R2 or Not? April 2018

Total: 41 responses

Image 1

Overall Result:

R2: 27%

Not R2: 73%

Broken down by grader level:

Trainee Graders (2)

• R2: 100%  
• Not R2 0%

Qualified Graders (30)

• R2: 17%  
• Not R2: 83%

ROG/L3 Graders (9)

• R2: 44%
• Not R2 66%  

Comments from those who said R2:

• area of IRMA @ 3 o'c. Seen more readily with red free, but also seen clearly on standard image
• Not a lot of DR on single photo, but Microvascular infarcts and IRMA = Refer to me
• IRMA

Comments from those who said NOT R2

• Image does not expand, so very difficult to assess. There are quite a few cotton wool spots but would have liked to see the macula view to make further assessment, could possibly verge on to R2 depending on number of cotton wool spots.
• Difficult to decide because it can't be contrasted or highlighted.

Image 2

Overall Result:

R2: 44%

Not R2: 56%

Broken down by grader level:

Trainee Graders (2)

• R2: 50%
• Not R2: 50%

Qualified Graders (30)

• R2 33%
• Not R2: 67%

ROG/L3 Graders (9)

• R2: 78%
• Not R2 22%

Comments from those who said R2:

• Small amount of IRMA superior edge of image just visible in colour
• IRMA
• possible IRMA but here again not very clear images
• I'd need to zoom in to be absolutely sure

Comments from those who said NOT R2:

• Similar to image one, not as bad and IRMA no seen on colour - although quality not very good
• Again image would not expand sufficiently to make proper assessment. Cannot see very well to assess, looks like R1
• Same - I would like to be able to lighten it to make sure there aren't IRMAs. Same image as first - what's the rationale?
• NVE (from a ROG grader)

Image 3

Overall Result:

R2: 71%

Not R2: 29%

Broken down by grader level:

Trainee Graders (2)

• R2: 100%
• Not R2: 0%

Qualified Graders (30)

• R2: 70%
• Not R2: 30%  

ROG/L3 Graders (9)

• R2: 67%
• Not R2 33%

Comments from those who said R2:

• Would like to see all images brighter, in red only - definition for IRMAs, and both views so I can objectively decide.
• IRMA clearly present.
• Lots or IRMA not NVE

Comments from those who said NOT R2:

• looks like R3 to me, small area of NVE @2 o'c. there is IRMA as well, so if it were not for the 'wandering vessel' below the vein, I would grade R2
• Probable NVE justifies R3
• R3
• Appears to be new vessels inferior to disc, so R3
• again R3 due to possible NVE but also IRMA seen - better image clarity
• Appears to be new vessels inferior to disc, so R3