14th August 2020

A 65-year old man with type 2 diabetes mellitus attends his annual screening examination

A 65-year old man with type 2 diabetes mellitus attends his annual screening examination for diabetic retinopathy. On examination of his fundi, cotton wool spots, exudates, micro-aneurysms, and new vessel formation are seen. His most recent HbA1c is 72mmol/L and his diabetes is currently managed with diet control and metformin.

Which of the following is the most appropriate management option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.