AKT-2094

AKT-2094

You are seeing a 54-year-old gentleman for his diabetic annual review appointment. He has type 1 diabetes which was diagnosed when he was 12-years-old. He tells you that over the last 72 hours he has noticed new onset flashers and floaters in his right eye. Today he has felt that the vision in his right eye has become ‘extremely blurry’.

You can see that his last diabetic retinopathy screening was performed just over a month ago and the report you have states that the retinal photographs taken showed ‘pre-proliferative retinopathy’ in his left eye and ‘proliferative retinopathy’ in the right eye. Following this the screening service has referred him for outpatient ophthalmological assessment at the local hospital, which is pending.

On examination there is a loss of the red reflex in the right eye and right eye visual acuity is reduced to ‘hand movements’.

What is the most appropriate management?