Rohrschneider K, Tost F
Ophthalmologische Rehabilitation und seltene Augenerkrankungen, Augenklinik der Universität Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
Klinik und Poliklinik für Augenheilkunde Universitätsmedizin Greifswald, Ernst-Moritz-Arndt Universität, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland.
Ophthalmologie. 2023 Oct;120(10):1071-1084. doi: 10.1007/s00347-023-01917-2. Epub 2023 Sep 11.
Glaucoma is one of the eye diseases that are particularly relevant to driving in old age. The ophthalmologist often has to take on the task of traffic medical consultation or medical appraisal. It is essential to distinguish between fitness to drive and driving ability or driving safety and driving capability. The medical examination of fitness to drive can only be carried out over long intervals and basically requires an ophthalmological examination in compliance with all the requirements of the driving license ordinance. This is not a healthcare task. In the case of clarification of the fitness to drive in people with known glaucoma on behalf of the test persons themselves or a driving license authority, visual field testing must be performed using manual kinetic perimetry according to Goldmann, especially for all borderline case decisions by traffic experts. The ophthalmologist faces the particular difficulty of maintaining a balance between the legal duty of care and patient-centered care in order not to strain the patient-physician relationship.
青光眼是一种与老年人驾驶特别相关的眼部疾病。眼科医生常常不得不承担交通医学咨询或医学评估的任务。区分驾驶适宜性与驾驶能力或驾驶安全性与驾驶技能至关重要。驾驶适宜性的医学检查只能间隔较长时间进行，并且基本上需要按照驾驶执照条例的所有要求进行眼科检查。这并非一项医疗保健任务。在代表受测者本人或驾驶执照管理机构对已知患有青光眼的人进行驾驶适宜性评估时，必须使用戈德曼手动动态视野计进行视野测试，尤其是在交通专家做出所有临界病例判定时。眼科医生面临着在法定注意义务和以患者为中心的医疗之间保持平衡的特殊困难，以免损害医患关系。
