[Alcoholometric data in traumatological casuistics (work accident insurance)].
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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.
A review of the eye injuries recorded by a major statutory insurance corporation showed that eye injuries are the third most common type of injury, following surgical and neurosurgical cases. It was found that eye injuries have the lowest tendency to improve as expressed in terms of a modification of compensatory annuities.
Following a fundamental sentence of the German Supreme Court eye damage affecting both eyes - actual or preexisting - has to be judged under the aspect of coordinating function. So the usual practice of isolated judgement of each eye can only be performed in unilateral damage associated with complete function of the other eye.
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