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A 45-year-old male patient with type 1 diabetes mellitus is at your practice for a routine check-up

A 45-year-old male patient with type 1 diabetes mellitus is at your practice for a routine check-up. His visual acuity, with correction, is 6/9 in both eyes. The patient has been experiencing intermittent blurry vision in both eyes. Intraocular pressures are within normal limits. The slit lamp examination showed bilateral incipient cortical cataracts. His HbA1c has been elevated for some time, and his blood pressure fluctuates despite prescribed medications. Below is the fundus image of the right eye.