Man, 70, died of eye cancer after scan concerns weren’t followed up

• A 70-year-old man died of ocular melanoma after concerning scan findings were not appropriately followed up, highlighting systemic failures in ophthalmology referral pathways
• The coroner identified "substantial delays" in follow-up processes as a significant safety risk, suggesting potential for preventable deaths if not addressed
• Clinicians should ensure abnormal ophthalmology scan results trigger timely specialist review and documented follow-up protocols to prevent similar cases

A coroner warns there's a risk of future deaths due to "substantial delays" in ophthalmology follow-ups.

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