Keratoconus

DC 6035Organs of Sense38 CFR 4.79, DC 6035

A condition where the cornea thins and bulges outward into a cone shape, causing blurred vision and sensitivity to light. The VA rates based on the level of visual impairment with your best corrective lenses.

Rating Levels

Your keratoconus causes significant visual impairment. Your corrected visual acuity is 20/100 or worse, or you have required corneal transplant surgery.

What the VA looks for

Corrected visual acuity 20/100 or worse documented
Advanced keratoconus on corneal topography
Corneal transplant (keratoplasty) surgical history
Residual visual impairment after transplant
Significant impact on work and daily functioning

Common Pitfalls

⚠Not getting corrected visual acuity documented — the rating is based on best-corrected vision.
⚠Not documenting contact lens intolerance if you cannot wear corrective lenses.
⚠Not filing for secondary conditions like chronic eye pain or headaches.
⚠If keratoconus progresses to require corneal transplant, file for an increased rating.

Related DBQ Forms

DBQ Eye Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…