Asymmetric Diabetic Retinopathy

62 year-old diabetic male, presented upon referral from his optometrist. Patient presented with no visual complaints, but retinal abnormalities were found on his yearly exam. Upon examination, asymmetric diabetic retinopathy was found; moderate in the right eye and mild in the left. The green arrows indicate cotton wool spots, oxygen starved areas of the retina from diabetic damage to capillaries. The blue arrows show dot hemorrhages throughout the retina in the right eye, another sign of advancing retinopathy. Looking at the left eye, you can see the difference, no hemorrhages and no cotton wool spots.