One Scale, Four Texts: Gaps, Overlaps and Silent Repairs in Published Grading Schemes

Elisa Rovai, Fabio Rovai

Category systems often reach their users as text, and readers apply them with tacit repairs. We ask what such a text determines once the repairs are removed, using diabetic retinopathy grading, where one international scale circulates in several documents. We transcribe four texts (the English screening definitions of 2025, the international scale as tabulated in 2017 and as published in 2003, and an Italian guideline of 2015) into one rule language over 24 finding variables, and make every point a text leaves open a named precisification. Exhaustive enumeration of 1,425,807,360 finding profiles, re-derived by an SMT solver and spot-checked by an OWL reasoner, shows that every text that assigns actions leaves some eyes without a category under every reading; that the 2017 tabulation has a proliferative class that is empty when read literally and a macular gap that the 2003 text lacks, so that no function maps the 2003 grades onto the 2017 grades; and that on image findings alone the English and Italian texts order some pairs of eyes in opposite ways. On 927 annotated photographs from three public datasets, with retinal thickening assumed absent, the English text and the 2017…