Second Opinion on Ophthalmology

An ophthalmologist, involved in giving a second opinion, makes a conclusion about his agreement with the previous diagnosis, or questions its correctness on the basis of incomplete examination or different interpretation of its results. In the latter case are to be given the proposals for further diagnostic measures. An important aspect of the remote second opinion procedure is the assessment of therapeutic options and suggestions for the further treatment and observation tactics. The consulting doctor gives an opinion on the conservative or surgical treatment advisability. He can also, by the presence of a complete diagnostic picture and according to his conclusion, recommend the most suitable, in this particular case, drug regimen.

The possibilities of getting a second opinion may be limited by ophthalmic patients with concomitant diseases. This may be due to the presence of other, as a rule, systemic diseases, including diabetes, rheumatological, neurological, vascular, and genetic diseases. In these cases, the diagnosis can be confirmed or excluded interdisciplinary, with the involvement of specialized consultants: internists, endocrinologists, rheumatologists, neuropathologists, vascular specialists or geneticists. In principle, they can be initially involved in the remote consulting process together with ophthalmologists. An extramural Concilium is also possible, when a general treatment concept is to be developed by two or more specialists working in the same clinic. In this case, additionally involved specialists are provided with examination results corresponding to their profile.