Leydhecker W, Gramer E, Krieglstein G K
Ophthalmologica. 1980;180(5):241-6. doi: 10.1159/000308981.
Patients have to be informed before cataract surgery about possible complications, about chances and risks. This should be done in a written manner with additional verbal explanations. We documented all details of 4,300 cataract operations on computer-readable forms and obtained statistics on type and frequency of complications as well as visual acuity 1 week after the operation. With these data we have a reliable base for the presurgical information of our patients. Detailed information about possible risks and chances of cataract extraction were given to each patient by means of a written form which was read to the patient and explained in details to him. Immediately afterwards we tested the reaction of the patient upon the full information. It was found that the reactions were surprisingly positive. Not one of the patients felt less inclined to undergo surgery and not one patient had less confidence toward the hospital. The vast majority (approximately 90%) of the patients said in contrary that their confidence was much increased after the information. A similar type of information can be recommended, therefore, for moral and legal reasons.
在白内障手术前,必须告知患者可能出现的并发症、机会和风险。这应以书面形式进行,并辅以口头解释。我们将4300例白内障手术的所有细节记录在计算机可读表格上,并获取了并发症类型和频率以及术后1周视力的统计数据。有了这些数据,我们就有了为患者提供术前信息的可靠依据。通过书面形式向每位患者提供了有关白内障摘除可能的风险和机会的详细信息,并读给患者听并向其详细解释。之后,我们立即测试了患者在获得完整信息后的反应。结果发现反应出奇地积极。没有一位患者更不愿意接受手术,也没有一位患者对医院的信心降低。绝大多数(约90%)患者表示,相反,在获得信息后他们的信心大大增强。因此,出于道德和法律原因,推荐类似类型的信息。