1 Introduction Ophthalmic imaging is an indispensable tool in the documentation and diagnosis of retinal diseases. Digital fundus photography is widely used in diabetic retinopathy screening programs to detect macular oedema and proliferative diabetic retinopathy, the most common causes of vision loss in diabetes [1-3]. Access to reliable, low-cost fundus imaging could improve early diagnosis and treatment, reducing preventable vision loss in resource-limited regions.