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.
|Number of pages||5|
|Journal||European Journal of Vascular and Endovascular Surgery|
|Publication status||Published - Aug 2011|
- Asymptomatic carotid disease
- Carotid endarterectomy
- Retinal embolism