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 10785884Full text not available from this repository.
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.
|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:||Faculty of Business, Computing and Applied Sciences > 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|