Can High Myopia and Astigmatism Qualify for Mild Disability Certification? - Ophthalmology

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If a person has myopia and astigmatism of approximately 1000 degrees, does this qualify for applying for a mild disability certificate?

Mr. Zhang, 30~39 year old female. Ask Date: 2004/05/05

Dr. Zhang Yuhua reply Ophthalmology


Hello: The degree of refractive error and visual acuity are not entirely linearly related, so there is no absolute correlation between the degree of refractive error and disability.

Reply Date: 2004/05/05

More Info


High myopia and astigmatism can indeed qualify for a mild disability certification, depending on the severity of the conditions and their impact on daily functioning. In the United States, disability certifications often consider the degree of vision impairment and how it affects an individual's ability to perform everyday tasks.

High myopia, also known as pathological myopia, is typically defined as a refractive error greater than -6.00 diopters. Individuals with high myopia are at increased risk for various ocular complications, including retinal detachment, glaucoma, and cataracts. Astigmatism, on the other hand, is a common refractive error caused by an irregular shape of the cornea or lens, leading to blurred or distorted vision. When combined, high myopia and significant astigmatism can severely affect visual acuity.

To qualify for a mild disability certification, the following factors are generally considered:
1. Visual Acuity: The degree of vision impairment is assessed using standardized tests. For instance, if an individual has a best-corrected visual acuity of 20/70 or worse in the better eye, they may qualify for a disability certification. In your case, if your myopia and astigmatism result in significant visual impairment that cannot be fully corrected with glasses or contact lenses, it may support your application.

2. Impact on Daily Life: The certification process often evaluates how the visual impairment affects daily activities, such as reading, driving, and performing work-related tasks. If your vision significantly limits your ability to engage in these activities, it strengthens your case for certification.

3. Medical Documentation: A thorough medical evaluation and documentation from an eye care professional are crucial. This documentation should include the degree of myopia and astigmatism, any associated complications, and how these conditions impact your daily life.
4. State or Local Guidelines: Different states or local jurisdictions may have specific criteria for disability certification. It is essential to check with your local disability office or health department to understand the specific requirements in your area.

5. Additional Factors: Other health conditions, such as additional visual impairments or systemic diseases, may also be taken into account when assessing eligibility for disability certification.

In conclusion, if you have high myopia and astigmatism exceeding 1000 degrees, and these conditions significantly impair your vision and daily functioning, you may qualify for a mild disability certification. It is advisable to consult with an eye care professional who can provide a comprehensive evaluation and assist you in gathering the necessary documentation for your application. Additionally, reaching out to your local disability office can provide you with specific guidance on the application process and requirements in your area.

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