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There is a lack of appreciation in eye departments of the urgency of
carotid doppler imaging in patients with amaurosis fuagx.
In a recent departmental audit 18% of referrals from the eye department
for doppler imaging had >70% stenosis and 11% underwent carotid
endarterectomy. The average waiting time for imaging was 9.6 days (range 1
There is a need for the development of rapid access care pathways for
these patients particularly those who are high risk with multiple NASCET
criteria to access doppler imaging urgently. Ophthalmology departments
have been busy implementing the NICE guidelines for the treatment of wet
Age-Related Macular Degeneration and have not been focusing on stroke-
No competing interests
16 June 2009
Stella J Hornby
Associate Specialist Ophthalmologist
Oxford Eye Hospital, LG-1 West Wing, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU