Inclusion Criteria:  Retina specialists regularly seeing patients with DR  Routinely examines >= 20 patients with diabetes without known diabetic retinopathy or diabetic macular edema per week Routinely provides laser treatment or intravitreal injections to >= 3 DR patients/month  Patients  Diagnosed with type 1 or 2 diabetes Presenting visual acuity >= 6/18 best corrected visual acuity in the better-seeing eye  Exclusion Criteria:  Retina specialists  Currently using an AI system integrated into their clinical care and/or inability to provide informed consent.  Patients  Inability to provide informed consent or understand the study; persistent vision loss, blurred vision or floaters; previously diagnosed with diabetic retinopathy or diabetic macular edema; history of laser treatment of the retina or injections into either eye, or any history of retinal surgery; contraindicated for imaging by fundus imaging systems