Microaneurysm(s) Retinal haemorrhage(s) ± any exudate
R2
Preproliferative retinopathy
Venous beading, venous loop, or reduplication Intraretinal microvascular abnormality (IRMA) Multiple deep, round, or blot haemorrhages
R3
Proliferative retinopathy
New vessels on disc (NVD) New vessels elsewhere (NVE) Preretinal or vitreous haemorrhage Preretinal fibrosis ± tractional retinal detachment
M0
No maculopathy
No apparent maculopathy
M1
Maculopathy present
Exudate within 1 disc diameter (DD) of the centre of the fovea Circinate or group of exudates within the macula Retinal thickening within 1 DD of the centre of the fovea (if stereo available) Any microaneurysms or haemorrhage within 1 DD of the centre of the fovea only if associated with a best VA of ≤6/12 (if no stereo)