A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening
A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening
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.
Asymptomatic carotid disease, Carotid endarterectomy, Diabetes, Retinal embolism, Screening
153-157
Hadley, G.
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Earnshaw, J.J.
65b66f88-bdac-4e03-865d-3972a9def3cc
Stratton, I.
772f25b9-23c0-4240-a3f6-1e76b03b172f
Sykes, J.
3191b467-7232-49a6-92e5-5fc74427028d
Scanlon, P.H.
4e3d2310-c79e-42db-ae29-7a7d6b278aa3
August 2011
Hadley, G.
222504cf-1d83-412e-84f1-b6f5f8dc8e08
Earnshaw, J.J.
65b66f88-bdac-4e03-865d-3972a9def3cc
Stratton, I.
772f25b9-23c0-4240-a3f6-1e76b03b172f
Sykes, J.
3191b467-7232-49a6-92e5-5fc74427028d
Scanlon, P.H.
4e3d2310-c79e-42db-ae29-7a7d6b278aa3
Hadley, G., Earnshaw, J.J., Stratton, I., Sykes, J. and Scanlon, P.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), .
(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.
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e-pub ahead of print date: 25 May 2011
Published date: August 2011
Keywords:
Asymptomatic carotid disease, Carotid endarterectomy, Diabetes, Retinal embolism, Screening
Identifiers
Local EPrints ID: 487053
URI: http://eprints.soton.ac.uk/id/eprint/487053
ISSN: 1078-5884
PURE UUID: f224e2dd-db7e-4e65-9759-a304cad331f1
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Date deposited: 12 Feb 2024 17:31
Last modified: 18 Mar 2024 04:01
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Contributors
Author:
G. Hadley
Author:
J.J. Earnshaw
Author:
I. Stratton
Author:
J. Sykes
Author:
P.H. Scanlon
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