Conclusion

This patient has proliferative retinopathy at the optic disc. Untreated, 50% of such patients will become blind within two years of presentation. Urgent referral to an ophthalmologist is, therefore, mandatory. Treatment includes retinal photocoagulation therapy with aggressive blood sugar and blood pressure control to prevent retinopathy progression. He will undergo panretinal photocoagulation treatment over several sessions to reduce the discomfort of high-intensity laser treatment given over fewer sessions.

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