Table 4 Classification systems for hypertensive retinopathy and interobserver agreement [kappa (standard error)] for KWB and OCTA classification systems (n = 90 eyes)

From: Morphological changes in and quantitative analysis of macular retinal microvasculature by optical coherence tomography angiography in hypertensive retinopathy

 

KWB

OCTA

Grade

Features

Stage

Features

I (n = 30)

Arterial narrowing

1 (n = 25)

No detectable signs or only focal capillary sparsity

II (n = 30)

Definite focal narrowing and arteriovenous crossings

2 (n = 39)

Focal capillary sparsity, scattered microangioma and focal macular arch ring defect or a combination of these signs

III (n = 30)

Signs of grade 2 retinopathy plus hemorrhages, exudates and cotton wool spots

3 (n = 26)

Signs of stage 2 retinopathy plus focal capillary disorder and nonperfusion or a combination of these signs

Vs. gold standard

  

Za

Resident 1

0.865 (0.039)

0.959 (0.024)

−2.05

Resident 2

0.843 (0.041)

0.932 (0.030)

−1.75

Resident 1 vs. resident 2

0.784 (0.048)

0.891 (0.037)

−1.77

  1. KWB Keith–Wagener–Barker, OCTA optical coherence tomography angiography
  2. a|Z| > 1.96 significance at 0.05 level; |Z| > 2.45 significance at 0.01 level