INITIAL OFFICE EVALUATION
This patient is a 21-year-old male who came in to the clinic complaining of blurred vision in his right eye. He has a 9-year history of IDDM. Vision is 20/20 in the left and 20/30 in the right. Other complaints include frequent frontal headaches and blurring of writing on the blackboard. Last eye exam was 4 years ago.
Physical exam was routine except for visualization by direct ophthalmoscope revealing numerous hard exudates and probable macular edema.
Recommendations include referral for background retinopathy to an ophthalmologist for dilated fundus exam, possible fluorescein angiography, and probable focal argon laser photocoagulation.
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