Can My Child with Keratoconus and Severe Allergies Apply for Disability ID? - Ophthalmology

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Hello, my child is in the first year of junior high school and has a vision of only 0.1 and 0.2 due to keratoconus.
Due to severe eye allergies, they are unable to wear contact lenses.
Can we apply for a disability certificate in this situation?

Ms. Wu, 30~39 year old female. Ask Date: 2024/04/15

Dr. Gao Pilin reply Ophthalmology


Hello: Please visit an ophthalmology department at a hospital that can issue a disability certificate.
After a physician's evaluation, if treatment is not possible or if vision remains poor after treatment, a certificate can be issued.
In summary, you must first undergo an ophthalmological examination before proceeding with the subsequent steps.

Reply Date: 2024/04/15

More Info


Keratoconus is a progressive eye disorder that affects the shape of the cornea, leading to visual impairment. In your child's case, with vision acuity of only 0.1 and 0.2, it is understandable that this condition significantly impacts daily life and educational opportunities. Additionally, severe allergies that prevent the use of contact lenses further complicate the situation, as they limit treatment options and can exacerbate visual difficulties.

In the United States, eligibility for disability benefits, including a disability ID, is determined by the Social Security Administration (SSA) based on specific criteria. For children, the SSA evaluates disabilities based on their impact on the child's ability to function in a variety of settings, including home, school, and community. The SSA uses a "functional equivalence" standard, which considers how well a child can perform daily activities compared to their peers.

To qualify for a disability ID, your child's keratoconus and associated severe allergies must meet the SSA's criteria for visual impairments. The SSA has specific listings for visual disorders, which include conditions that result in very low vision or blindness. In general, a visual acuity of 20/200 or worse in the better eye, or a significant limitation in the ability to see, may qualify as a disability. However, since your child's vision is significantly impaired, it is crucial to gather comprehensive medical documentation that outlines the severity of the keratoconus, the impact of the allergies, and how these conditions affect your child's daily life.

Here are some steps you can take to apply for a disability ID for your child:
1. Gather Medical Documentation: Collect all relevant medical records, including diagnoses from eye specialists, treatment history, and any assessments related to the allergies. This documentation should clearly state the severity of your child's keratoconus and how it affects their vision and daily activities.

2. Functional Assessment: Document how your child's conditions impact their ability to perform daily tasks, participate in school, and engage in social activities. This may include difficulties with reading, writing, or participating in sports or other activities due to visual impairment.

3. Consult with a Specialist: It may be beneficial to consult with a pediatric ophthalmologist or an eye care specialist who can provide a detailed assessment of your child's condition and its implications for their overall functioning.

4. Complete the Application: You can apply for a disability ID through your local SSA office or online. Be prepared to provide all necessary documentation and answer questions about your child's medical history and functional limitations.

5. Consider Legal Assistance: If you encounter difficulties during the application process, consider seeking assistance from an attorney or advocate who specializes in disability claims. They can help navigate the complexities of the application process and improve your chances of approval.

In summary, your child's keratoconus and severe allergies may qualify for a disability ID, especially given the significant impact on their vision and daily life. By gathering comprehensive medical documentation and clearly demonstrating how these conditions affect your child's functioning, you can strengthen your application for disability benefits. It's important to approach this process with thorough preparation and, if necessary, seek professional guidance to ensure the best possible outcome.

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