Diabetic Macular Edema (DME), a prevalent complication among diabetic patients, constitutes a major cause of visual impairment and blindness. Although deep learning has achieved remarkable progress in medical image analysis, traditional DME diagnosis still relies on extensive annotated data and subjective ophthalmologist assessments, limiting practical applications. To address this, we present RURANET++, an unsupervised learning-based automated DME diagnostic system. This framework incorporates an optimized U-Net architecture with embedded Spatial and Channel Squeeze & Excitation (SCSE) attention mechanisms to enhance lesion feature extraction. During feature processing, a pre-trained GoogLeNet model extracts deep features from retinal images, followed by PCA-based dimensionality reduction to 50 dimensions for computational efficiency. Notably, we introduce a novel clustering algorithm employing multi-projection heads to explicitly control cluster diversity while dynamically adjusting similarity thresholds, thereby optimizing intra-class consistency and inter-class discrimination. Experimental results demonstrate superior performance across multiple metrics, achieving maximum accuracy (0.8411), precision (0.8593), recall (0.8411), and F1-score (0.8390), with exceptional clustering quality. This work provides an efficient unsupervised solution for DME diagnosis with significant clinical implications.

Fundus image quality is crucial for diagnosing eye diseases, but real-world conditions often result in blurred or unreadable images, increasing diagnostic uncertainty. To address these challenges, this study proposes RetinaRegen, a hybrid model for retinal image restoration that integrates a readability classifi-cation model, a Diffusion Model, and a Variational Autoencoder (VAE). Ex-periments on the SynFundus-1M dataset show that the proposed method achieves a PSNR of 27.4521, an SSIM of 0.9556, and an LPIPS of 0.1911 for the readability labels of the optic disc (RO) region. These results demonstrate superior performance in restoring key regions, offering an effective solution to enhance fundus image quality and support clinical diagnosis.

The training of deep learning models relies on a large amount of labeled data. However, the high cost of medical labeling seriously hinders the development of deep learning in the medical field. Our study proposes a general disease diagnosis approach based on Zero-Shot Learning. The Siamese neural network is used to find similar diseases for the target diseases, and the U-Net segmentation model is used to accurately segment the key lesions of the disease. Finally, based on the ResNet-Agglomerative clustering algorithm, a clustering model is trained on a large number of sample data of similar diseases to obtain a approximate diagnosis of the target disease. Zero-Shot Learning of the target disease is then successfully achieved. To evaluate the validity of the model, we validated our method on a dataset of ophthalmic diseases in CFP modality. The external dataset was used to test its performance, and the accuracy=0.8395, precision=0.8094, recall=0.8463, F1 Score=0.8274, AUC=0.9226, which exceeded the indexes of most Few-Shot Learning and One-Shot Learning models. It proves that our method has great potential and reference value in the medical field, where annotation data is usually scarce and expensive to obtain.

The hemorrhagic lesion segmentation plays a critical role in ophthalmic diagnosis, directly influencing early disease detection, treatment planning, and therapeutic efficacy evaluation. However, the task faces significant challenges due to lesion morphological variability, indistinct boundaries, and low contrast with background tissues. To improve diagnostic accuracy and treatment outcomes, developing advanced segmentation techniques remains imperative. This paper proposes an adversarial learning-based dynamic architecture adjustment approach that integrates hierarchical U-shaped encoder-decoder, residual blocks, attention mechanisms, and ASPP modules. By dynamically optimizing feature fusion, our method enhances segmentation performance. Experimental results demonstrate a Dice coefficient of 0.6802, IoU of 0.5602, Recall of 0.766, Precision of 0.6525, and Accuracy of 0.9955, effectively addressing the challenges in fundus image hemorrhage segmentation.[* Corresponding author.]