Techniques for automating the generation and analysis of fundus drawings are described. Captured images undergo image processing to extract information about image features. Fundus images are generated and recommended labels for the fundus drawing are generated. Fundus drawings can be analyzed and undergo textual processing to extract existing labels. Machine learning models and co-occurrence analysis can be applied to collections of fundus images and drawings to gather information about commonly associated labels, label locations, and user information. The most frequently used labels associated with the image can be identified to improve recommendations and personalize labels.