EVALUATION OF VISUAL-FIELD DEFECTS, OCULA R MOTILITY DISORDERS AND DIPLOPIA IN ACCORDANCE WITH THE SWISS INSURANCE LAW

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 Qua drantanopsias are still evaluated according to the Rintelen Tables fro m 1954. No guidelines are available for the evaluation of central and paracentral skotomas. It is uncertain if automatic perimetry can be us ed routinely in the future for the evaluation of visual function. Moti lity 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 obje ctive findings and the subjective complaints. Such a correlation could not be found so that an arbitrary classification depending on the ext ent of the diplopia must be recommended. This would create an analogy to the evaluation of the loss of visual acuity ans 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.