Table A.

Adjudication rules for dealing with discrepancies between two readers

DREAM Study Meibomian Gland Baseline Grading Form Adjudication Rules
Question	Value Testing	Final Record
1. Image Present	Values equal	Retain value
	Values not equal	Adjudicate
Image no.	Values equal	Retain value
	Values not equal	Adjudicate
2. Lid Eversion	Values agree	Retain value
	Good and Fair	Good
	Good and Poor	Fair
	Fair and Poor	Fair
	(Good or Fair or Poor) and None	Adjudicate complete form
Al Overall focus	Values agree	Retain value
	Good and Fair	Good
	Good and Poor	Fair
	Fair and Poor	Fair
	(Good or Fair or Poor) and CG*	Adjudicate complete form
A2 Reflections	Values equal	Retain value
	Values not equal	Adjudicate
A3 Exposure	Values equal	Retain value
	Values not equal	Adjudicate
B. Morphology	Both values zero	Retain zero
	Both values CG	Retain CG
	One value zero, other value >0	Adjudicate
	One value CG, other value>0	Adjudicate
	One value zero, other value CG	Adjudicate
	Both values > 0 and within difference of 2	Average responses
	Both values > 0 and difference > 2	Adjudicate
11. Tadpoling	Values equal	Retain value
12. Gaps	Values not equal	Adjudicate
13. No Lid Margin	Values not equal	Adjudicate
14. Fluffy Areas	Values not equal	Adjudicate
C1. Total Area	Calculate mean between values
	If each value is within 10% of mean	Average responses
	If absolute value is greater than 10% different than then mean	Adjudicate
	If one value is CG and the other value measured	Adjudicate
C2. Total drop out includes	Calculate mean between values
	If each value is within 10% of mean	Average responses
	If absolute value is greater than 10% different than then mean	Adjudicate
	If one value is CG and the other value measured	Adjudicate
C3. Total drop out excludes	Calculate mean between values
	If each value is within 10% of mean	Average responses
	If absolute value is greater than 10% different than then mean	Adjudicate
	If one value is CG and the other value measured	Adjudicate

CG* - Cannot Grade