis or anything like that.
HIS HONOUR: Very well."
22 The transcript is occasionally corrupt, and may not be complete. As much from what was not said as from what was said, there was something close to a concession by the employer that there could be no more than the assumed deductible proportion of 10 per cent of the loss, and perhaps something close to a concession by the worker that there should be such a deduction. The trial judge, however, may well have thought that the employer was not contending for a deduction - the employer certainly showed little interest in it. As will be seen, his Honour clearly enough did not have s 68A in mind when expressing his findings. The uncertainty is such that the parties should not be regarded on appeal as having made the concessions, and the matter should be dealt with on its merits. It is unfortunate that his Honour was not given greater assistance by counsel, who seem to have been taken unawares when the judge drew attention to s 68A.
23 The employer's primary submission on appeal was that there should have been a deduction for a deductible proportion found in 50 percentage points out of the 85 per cent loss of sight in the eye pursuant to s 68A(1). It argued that, although the trial judge had found a loss of 85 per cent of the vision in the right eye, in the opinion of Dr Delaney the loss of vision in the eye directly related to the incident was 35 per cent: so, it was said, the remainder of the loss of vision must have been due to a pre-existing condition of keratoconus. If the submission were accepted, the award pursuant to s 66 of the Act should have been $13,545 rather than $32,895.
24 In my opinion, the submission is founded on a misconception of the evidence of Dr Delaney.
25 The employer relied on a passage in Dr Delaney's report of 9 March 1999 -
"It must be noted that the loss which is assessed at 85% of vision without a spectacle correction had occurred because of his high grade myopic astigmatism and this is a physiological event, whereas the loss of the best corrected vision, which is 35% of the right eye, I believe is directly related to the above incident causing an exacerbation of his pre existing corneal problem. Whether this corneal problem is labelled keratoconus or high grade myopic astigmatism is irrelevant as this is an underlying condition which has been exacerbated and changed by his injury, and the timing of the onset of this loss of vision, based on the history obtained, relates to [sic] the change in his vision to the incident."
26 At this time Dr Delaney preferred the diagnosis of myopic astigmatism to the diagnosis of keratoconus, being persuaded of the latter diagnosis by information in Dr Moshegov's report of 6 April 1999. For present purposes, that does not matter. Dr Delaney was not attributing only 35 per cent loss of vision in the right eye to the incident on 23 October 1990. Rather, he was distinguishing between the uncorrected loss of vision, assessed at 85 per cent, and the loss of vision after best correction, that is, with glasses or a contact lens. Dr Delaney explained the 85 per cent and 35 per cent in his oral evidence -
"Q. You made reference in your reports, in particular the second of your reports, to 85 per cent loss of vision as compared to his corrected vision of 35 per cent.
A. Yes.
Q. Are you able to clarify that?
A. The way vision is assessed is based on a scale that's been devised by the Royal Australian College of Ophthalmologists, and Mr Smart was unable to see the top line of the chart without glasses, and that gives him his uncorrected - or he could just see the top line - gives me his uncorrected loss. With the best spectacle correction, however, he could only get to the sixth-twelfths line partly, and that equates to a 35 per cent loss of vision, and it means that because of the distortion in his cornea, even with the best spectacle lens, he cannot get normal vision, so that's why there is a 35 per cent loss with the spectacle correction."
27 Hence the trial judge expressed his finding as an uncorrected loss of vision. The 85 per cent loss of vision was still related to the incident of 23 October 1990.
28 The employer's secondary submission was that, at the least, there should have been the deduction of a deductible proportion of 10 per cent of the loss pursuant to s 68A(6). It argued that the keratoconus was a pre-existing condition; that some proportion of the loss had to be due to it; that it was difficult to determine the proportion of the loss; and that a finding of a deductible proportion for the loss of 10 per cent of the loss was not at odds with the evidence. If the submission were accepted, the award pursuant to s 66 of the Act should have been $29,606 rather than $32,895.
29 Section 68A in its present form was included in the Act in 1996, replacing a provision broadly to the same effect but limited to loss being permanent impairment of the back, neck or pelvis. There were differences in expression, but the structure and language of the original s 68A(1) were similar to that of the current s 68A(1) so far as it denied compensation of a deductible proportion, being -
" … any proportion of the loss that is due to:
(a) a previous injury for which compensation has been paid or is payable under this Division, or