Skip to main content

Table 3 Inter-rater agreement between the ophthalmologist and two MLOPs at the second rating

From: Intra- and inter-rater agreement between an ophthalmologist and mid-level ophthalmic personnel to diagnose retinal diseases based on fundus photographs at a primary eye center in Nepal: the Bhaktapur Retina Study

Retinal findings

Ophthalmologist Vs MLOP 1 (Kappa value; 95 % CI)

Ophthalmologist Vs MLOP 2 (Kappa value; 95 % CI)

MLOP 1 Vs MLOP 2 (Kappa value; 95 % CI)

Overall retinal pathologies

0.59 (0.51–0.66)

0.52 (0.44–0.60)

0.58 (0.51–0.66)

Retinal hemorrhage

0.60 (0.41–0.78)

0.68 (0.52–0.84)

0.67 (0.49–0.84)

Maculopathy

0.52 (0.43–0.60)

0.59 (0.50–0.67)

0.65 (0.57–0.73)

Non gradable

0.80 (0.72–0.88)

0.71 (0.62–0.81)

0.77 (0.68–0.86)

  1. Abbreviations: MLOP mid-level ophthalmic personnel, CI confidence interval