A Potential Pathway for Managing Diabetic Patients with Arterial Emboli Detected by Retinal Screening

Hadley, G and Earnshaw, J J and Stratton, I and Sykes, J and Scanlon, Peter H (2011) A Potential Pathway for Managing Diabetic Patients with Arterial Emboli Detected by Retinal Screening. European Journal of Vascular and Endovascular Surgery, 42 (2). pp. 153-157. ISSN 10785884

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Abstract

Objective - The aim was to review a pathway of care for diabetic patients found to have retinal artery emboli detected by retinal screening. Design - This was a retrospective review of a pathway agreed in 2001 by a multidisciplinary team. Materials and methods - The prospectively collected Gloucestershire Diabetic Retinal Screening Programme database was reviewed; patients sent for carotid duplex imaging underwent review of their scan results and their casenotes. Results - The prevalence of retinal emboli was 214 out of 25,299 diabetic patients who had retinal screening (0.85%). Some 200 diabetic patients underwent carotid duplex imaging; 23 had ipsilateral and 2 had contralateral carotid stenosis >70%. Of these, ten patients underwent carotid endarterectomy without any major morbidity. Conculsions - A pathway was established for the small number of patients with retinal emboli, and could be tested in other populations.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: Diabetes; Retinal embolism; Screening; Carotid endarterectomy; Asymptomatic carotid disease
Subjects: R Medicine > R Medicine (General)
R Medicine > RE Ophthalmology
R Medicine > RZ Other systems of medicine
Divisions: Schools and Research Institutes > School of Sport & Exercise
Research Priority Areas: Sport, Exercise, Health & Wellbeing
Depositing User: Denise Cain-Jones
Date Deposited: 12 Oct 2015 09:35
Last Modified: 12 Oct 2015 09:35
URI: http://eprints.glos.ac.uk/id/eprint/2678

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