Schipper J, Landau K, Hornung R
Augenklinik Kantonsspital Luzern.
Klin Monbl Augenheilkd. 1993 May;202(5):382-5. doi: 10.1055/s-2008-1045610.
Visual Field: The determination of the level of compensation for loss of integrity is based on the Goldmann Perimetry. In case of concentric loss of the visual field the SUVA Tables 1989 are used. Hemi- and Quadrantanopsias are still evaluated according to the Rintelen Tables from 1954. No guidelines are available for the evaluation of central and paracentral skotomas. It is uncertain if automatic perimetry can be used routinely in the future for the evaluation of visual function. Motility Disorders and Diplopia: The evaluation of functional loss caused by diplopia is very difficult. Therefore a big variation of 5-30% has been determined. It is up to the specialist to evaluate the extent of the damage. In this study we looked for a correlation between the objective findings and the subjective complaints. Such a correlation could not be found so that an arbitrary classification depending on the extent of the diplopia must be recommended. This would create an analogy to the evaluation of the loss of visual acuity and visual field where no freedom is left to the judgement of the physician. Some reflections are given on the sense and benefit of the unique Swiss law concerning compensation for loss of integrity.
完整性丧失的补偿水平判定基于戈德曼视野计检查。视野呈同心性缺损时，使用1989年的SUVA表。偏盲和象限盲仍依据1954年的林特伦表进行评估。对于中心和旁中心暗点的评估尚无指导原则。未来自动视野计能否常规用于视觉功能评估尚不确定。眼球运动障碍和复视：复视所致功能丧失的评估非常困难。因此确定了5%至30%的较大差异范围。损伤程度由专科医生评估。在本研究中，我们探寻客观检查结果与主观症状之间的相关性。未发现此类相关性，因此必须推荐根据复视程度进行任意分类。这将与视力和视野丧失的评估形成类比，在此类评估中医生的判断没有自由裁量权。对瑞士关于完整性丧失补偿的独特法律的意义和益处进行了一些思考。
