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 Gloucestersh...

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Main Authors: Hadley, G, Earnshaw, J, Stratton, I, Sykes, J, Scanlon, P
Format: Journal article
Language:English
Published: 2011
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author Hadley, G
Earnshaw, J
Stratton, I
Sykes, J
Scanlon, P
author_facet Hadley, G
Earnshaw, J
Stratton, I
Sykes, J
Scanlon, P
author_sort Hadley, G
collection OXFORD
description 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. CONCLUSIONS: [corrected] A pathway was established for the small number of patients with retinal emboli, and could be tested in other populations.
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spelling oxford-uuid:7da2f593-6775-43a7-bdf1-bcbd9d1e87852022-03-26T21:04:52ZA potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7da2f593-6775-43a7-bdf1-bcbd9d1e8785EnglishSymplectic Elements at Oxford2011Hadley, GEarnshaw, JStratton, ISykes, JScanlon, POBJECTIVE: 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. CONCLUSIONS: [corrected] A pathway was established for the small number of patients with retinal emboli, and could be tested in other populations.
spellingShingle Hadley, G
Earnshaw, J
Stratton, I
Sykes, J
Scanlon, P
A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title_full A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title_fullStr A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title_full_unstemmed A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title_short A potential pathway for managing diabetic patients with arterial emboli detected by retinal screening.
title_sort potential pathway for managing diabetic patients with arterial emboli detected by retinal screening
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