Every person with keratoconus is different.

Some people with in the early stages of KC may not need any accommodation apart from time off for treatment and monitoring of their condition. Others may be able to self-accommodate if given flexibility to adjust the lighting near their workstation. Generally speaking however, accommodation needs of employees with keratoconus are likely to be similar to those of employees with other conditions resulting in low vision and photosensitivity.

Accommodating a person who is sensitive to light can take quite a bit of trial and error. It can be challenging to get enough light to work without triggering sensitivity symptoms.

Here are suggestions from JAN (Job Accommodation Network) consultants often make regarding accommodations for photosensitivity in office settings.

1. Consider allowing telework / remotely for some or all of the week so that the employee may work in a setting where he or she can more easily control lighting.
2. Consider use of floor to ceiling cubical walls so that fluorescent light is blocked from reaching the employee’s work station. Other options to block out overhead lighting include an office with a door, a cubicle roof, or even a patio umbrella installed over one’s desk.
3. Consider installing filters in fluorescent light fixtures to reduce the negative effects of fluorescent lights. Turning off overhead lights and using lamps may allow more control over lighting, especially for employees who need to work in low light.
4. Consider use of full spectrum lighting to supplement natural light near employee’s workstation if the individual does better with natural or full spectrum light. If the individual is sensitive to full spectrum, natural light, or UV, consider other options.
5. For individuals who are sensitive to flickering, consider use of alternative lighting such as incandescent or LED lighting.
6. Consider modifying dress codes to allow the employee to wear items to help reduce the effects of fluorescent light, such as sunglasses or hats with brims.
7. Explore accommodations to enhance concentration such as reducing background noise or allowing the employee to listen to music through headphones while working.
8. If the person does better with natural light, try to place them near a window.
9. If the person needs more control over the light in his workspace or is sensitive to UV, windows can be problematic. Consider moving the person away from windows or installing appropriate window coverings.

At later stages of keratoconus, more time off for treatment and recovery from surgeries may be needed. Another accommodation that may be needed as the condition progresses is a modified schedule to allow for use of public transportation or other means of alternative transportation or to accommodate limitations related to night driving. Depending on the situation, telework/working remotely from home may be another accommodation to consider when commuting issues arise.