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