A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening

G. Hadley, J. J. Earnshaw*, I. Stratton, J. Sykes, P. H. Scanlon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)153-157
Number of pages5
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume42
Issue number2
DOIs
Publication statusPublished - Aug 2011
Externally publishedYes

Keywords

  • Asymptomatic carotid disease
  • Carotid endarterectomy
  • Diabetes
  • Retinal embolism
  • Screening

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