Zusammenfassung
Der folgende Beitrag stellt zwei aktuelle Themen der Kinderophthalmologie in den Fokus,
die vermutlich auch immer wieder in der kinder- und jugendärztlichen Praxis relevant
sein werden: die Amblyopie und ihre Früherkennung inklusive Videorefraktometrie und
Refraktionsfehler im Schulkindalter mit Fokus auf Myopie, deren Häufigkeit weltweit
zunimmt
Abstract
Myopia is on the increase worldwide and will become a major challenge over the next
decades in terms of secondary ophthalmologic complications. There are effective therapeutic
options available to slow or prevent the progression of myopia. So far, it has not
been investigated whether there are possible additive effects of these interventions.
Further investigations – especially in Caucasian populations – are necessary to verify
the study results available from Asia. There is limited data on how long further progression
of myopia is preventable. A therapy appears reasonable as long as a progression of
myopia is detectable.
Consistent childhood amblyopia screening provides a cost-effective measure for the
prevention of visual disturbances over the course of life. How this can be best integrated
into the existing system of “U-investigations”, must be clarified by the cost-bearers
and professional associations. This discourse should be supported by close interdisciplinary
exchange and further studies on the prevalence of different degrees of amblyopia.
In addition, sensitive and specific or even multi-stage tests should be developed
in order to implement an early detection that is cost-effective and saves resources.
Schlüsselwörter
Amblyopie - Refraktionsfehler - Myopie - Brückner-Test
Key words
ambyopia - refractive error - myopia - Bruckner testing
