With corneal scarring and blindness
With severe disease, contact lens intolerance, or visual acuity 20/200 or less
With moderate disease requiring rigid contact lenses, visual acuity 20/50 to 20/100
With mild irregular astigmatism correctable with glasses or soft contact lenses
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how keratoconus affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for keratoconus, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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