Skip to main content
Log in

Blindheit in Deutschland: Dimensionen und Perspektiven

Blindness in Germany: dimensions and perspectives

  • Leitthema
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Blindheit und Sehbehinderung werden in Deutschland und dem Rest der westlichen Welt in den nächsten Jahren und Jahrzehnten weiter ansteigen. Durch die aktuelle demographische Entwicklung ist v. a. die Erblindung und Sehbehinderung des höheren Lebensalters stark zunehmend. Die momentane Situation ist in Deutschland weniger gut dokumentiert als in anderen europäischen Ländern. Auswirkungen dieser Entwicklung haben sowohl individuelle als auch gesellschaftliche Dimensionen, von denen Lebensqualität, Morbidität und Mortalität sowie Kosten am besten dokumentiert sind. Aufgrund der soziokulturellen Bedeutung des Sehens sind die Auswirkungen dieser Entwicklung bei einer stetig alternden Bevölkerung von enormer Bedeutung und sollten bei gesundheitspolitischen Entscheidungen und Allokation von Ressourcen entsprechend berücksichtigt werden. Aus denselben Gründen sollten Präventions- und Rehabilitationsangebote weiter ausgebaut werden.

Abstract

Blindness and visual impairment in Germany and the Western world will increase further over the coming years and decades. This is primarily due to current demographic trends leading to increased visual impairment, mainly in the elderly. In Germany the current situation of the blind and visually impaired is less well documented than in other European countries. The impact of this development can be differentiated into individual and societal dimensions, of which quality of life, morbidity, mortality, and cost are the best-documented aspects. Because of the socioeconomic and cultural importance of vision in Western society, the negative effects of an increase in blindness and visual impairment in a continuously aging population are considerable. Healthcare policy makers need to consider this when discussing future planning and resource allocation. Preventive and rehabilitative services should be given a much higher priority.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Barry RJ, Murray PI (2005) Unregistered visual impairment: is registration a failing system? Br J Ophthalmol 89: 995–998

    Article  PubMed  CAS  Google Scholar 

  2. Brezin AP, Lafuma A, Fagnani F et al. (2004) Blindness, low vision, and other handicaps as risk factors attached to institutional residence. Br J Ophthalmol 88: 1330–1337

    Article  PubMed  CAS  Google Scholar 

  3. Brezin AP, Lafuma A, Fagnani F et al. (2005) Prevalence and burden of self-reported blindness and low vision for individuals living in institutions: a nationwide survey. Health Qual Life Outcomes 3: 27

    Article  PubMed  Google Scholar 

  4. Brezin AP, Lafuma A, Fagnani F et al. (2005) Prevalence and burden of self-reported blindness, low vision, and visual impairment in the French community: a nationwide survey. Arch Ophthalmol 123: 1117–1124

    Article  PubMed  Google Scholar 

  5. Brody BL, Roch-Levecq AC, Gamst AC et al. (2002) Self-management of age-related macular degeneration and quality of life: a randomized controlled trial. Arch Ophthalmol 120: 1477–1483

    PubMed  Google Scholar 

  6. Brody BL, Roch-Levecq AC, Thomas RG et al. (2005) Self-management of age-related macular degeneration at the 6-month follow-up: a randomized controlled trial. Arch Ophthalmol 123: 46–53

    Article  PubMed  Google Scholar 

  7. Bunce C, Wormald R (2007) Causes of blind certifications in England and Wales: April 1999-March 2000. Eye

  8. Bundesärztekammer (2006) Einführung der Disease Management Programme (DMP

  9. Campbell AJ, Robertson MC, La Grow SJ et al. (2005) Randomised controlled trial of prevention of falls in people aged ≥75 with severe visual impairment: the VIP trial. BMJ 331: 817

    Article  PubMed  Google Scholar 

  10. Casten RJ, Rovner BW, Tasman W (2004) Age-related macular degeneration and depression: a review of recent research. Curr Opin Ophthalmol 15: 181–183

    Article  PubMed  Google Scholar 

  11. Crews JE, Campbell VA (2004) Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health 94: 823–829

    PubMed  Google Scholar 

  12. Deutscher Blinden- und Sehbehindertenverband (DBSV) (2007) Infothek – Empfänger von Blindengeld

  13. Espinet LM, Osmick MJ, Ahmed T, Villagra VG (2005) A cohort study of the impact of a national disease management program on HEDIS diabetes outcomes. Dis Manag 8: 86–92

