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Hadley, G, Earnshaw, J J, Stratton, I, Sykes, J and Scanlon, Peter H 
ORCID: 0000-0001-8513-710X
(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.
doi:10.1016/j.ejvs.2011.04.031
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 > RA Public aspects of medicine > RA645.A-Z Individual diseases or groups of diseases, A-Z > RA645.D54 Diabetes R Medicine > RE Ophthalmology |
| Divisions: | Schools and Research Institutes > School of Education and Science |
| Research Priority Areas: | Health, Life Sciences, Sport and Wellbeing |
| Depositing User: | Denise Cain-Jones |
| Date Deposited: | 12 Oct 2015 09:35 |
| Last Modified: | 31 Aug 2023 09:10 |
| URI: | https://eprints.glos.ac.uk/id/eprint/2678 |
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