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PubMed1998

Can clinical colour vision tests be used to predict the results of the Farnsworth lantern test?

Clinicians usually do not have access to a lantern test when making an occupational assessment of the ability of a person with defective colour vision to recognise signal light colours: they must rely on the results of ordinary clinical tests. While all colour vision defectives fail the Holmes Wright Type B lantern test and most fail the Holmes Wright Type A lantern, 35% of colour vision defectives pass the Farnsworth lantern. Can clinical tests predict who will pass and fail the Farnsworth lantern? We find that a pass (less than two or more diametrical crossings) at the Farnsworth Panel D 15 Dichotomous test has a sensitivity of 0.67 and specificity of 0.94 in predicting a pass or fail at the Farnsworth lantern test: a Nagel range of > 10 has a sensitivity of 0.87 and a specificity of 0.57. We conclude that neither the D 15 nor the Nagel Anomaloscope matching range are satisfactory predictors of performance on the Farnsworth Lantern.

Color Perception Tests↗
PubMed1996

Cavernous hemangioma with cone dysfunction.

We report a 13-year-old male who complained of strabismus and low visual acuity in the right eye. Saccular aneurysms filled with dark-colored blood were noted in the upper nasal quadrant of the right fundus. Ishihara color plates and Lanthony's new color test revealed a red-green color defect. Cone response and 30-Hz flicker responses were nearly absent. Cavernous hemangioma of the retina is a rare vascular hamartoma; the associated findings show cone dysfunction concomitant with this peripheral lesion.

Adolescent↗
PubMed1990

Color vision characteristics of visually impaired children.

A classroom assessment of color vision characteristics of children with low vision was conducted using a battery of tests. The results showed 75% of the children failed one or more tests, although only 24% had a moderate or severe color vision defect. Comparisons with the low vision clinic color vision assessment showed that many of the children were not identified as being color vision defective. Considering the use of color-coded information in education, greater emphasis on color vision evaluations in routine low vision examinations is recommended.

Child↗
PubMed1982

Achromatopsia. Clinical diagnosis and treatment.

Six cases of classic achromatopsia are presented. The methods of practical clinical diagnosis are discussed, including paradoxical pupillary constriction in darkness, the easily performed Sloan achromatopsia test, and electrophysiologic studies which are useful in young children. The visual and cosmetic benefits of heavily tinted contact lenses in such patients are stressed.

Adolescent↗
PubMed1984

Visual thresholds in the deutan type of red-green deficient colour vision.

Defective temporal integration for a foveally fixated 100' of arc red (660 nm) Btest flash presented on a 30 cd/m2 yellow ( Schott , OG 530) background was measured in subjects with deuteranopia , as well as in subjects with anomalous trichromacy of the deutan type. The mean integration time was 77 +/- 17 ms in 12 normal subjects but only 35 +/- 6, 46 +/- 11 Band 41 +/- 15 ms in respectively 6 subjects with deuteranopia , 7 with extreme deuteranomaly Band 9 with deuteranomaly . An increase in the test duration from 10 to 200 ms increased the mean relative sensitivity by 0.85 +/- 13 log units in the normal subjects compared with 0.45 +/- 0.05, 0.57 +/- 12 and 0.56 +/- 19 in subjects with deuteranopia , extreme deuteranomaly and deuteranomaly .

Adolescent↗
PubMed1978

The new color test.

The New Color Test allows estimation of the neutral zone (separation phase) and the characteristic color confusions (classification phase) using Munsell colors. The width of the neutral zone is estimated by the ranges of hues confused with grey. The severity of chromatic discrimination loss for a given axis is estimated by the range of chromas confused with grey.

Color Perception Tests↗
PubMed1976

Examination of colour vision by use of induced contrast colours. Design of a new series of tissue paper contrast tests.

The ability to induce contrast colours is evident in normal persons by the tissue paper contrast principle. However, tests of good quality are not easily available. The design of a new series of charts follows two principles: 1) Selection of background hues in accordance with the maximally desaturated regions of the spectrum as seen by the colour defectives. 2) Exact adjustment of the neutral test field (constituted by the chart figures) in order to eliminate any false clue due to brightness contrasts. By introducing chart figures of alternative grey values appropriate tests can be attained for each type of colour vision defect. 37 persons with congenital colour defect and 15 persons with acquired defects were examined. The charts, according to the criteria for selection, proved to be selective in their screening efficiency.

Adolescent↗
PubMed1980

Tokyo Medical College Test in acquired dyschromatopsia.

