What is Ophthalmology ?

Guidelines for Ophthalmic Care in the United States of America (American Academy of Ophthalmology)

Quality ophthalmic care is provided in a manner an with the skill that is consistent with the best interests of the patient. Providing quality care is the physicians's foremost ethical obligation, and is the basis of public trust in physicians. The discussion that follows characterizes the core elements of such care.The ophthalmologist is first and foremost a physician. As such, the ophthalmologist demonstrates compassion and concern for the individual, and utilizes the science and art of medicine to help alleviate patient fear and suffering. He strives to develop and maintain clinical skills at the highest feasible level, consistent with the needs of his patients, through training and continuing education. The ophthalmolgist evaluates those skills and medical knowledge in relation to the needs of the patient and he responds accordingly. He also ensures that needy patients receive necessary care directly or through referral to appropiate persons and facilities that will provide such  care, and he supports activities that promote health and prevent disease and disability. The ophthalmologist recognizes that disease places patients in a disadvantaged, dependent state. He respects the dignity and integrity of his patients, and does not exploit their vulnerability.

Quality ophthalmic care has the following optimal attributes, among others:

The essence of quality care is a meaningful partnership relationship between patient and physician. The ophthalmologist strives to communicate effectively with his patients, listening carefully to their needs and concerns. In turn, he educates his patients about the nature and prognosis of their condition and about proper and appropiate therapeutic modalities. This is to ensure their meaningful participation (appropiate to their unique physical, intellectual and emotional state) in decisions affecting their management and care, to improve their motivation and compliance with the agreed plan of treatment, and to help alleviate their fears and oncerns.

The ophthalmologist uses his best judgement in choosing and timing appropiate diagnostic and therapeutic modalities as well as the frequency of evaluation and follow-up, with due regard to the urgency and nature of the patient's condition and unique needs and desires.

The ophthalmologist carries out only those procedures for which he is adequately trained, experienced and competent, or, when necessary, is assisted by someone who is, depending on the urgency of the problem an availibility and accessibility of alternative providers.

Patients are assured acceess to, and continuity of, needed and appropiate ophthalmic care...

Prior to therapeutic or invasive diagnostic procedures, the ophthalmologist becomes appropiately conversant with the patient's condition by collecting pertinent historical information and performing relevant preoperative examinations. Additonally, he enables the patient to reach a fully informed decision by providing an accurate and thruthful explanation of the diagnosis, the nature,purpose, risks, benefits, and probability of success of the proposed treatment and of each alternative treatment; and the risks and benefits of no treatment.

The ophthalmologist adopts new technology (e.g., drugs, devices, surgicaltechniques) in judicious fashion, appropiate to the cost and potential benefit relative toexisting alternatives and to ist demonstrated safety and efficacy.

The ophthalmologist enhances the qualitiy of care he provides by periodically reviewing and assessing his personal performance in relation to established standards, and by revising or altering his practices and techniques appropiately.

The ophthalmologist improves ophthalmic care by communicating to colleagues, through appropiate professional channels, knowledge gained through clinical research and practice. This includes alering colleagues of instances of unusual or unexpected rates of complications and problems related to new drugs, devices or procedures.

The ophthalmologist provides care in suitably staffed and equipped facilities adequate to deal with potential ocular and systemic complications requiring immediate attention.

He also provides ophthalmic care in a manner that is cost effictive without unacceptably compromising accepted standards of quality.

  Thilo Nicaeus, M.D.
Practice for Ophthalmology
Europaplatz 5
(Main train station and bus terminal)
72072 Tübingen
Phone: 07071-36 84 44
Fax: 07071- 36 84 45

Consulting Hours:

Mo – Fr : 8.00 – 12.00
Mo, Di, Do: 14.30 – 18.00
Contact Lenses
Pediatric Ophthalmology

  Very important:
Please, call us for appointments always directly at 07071-36 84 44. This is the easiest way to reach us. Please, do not use other telephone numbers which might be registered in telephone books!

  Copyright by Dr. Med. Nicaeus 2001. All rights reserved. Especially reproduction, linking in Online Services, Internet and duplication on data media such as CD-ROM, DVD-ROM, in extracts too, need the written permission of the owner of the online presence.