R2 or Not? November 2017

Total: 95 responses

Image 1

Overall Result:

R2: 89.5%

Not R2: 10.5%

Broken down by grader level:

Trainee Graders (7)

• R2: 85%
• Not R2: 15%

Qualified Graders (65)

• R2: 90 %
• Not R2: 10%

ROG/L3 Graders (23)

• R2: 89%
• Not R2 11%

Comments from those who said R2:

• This is a busy looking retina. There's MBH2 at least considering the sizes of the dot/blot haemorrhages scattered all throughout this image. A definitive IRMA can be located at 1o'c position, 3DD away from the disc.
• Query IRMA superior to ONH
• Could be borderline R2 but you have to look hard to IRMA

Comments from those who said NOT R2:

• A lot of MAs but not many blot haemorrhages or other features. Would probably DS 6 months

Image 2

Overall Result:

R2: 56.8%

Not R2: 43.2%

Broken down by grader level:

Trainee Graders (7)

• R2: 28.6%
• Not R2: 71.4%

Qualified Graders (65)

• R2: 67%
• Not R2: 33%

ROG/L3 Graders (23)

• R2: 70%
• Not R2: 30%

Comments from those who said R2:

• Lot's of activity. Defo R2
• IRMA
• Doubt NVD, ?IRMA inf to RD, review 3/12 at least in DS to assess disc
• Second image does not not have MBH, but has suttle IRMA
• Appears to be irma ish around the optic disc, although I would be very suspicious and check for NVD too.
• Again blots scattered across most quadrants.

Comments from those who said NOT R2:

• No convincing IRMA in colour, not that many MAs/haems
• Wouldn't Say MBH and cannot see any other R2 features
• Can see NVD?

Image 3

Overall Result:

R2: 73%

Not R2: 27%

Broken down by grader level:

Trainee Graders (7)

• R2: 57%
• Not R2: 43%

Qualified Graders (65)

• R2: 65%
• Not R2: 35%

ROG/L3 Graders (23)

• R2: 74%
• Not R2 26%

Comments from those who said R2:

• IRMA visible
• Irma
• IRMA
• irmas on all 3 images
• Plenty of IRMA.
• IRMA seen in colour - would also be suspicious of NVD.

Comments from those who said NOT R2:

• NVD Present
• Suspicious vessels on disc so would grade R3 on this basis.
• R3A – NVD
• More like R3 due to Small vessels on Disc - no previous images so difficult to say. Could also be just collaterals.
• ?? NVD if so r3a
• I would grade as R3 there appear to be some NVD
• Not enough blots or other R" features.
• There are R2 features eg IRMA but again I am very suspicious about the disc and I think
• there could be NVD present so I would grade as R3A.