Summary
In Austria since 1976 avoidance of visual impairment in children is included in the screening programm of the "Mutter Kind Pass". In amblyopia the appropriatness, the clinical effectivness and the cost effectivness of screening programms, of test systems and of therapy is still or even more in discussion. Parameters such as quality of life or school performance were not investigated in the literature currently available and results of potentially harmful aspects of vision screening and therapy are inconsistent. The existing programm is planed to be improved by teaching those who are responsible for early of visual defects detection (Pediatricans and general doctors) to enable them to send children to their ophthalmologist in time. Many questions concerning the effectivness of treatment in amblyopia are still open for discussion – much effort has to be untaken to improve the compliance of these patients and their parents.
Zusammenfassung
Seit 1976 ist in Österreich die Früherkennung von visuellen Entwicklungsstörungen und Anomalien/Pathologien der Augen Teil des Screening Programms im Rahmen des Mutter Kind Passes. Gerade bei der Vermeidung einer Amblyopie aber auch der Effektivität einer Behandlung, den Testmethoden und der Kosten Nutzen Rechnung ist die Diskussion heftiger denn ja. Parameter, die die Schule/Berufsbildung und die Auswirkungen auf die Lebensqualität der Betroffenen diskutieren fehlen ebenso wie Aussagen zu eventuellen Schäden, die durch ein Screening Programm oder eine Behandlung entstehen könnten. Im derzeitigen Screenig Programm im Rahmen des Mutter Kind Passes ist eine Verbesserung der Ausbildung der für das Screening verantwortlichen Ärzte/Kinderärzte und Ärzte für Allgemeinmedizin geplant, wodurch eine gezieltere Zuweisung zum Augenfacharzt möglich sein sollte. Viele Fragen betreffend die Effektivität der Amblyopiebehandlung sind noch offen – viel Anstrengung sollte in die Verbesserung der Compliance dieser Kinder und Betreuungspersonen unternommen werden.
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Langmann, A., Lindner, S. & Brandner, M. Entwicklungen in der Strabologie und Amblyopiebehandlung. Spektrum Augenheilkd. 23, 183–186 (2009). https://doi.org/10.1007/s00717-009-0328-7
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DOI: https://doi.org/10.1007/s00717-009-0328-7