Piper H F
Klin Monbl Augenheilkd. 1991 Sep;199(3):209-13. doi: 10.1055/s-2008-1046074.
A medical expert's opinion had to be given on five patients complaining about temporary visual disturbances. 1. Haze caused by keratoconjunctivitis sicca; 2. changing refraction related to diabetes; 3. phosphenes in a paralyzed monoculus; 4. double vision with fatigue in myasthenia; 5. presumed elevation of the risk for accidents in congenital nystagmus. The loss of earning capacity in these cases should be calculated as the mean of the earning capacity during the phases of least and maximal disturbance, if it is not yet included in the loss caused by additional stationary defects. Psychological adaptation to or an additional disturbance by the disease has to be considered and may justify a higher loss of earning capacity.
必须就五名抱怨暂时性视觉障碍的患者给出医学专家意见。1. 干眼症引起的雾视;2. 与糖尿病相关的屈光变化;3. 单眼麻痹时的光幻视;4. 重症肌无力中伴有疲劳的复视;5. 先天性眼球震颤中假定的事故风险升高。在这些情况下,如果收入能力的损失尚未包含在由其他固定缺陷导致的损失中,则应计算为最小和最大干扰阶段收入能力的平均值。必须考虑对疾病的心理适应或疾病造成的额外干扰,这可能证明收入能力损失更高是合理的。