Gradual Blurred Vision OU for 6 months

Age / Race / Gender: 47 year old black female
Chief Complaint: Blurry vision OU
Onset: Gradual over the last 6 months.
Location: OU
Severity: mild
Duration: 6 months to a year.
Relieving Factors: Glasses help but need updating.
Patient Ocular History: Last eye exam 3 years prior.  Patient received bifocal glasses.
Family Ocular History: (-) Glaucoma.  
Patient Medical History: 

• DM type 2 for 8 years.  Blood sugar levels and HbA1c unknown.   
• Hypertension for 2 years. 
• Last Physical exam 1 year prior.  Patient reported normal results and good health.  

Family Medical History: (+) DM type 2. Father, HTN Father.
Review of Systems: Within normal limits
Clinical Findings: BCVA: 20/40 OD, 20/25 OS
Pupils: WNL (-) APD
Conf Fields: Full to finger counting OU
IOP: 17mmHg OD,  16mmHg OS.
Slit Lamp: Anterior segment is clear and WNL, (-) NVI.  Lens was clear.
Dilated Fundus Exam: See Photos below

OD

OS

See the comments for assessment and plan