Blood vessels are harmed in diabetic retinopathy (DR), a condition that impairs vision. Using modern healthcare research and technology, artificial intelligence and processing units are used to aid in the diagnosis of this syndrome and the study of diagnostic procedures. The correct assessment of DR severity requires the segmentation of lesions from fundus pictures. The manual grading method becomes highly difficult and time-consuming due to the wide range of the morphologies, number, and sizes of lesions. For image segmentation, traditional fuzzy clustering techniques have two major drawbacks. First, fuzzy memberships based clustering are more susceptible to outliers. Second, because of the lack of local spatial information, these techniques often result in oversegmentation of images. In order to address these issues, this research study proposes an outlier-based skimpy regularization fuzzy clustering technique (OSR-FCA) for image segmentation. Clustering methods that use fuzzy membership with sparseness can be improved by incorporating a Gaussian metric regularisation into the objective function. The proposed study used the symmetry information contained in the image data to conduct the image segmentation using the fuzzy clustering technique while avoiding over segmenting relevant data. This resulted in a reduced proportion of noisy data and better clustering results. The classification was carried out by a deep learning technique called convolutional neural network (CNN). Two publicly available datasets were used for the validation process by using different metrics. The experimental results showed that the proposed segmentation technique achieved 97.16% and classification technique achieved 97.26% of accuracy on the MESSIDOR dataset.
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