R2 Or Not? November 2018

Total responses: 39

Image 1

Overall Result:

R2: 85%

Not R2: 15%

Broken down by grader level:

Trainee Graders (9)

• R2: 78%
• Not R2: 22%

Qualified Graders (19)

• R2: 84%
• Not R2: 16%

ROG/L3 Graders (11)

• R2: 91%
• Not R2: 9%

Comments from those who said R2:

• IRMA
• Borderline features but probably enough to call it R2
• Possible early NVE
• possibility of IRMA / abnormal vessels upper right quadrant - unsure
• Lots of CWS and clear IRMA
• IRMA inferior nasal
• MBH
• Presence of MBHs + a Suspicious Patch of IRMA Visible in colour in the Periphery

Comments from those who said NOT R2:

None

Image 2

Overall Result:

R2: 44%

Not R2: 56%

Broken down by grader level:

Trainee Graders (9)

• R2: 22%
• Not R2: 78%

Qualified Graders (19)

• R2: 42%
• Not R2: 58%

ROG/L3 Graders (11)

• R2: 64%
• Not R2: 36%

Comments from those who said R2:

• IRMA
• Initially it looks like R1, but when you look at image 2 and 3 togeher (same retina) the grade is R2
• Including IRMA visible in colour
• Irma
• IRMA present
• R2 Only because of MBHs with NO convincing IRMA

Comments from those who said NOT R2:

• cannot see any obvious signs of anything that isnt R1
• Not enough evidence to rule out a silent VO
• No distinguishable R2 features - good candidate for an early review

Image 3

Overall Result:

R2: 46%

Not R2: 54%

Broken down by grader level:

Trainee Graders (9)

• R2: 33%
• Not R2: 67%

Qualified Graders (19)

• R2: 53%
• Not R2: 47%

ROG/L3 Graders (11)

• R2: 45%
• Not R2: 55%

Comments from those who said R2:

• IRMA
• multiple deep blot haems
• MBH
• MBH
• Presence of MBHs + Suspicious Patch of IRMA Visible in colour
• Aware that this is the same eye as image 2, however there are more HMa visible in the nasal part of the view

Comments from those who said NOT R2:

• Possibly is R2 - cant decide if odd markings around vessel end in lower left quadrant are large enough concern - thinking not
• As per image 2 - no real R2 features. many MAs but not blots. Again, good candidate for DS or early recall