Lund O E
Klin Monbl Augenheilkd. 1982 Jul;181(1):42-5. doi: 10.1055/s-2008-1055166.
To give his consent for diagnostic or therapeutic procedures a patient needs information on the nature of the disease, its course and possible complications. Additionally, he needs to be informed about the necessary diagnostic and therapeutic procedures themselves and the possible consequences of omitting them. All the typical risks have to be explained, even though they may be extremely rare. If a procedure is not immediately necessary, the information given has to be more comprehensive than in emergency cases. Therefore, comprehensive information has to be provided for prophylactic procedures (including information leaflets for patients, especially in cases of cataract, glaucoma and retinal detachment surgery, photocoagulation for equatorial degeneration and diabetic retinopathy, as well as vitrectomy and fluorescein angiography). The information must be given by the physician himself and should be as comprehensive as is necessary to enable the patient to decide for himself whether he wants to undergo the procedure. The majority of patients accept the enlightenment is necessary, consider the information supplied adequate and are thus reassured.
为了对诊断或治疗程序表示同意，患者需要了解疾病的性质、病程及可能的并发症。此外，还需要告知患者必要的诊断和治疗程序本身以及省略这些程序可能产生的后果。即使某些典型风险可能极为罕见，也必须进行解释。如果某项程序并非立即必要，那么所提供的信息必须比紧急情况下更全面。因此，对于预防性程序必须提供全面的信息（包括给患者的资料单页，特别是在白内障、青光眼和视网膜脱离手术、赤道部变性和糖尿病性视网膜病变的光凝治疗以及玻璃体切除术和荧光素血管造影术的情况下）。信息必须由医生本人提供，并且应全面到足以使患者能够自行决定是否愿意接受该程序。大多数患者认为启蒙是必要的，认为所提供的信息足够，并因此感到安心。
