'最好矫正日常生活视力'在司法鉴定中的意义

摘要

目前我国法医学鉴定实践中有关视力障碍的评价主要是以WHO防盲研究小组于1973年制定的疾病分级标准为依据,所考察的是"最好矫正视力".有时最好矫正视力与日常生活中实际使用的视力可能不一致.WHO于2003年新制定的盲及视力损害分类标准,提出用"日常生活视力"取代"最好矫正视力".在司法鉴定实践中由于伤者的夸大或伪装,"日常生活视力"往往不能反映伤者的真实视力.笔者提出,由鉴定人在"日常生活视力"的基础上评估其"最好矫正日常生活视力",可有助于更公正地进行视功能评定.%At present the sight impairment evaluation in forensic medicine of China is based on the inter national classification of disease by WHO in 1973. The main measured indicator is "best corrected visual acuity". It is different from "presenting distance visual acuity" in some situations. In the new blindness and vision loss classification made by WHO in 2003, "presenting distance visual acuity" took the place of the "best corrected visual acuity". In the practice of forensic medicine, "presenting distance visual acuity" can not reflect the real visual acuity duo to the exaggeration or disguise of the wounded. We suggest to use "the best corrected presenting distance visual acuity" instead of "presenting distance visual acuity" in order to avoid the influences of the exaggeration or disguise of the wounded.