VOL. 10, NO. 13, JULY 2015 ISSN 1819-6608
ARPN Journal of Engineering and Applied Sciences
© 2006-2015 Asian Research Publishing Network (ARPN). All rights reserved.
www.arpnjournals.com
5631
AN AUTOMATIC GRADING SYSTEM OF SEVERITY LEVEL FOR
DIABETIC RETINOPATHY USING CNN CLASSIFIER
Mahendran Gandhi
1
and R. Dhanasekaran
2
1
Department of Electronic and Communication Engineering, Syed Ammal Engineering College, Ramanathapuram, India
2
Department of Electrical and Electronic Engineering, Syed Ammal Engineering College, Ramanathapuram, India
E-Mail: vishnumahendran2010@gmail.com
ABSTRACT
The human eye is an organ that reacts to light and has several purposes. As a sense organ, the human
eye allows vision. The retina is a light-sensitive layer at the back of the eye that covers about 65% of its interior surface.
Rodand cone cells in the retina allow conscious light perception and vision including colour differentiation and the
perception of depth. A disease called diabetic retinopathy which is affected in the retina to the diabetic patients suffering
with the diabetes more than 10 years. Diabetic Retinopathy (DR) is the utmost common diabetic eye disease and a leading
reason of blindness. It is caused due to injury in the blood vessels of the retina. The brittle blood vessels may enlarge and
leak fluid which is called as exudates. Exudates are fluids, cells, or other cellular substances that are slowly discharged
from blood vessels usually from inflamed tissues. It can be a clear fluid which is composed of serum, fibrin, and white
blood cells. Diabetic retinopathy is identified by the ophthalmologists by the dilation method. The dilation method is
meant by pouring eye drops into the patient’s eye and it causes irritation to the patients. In order to protect the patients
from the irritation and blindness, an automatic method is developed to detect these exudates and to measure the severity of
the diabetic retinopathy. The exudates are detected by using the JSEG algorithm and the severity level grading is done by
using Cascade Neural Network (CNN) classifier algorithm.
Keywords: diabetic retinopathy, exudates, principle component analysis, cascade neural network classifier.
INTRODUCTION
Diabetes is a major issue in our life caused due
to increase in the sugar level content of our body because
of lack of insulin. High blood sugar (glucose) enhances the
risk of eye troubles from diabetes. In fact, diabetes is the
leading reason of blindness in adults of ages 20 to 74. For
diabetes, this high blood sugar causes the lens of the eye to
enlarge, which changes the observing ability of the eye. To
correct this category of eye troubles, the glucose level
should be controlled. It may endureas long as three months
after the glucose level is well controlled for the vision to
completely get back to normal. Blurred vision may also be
a sign of more dangerous eye problem with diabetes. The
three major eye problems that can arise for the people with
diabetes are cataracts, glaucoma, and retinopathy. Diabetic
eye disease signifies to a group of eye problems which
people with diabetes may face as a difficulty of diabetes.
All can cause severe vision loss or even blindness.
Diabetic retinopathy is the utmost ordinary diabetic eye
disease steering to the vision loss. It is caused by
variations in the blood vessels of the retina.
For certain people with DR, blood vessels may
enlarge and leak fluid. For some other people, abnormal
new blood vessels nurture on the surface of the retina. The
retina is the perceptive tissue at the rear of the eye. A
healthy retina is essential for good vision. Blood vessels
harmed from DR can cause vision loss in two modes:
Fragile, abnormal blood vessels can arise and oozeblood
into the centre of the eye so that the vision is blurred. This
is called proliferative retinopathy and is the most
progressed stage of the disease.
Fluid can ooze into the center of the macula
which is the part of the eye where sharp and straight-ahead
vision occurs. The fluid causes the macula swelling to blur
the vision. This condition is known as macular edema. It
can happen at any stage of DR, even though it is more
likely to occur as the disease proceeds. About half of the
people with proliferative DR also have macular edema.
Diabetic retinopathy has four stages: 1. Mild
Non-proliferative Retinopathy- This is the earliest stage,
where them icroaneurysms occur. They are small swelling
that may break and allow blood to leak into nearby tissue.
2. Moderate Non-proliferative Retinopathy- As the disease
progresses, some of the blood vessels that nurture the
retina are clogged. 3. Severe Non-proliferative
retinopathy-Many of the blood vessels are clogged,
denying several areas of the retina with their blood supply.
These areas of the retina deliver signals to the body to
grow new blood vessels for sustenance. 4. Proliferative
Retinopathy –This is the advanced stage, where the signals
sent by the retina for sustenance cause the growth of new
blood vessels. These additional blood vessels are abnormal
and fragile. They grow near the retina and near the surface
of the clear, vitrifiedgel filled inside of the eye. These
blood vessels do not cause any symptomor vision loss.
However, they have thin, breakable walls. If they
oozeblood, dangerous vision loss and even blindness can
result.
The premature signs of DR are oozing
blood vessels, retinal enlargement (macular edema), pale
fatty sedimentson the retina–signs of oozingblood vessels,
harmednerve tissue and any modifications to the
blood vessels.
DR can be noticed from dilated retinal images.
Dilated images are taken by dropping chemical solution
into patients’ eye. This permits the ophthalmologists to see