Diabetic retinopathy is one of the most common complications of diabetes—and one of the most misunderstood when it comes to Social Security Disability Insurance (SSDI). Vision loss from this condition can severely limit your ability to work, yet many applicants are denied SSDI due to insufficient documentation.
At PLBH, we’ve helped clients across California successfully apply for SSDI based on vision impairment caused by diabetic complications. If your vision loss is preventing you from working, here’s what you need to know about properly documenting your condition to meet SSA’s standards.
How SSA Evaluates Vision Loss from Diabetic Retinopathy
Diabetic retinopathy can damage the small blood vessels in the retina, leading to:
- Blurred or patchy vision
- Blind spots
- Difficulty with night vision
- Complete vision loss in one or both eyes
SSA evaluates vision impairments under Listing 2.00 – Special Senses and Speech, specifically focusing on visual acuity, visual field, and visual efficiency. To qualify automatically under the listings, your vision must meet specific thresholds, such as:
- Visual acuity of 20/200 or worse in the better eye with correction
- A visual field limitation of 20 degrees or less
- Visual efficiency of 20 percent or lower
However, most people don’t meet these criteria at first glance—so functional evidence becomes key.
Medical Documentation That Strengthens Your SSDI Application
To build a compelling case, your application should include:
1. Detailed Medical Records
- Eye exams conducted by an ophthalmologist or optometrist
- Retinal imaging results (e.g., OCT scans, fluorescein angiography)
- Documentation of surgeries, laser treatments, or injections
- Records showing progression of the disease over time
2. Functional Vision Assessments
Even if your visual acuity is technically above SSA’s listed threshold, you may still qualify based on functional limitations. Reports should document:
- How much your vision fluctuates
- Trouble reading small print or screens
- Difficulty recognizing faces or navigating unfamiliar environments
- Inability to drive, cook, or manage medications
3. Statements from Eye Care Providers
Ask your eye doctor to submit a detailed statement about your limitations. This can include:
- Your prognosis
- Likelihood of further deterioration
- Specific tasks you can no longer perform safely or independently
Explaining How Vision Loss Affects Your Ability to Work
SSA isn’t just looking for a diagnosis—they want to see how your condition affects your work capacity. Be clear and specific when describing your limitations:
- “I can no longer read labels or see buttons on a cash register.”
- “I bump into things at work due to limited peripheral vision.”
- “I’m unable to safely commute or use a computer.”
These kinds of statements, backed by medical records, can help paint a clear picture of your daily struggles.
Additional Tips for a Strong Application
- Include records from both your eye doctor and primary care provider to show a complete picture of your health
- Note any related conditions, like cataracts or macular edema
- Submit up-to-date labs and imaging—SSA often denies cases with outdated medical evidence
- Track missed work or job accommodations related to your vision problems
Appealing a Denial? You’re Not Alone
Many SSDI claims related to diabetic retinopathy are denied initially—not because the applicant isn’t disabled, but because the documentation didn’t match what SSA needs to see. If you’ve been denied, don’t give up.
At PLBH, we’re experienced in appealing SSDI denials and can help strengthen your claim with the right medical evidence and strategy.
Call (800) 435-7542 today for a free consultation. Let us help you fight for the benefits you deserve.