R2 or Not? May 2018

Total: 29 responses

Image 1

Overall Result:

R2: 21%

Not R2: 79%

Broken down by grader level:

Trainee Graders (6)

• R2: 17%  
• Not R2 83%

Qualified Graders (15)

• R2: 33%  
• Not R2: 67%

ROG/L3 Graders (8)

• R2: 0%
• Not R2 100%  

Comments from those who said R2:

None recorded

Comments from those who said NOT R2:

• Looks like an anomalous or congenital vessel, no other features. (ROG Grader)
• Not enough pathology seen to justify R2.

Image 2

Overall Result:

R2: 83%

Not R2: 17%

Broken down by grader level:

Trainee Graders (6)

• R2: 67% 4
• Not R2: 33% 2

Qualified Graders (15)

• R2 93%
• Not R2: 7%

ROG/L3 Graders (8)

• R2: 75%
• Not R2 25%

Comments from those who said R2:

• possible nvd with irma at 3 oclock from disc
• IRMA
• IRMA visible in c(o)lour
• ?IRMA inferior to the disc and temporally in the image. Would like to see the previous years images to rule out other reasons for pathology (ROG grader)

Comments from those who said NOT R2:

None recorded

Image 3

Overall Result:

R2: 10%

Not R2: 90%

Broken down by grader level:

Trainee Graders (6)

• R2: 33%
• Not R2: 67%

Qualified Graders (15)

• R2: 7%
• Not R2: 93%  

ROG/L3 Graders (8)

• R2: 0%
• Not R2 100%

Comments from those who said R2:

None recorded

Comments from those who said NOT R2:

• Other than haem in image, I would be more concerned about the fine vessels nasally on the optic disc. ?NVD, but no other significant DR changes (ROG grader)
• Yes to R2 features, but possibly new vessels R3