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Abbreviations EMR Electronic medical record ETDRS Early Treatment Diabetic Retinopathy Study EWDR Early worsening of diabetic retinopathy GIP Gastric inhibitory polypeptide GLP-1RA Glucagon-like peptide-1 receptor agonist ICLDC Imperial College London Diabetes Centre MAP Mean arterial pressure MBS Metabolic bariatric surgery NPDR Non-proliferative diabetic retinopathy PDR Proliferative diabetic retinopathy PSM Propensity score matching SGLT2i Sodium–glucose cotransporter 2 inhibitor Acknowledgements The authors wish to acknowledge the contributions of A