Problems for ophthalmologists in the certification of blindness

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
M Gräf, M Jomaa

Abstract

We compared the medical test results of 117 persons examined by the superintendent for blindness assessment in 2002 with their certificates of blindness (5.5% of the applications, 42% of the testimonial examinations performed in Hessen in 2002). If the ratings as "blind" or "severely visually handicapped" (corresponding to a visual acuity of not more than 0.02 or 0.05, resp.) differed between the medical test and the certificate, visual acuity, visual field, further findings, and the methods of assessment were analyzed on the basis of the medical records. The medical test confirmed 75 certificates. Fourteen persons with a certificate of blindness were graded as severely visually handicapped by the medical test. In 8 and 12 cases, respectively, the criteria of neither blindness nor severe visual handicap were fulfilled. Eight persons with a certificate of severe visual handicap were graded as blind by the medical test. In 29% of the cases, the visual handicap did not reach the certified grade. Striking differences occurred between the certificate and the functions shown in the medical test. In the certificates, the declared visual handicap was regularly judged to correspond to the objective findings, but apparently in these case...Continue Reading

References

Feb 1, 1992·Klinische Monatsblätter für Augenheilkunde·H G Krumpaszky, V Klauss
Mar 1, 1997·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H G KrumpaszkyH K Selbmann
Apr 4, 1998·Klinische Monatsblätter für Augenheilkunde·M Gräf
Feb 10, 1999·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·M H Gräf
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Sep 20, 2000·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·M Gräf
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Jun 7, 2002·Archives of Ophthalmology·Michael H Graf, Jens Roesen

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Citations

Nov 12, 2005·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·H P N SchollF G Holz
May 17, 2007·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·I MackensenK Rohrschneider
Apr 25, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·K Rohrschneider
Dec 19, 2015·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·B von LivoniusM Ulbig
Jun 26, 2009·Nature·Nicholas J ConardSusanne C Münzel
Sep 18, 2014·Der Urologe. Ausg. A·A WiedemannR Kirschner-Hermanns

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