A 58-year-old woman with poorly controlled type 2 diabetes (HbA1c 10.2%) and hypertension undergoes fundoscopy for annual diabetic retinopathy screening. The ophthalmologist documents the presence of hard exudates, microaneurysms, venous beading, and intraretinal hemorrhages. Which of the following is NOT considered a risk factor for progression of diabetic retinopathy?

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