    Article  PubMed  Google Scholar 

  14. Graf M, Halbach E, Kaufmann H (1999) Causes of blindness in Hessia in 1996. Klin Monatsbl Augenheilkd 215: 50–55

    PubMed  CAS  Google Scholar 

  15. Hirneiss C, Neubauer AS, Tribus C, Kampik A (2006) Value-based medicine in ophthalmology. Ophthalmologe

  16. Klaver CC, Wolfs RC, Vingerling JR et al. (1998) Age-specific prevalence and causes of blindness and visual impairment in an older population: the Rotterdam Study. Arch Ophthalmol 116: 653–658

    PubMed  CAS  Google Scholar 

  17. Knauer C, Pfeiffer N (2006) Blindness in Germany – today and in 2030. Ophthalmologe 103: 735–741

    Article  PubMed  CAS  Google Scholar 

  18. Krumpaszky HG, Klauss V, Kloske G (1992) Social costs of visual handicap and blindness. Rehabilitation resources for blind patients. Klin Monatsbl Augenheilkd 201: 370–374

    Article  PubMed  CAS  Google Scholar 

  19. Lafuma A, Brezin A, Lopatriello S et al. (2006) Evaluation of non-medical costs associated with visual impairment in four European countries: France, Italy, Germany and the UK. Pharmacoeconomics 24: 193–205

    Article  PubMed  Google Scholar 

  20. Legood R, Scuffham P, Cryer C (2002) Are we blind to injuries in the visually impaired? A review of the literature. Inj Prev 8: 155–160

    Article  PubMed  CAS  Google Scholar 

  21. Mitchell J, Bradley C (2006) Quality of life in age-related macular degeneration: a review of the literature. Health Qual Life Outcomes 4: 97

    Article  PubMed  Google Scholar 

  22. Pascolini D, Mariotti SP, Pokharel GP et al. (2004) 2002 global update of available data on visual impairment: a compilation of population-based prevalence studies. Ophthalmic Epidemiol 11: 67–115

    Article  PubMed  CAS  Google Scholar 

  23. Pfau N, Kupsch S, Kern AO, Beske F (2000) Epidemiologie und sozioökonomische Bedeutung von Blindheit und hochgradiger Sehbehinderung in Deutschland. Institut für Gesundheits- und Sozialforschung GmbH (IGSF) Schriftenreihe, Kiel

  24. Resnikoff S, Pascolini D, Etya’ale D et al. (2004) Global data on visual impairment in the year 2002. Bull World Health Organ 82: 844–851

    PubMed  Google Scholar 

  25. Rinnert T, Lindner H, Behrens-Baumann W (1999) At home utilization of low-vision aids by the visually impaired. Klin Monatsbl Augenheilkd 215: 305–310

    PubMed  CAS  Google Scholar 

  26. Sadowski B, Grub A, Trauzettel-Klosinski S (2000) Reading ability and need for reading aids, inadequate management of a nursing home population. Klin Monatsbl Augenheilkd 217: 278–283

    Article  PubMed  CAS  Google Scholar 

  27. Schrader WF (2006) [Age-related macular degeneration: a socioeconomic time bomb in our aging society]. Ophthalmologe 103: 742–748

    Article  PubMed  CAS  Google Scholar 

  28. Statistisches Bundesamt Deutschland (2007) Gesundheitsberichterstattung des Bundes. In:

  29. Statistisches Bundesamt Deutschland (2007) Statistik der Schwerbehinderten Menschen 2005 Kurzbericht. In: Statistisches Bundesamt, Wiesbaden

  30. Trautner C, Haastert B, Giani G, Berger M (2001) Incidence of blindness in southern Germany between 1990 and 1998. Diabetologia 44: 147–150

    Article  PubMed  CAS  Google Scholar 

  31. Trautner C, Haastert B, Richter B et al. (2003) Incidence of blindness in southern Germany due to glaucoma and degenerative conditions. Invest Ophthalmol Vis Sci 44: 1031–1034

    Article  PubMed  Google Scholar 

  32. Varma R, Wu J, Chong K et al. (2006) Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology 113: 1846–1853

    Article  PubMed  Google Scholar 

  33. Villagra VG, Ahmed T (2004) Effectiveness of a disease management program for patients with diabetes. Health Aff (Millwood) 23: 255–266

    Google Scholar 

  34. Williams RA, Brody BL, Thomas RG et al. (1998) The psychosocial impact of macular degeneration. Arch Ophthalmol 116: 514–520

    PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R.P. Finger.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Finger, R. Blindheit in Deutschland: Dimensionen und Perspektiven. Ophthalmologe 104, 839–844 (2007). https://doi.org/10.1007/s00347-007-1600-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-007-1600-3

Schlüsselwörter

Keywords

Navigation