29th October 2020

Tim is a 60-year-old man who has been diagnosed with moderate proliferative diabetic retinopathy

Tim is a 60-year-old man who has been diagnosed with moderate proliferative diabetic retinopathy and macular oedema. He has a past medical history of dyslipidaemia, type-2 diabetes, and hypertension. He takes atorvastatin and ramipril; his diabetes is currently diet controlled. At the clinic, his blood pressure was 129/85, HbA1c was 70 mmol/mol, and total cholesterol/HDL ratio was 2. He has refused injections and lasers to the eye although he is still keen to reduce his risk of further visual deterioration. How would you manage Tim?

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