In order to find a successor for the Hardy, Rand and Rittler (AOH-R-R) test the author made a comparison between the AOH-R-R and the Tokyo Medical College (TMC) tests in acquired dyschromatopsia. The diagnosis of the TMC type of a red-green defect is often in contradiction with the results of other color vision tests. In grading the severity of a red-green defect the TMC classification is shifted with regard to the AOH-R-R classification. A corrected grading in better agreement with the AOH-R-R classification is proposed. The TMC blue-yellow screening plates are more sensitive than the AOH-R-R blue-yellow screening plates. A TMC (supermild) blue-yellow defect in general corresponds to blue-yellow defects detected by FM 100 Hue and its derivatives. In the study of acquired dyschromatopsia, it is necessary to use a test battery. In our opinion the TMC can be used in such a test battery although it is not a real successor to the AOH-R-R. If ever the AOH-R-R is reprinted, the blue-yellow plates should be extended to a 'supermild' degree as are the TMC blue-yellow plates.

Adult↗
PubMed1989

[Screening of early color vision loss in diabetic patients].

Colour vision defects have been claimed to appear in diabetes before any retinopathy is visible. In the present study diabetic patients and non diabetic control subjects were screened with two different colour vision tests which include both red-green and blue-yellow parts, and are suitable for quantitative analysis of scores. The Lanthony 40 Hue test and the Tokyo Medical College--T.M.C. tables were used to assess colour vision in 106 diabetic (50 insulin dependent and 56 non insulin dependent) patients and in 99 non diabetic control subjects. Diabetic patients without visible retinopathy, familiar colour vision defects and/or lens changes, had significantly higher scores than control subjects in both eyes. The differences were more evident in non insulin dependent patients. Statistical analysis showed that early loss of colour vision was correlated with age and duration of diabetes for older patients, while correlation with glycosylated hemoglobin was moderately positive only for younger patients. Both tests (especially the Lanthony 40 Hue) resulted to be highly specific and could be used for the clinical study of colour vision losses in diabetic patients.

Adult↗
PubMed1995

Effect of subacute occupational exposure to toluene on color vision.

The subacute effect of toluene on color vision was examined in 59 rotogravure workers exposed to toluene. Toluene and ethanol were determined in blood and color vision testing was performed on Monday before shift and on Friday after shift. The battery included the Ishihara plates, the Velhagen plates, the Standard Pseudoisochromatic Plates part 2, the Farnsworth panel D-15 test, and the Lanthony desaturated panel D-15 test. The concentrations of toluene in blood ranged from < 0.22 to 7.37 mg/l. No effect of toluene on color vision could be observed even in a subgroup of highly exposed workers. So their ability to judge colored products was not impaired.

Adolescent↗
PubMedDate not supplied

The X-Chrom lens. On seeing red.

A broadband red filter placed over one eye will have the effect of improving the ability of certain color vision defectives to name colors correctly. A red-tinted contact lens will have the same effect; such a device is marketed under the name, the X-Chrom lens. In this article, the author examines the basic properties of color vision defects, explains the optical effect of the red filter, and reviews several studies which evaluate the effect of the X-Chrom lens. He concludes that while the lens may allow the wearer to achieve a better score on certain color vision tests, it does not actually correct color vision in the natural environment. Deleterious effects of wearing a red filter are also discussed. It is advised that patients wearing the X-Chrom lens be fully apprised of its limitations and of dangers that may be created by the associated visual distortions.

Color Perception Tests↗
PubMed1979

Autosomal recessive incomplete achromatopsia with deutan luminosity.

Four patients in three different families had a form of autosomal recessive incomplete achromatopsia not previously described. The visual acuity was 6/18 to 6/60 (20/60 to 20/200) with minimal ophthalmoscopic abnormality and normal fluorescein angiogram. The photopic electroretinographic responses were present in all four patients; the fusion rate of 60 Hz was only slightly subnormal. The high-intensity scotopic response was subnormal. The patients failed color screening plates and accumulated over 400 errors with scotopic axis on the Farnsworth-Munsell 100-hue test. The Rayleigh match was abnormal, displaced toward the red primary, but with normal luminance. The photopic luminous efficiency function was similar to that of the deuteranope. Color matching revealed a trichromatic form of color vision mediated by long wavelength and short wavelength cones, and a rhodopsin receptor.

Adolescent↗
PubMed1988

Isolating the color vision loss in primary open-angle glaucoma.

We evaluated the results of Farnsworth-Munsell 100-Hue tests in age- and lens density-matched eyes of normal subjects, glaucoma suspects, and patients with primary open-angle glaucoma. With these controls in place, no significant correlation between the test results and age or between the test results and lens density was found. However, a significant difference in the total error scores on the 100-Hue test remained. This difference could not be explained by pupil size or medications taken. We concluded that color vision loss in glaucoma is in part attributable to the disease process and cannot be explained solely on the basis of changes in age and lens density.

Aged↗
PubMed1996

A comparative study of Hardy-Rand-Rittler and Ishihara colour plates for the diagnosis of nonglaucomatous optic neuropathy.

OBJECTIVE: To determine the ability of the Hardy-Rand-Rittler (HRR) and Ishihara colour plates to detect acquired colour vision defects in patients with nonglaucomatous optic neuropathy (NGON). DESIGN: Prospective study. SETTING: Neuro-Ophthalmology Unit of the Wilmer Eye Institute, Baltimore. PATIENTS: A total of 178 consecutive patients (349 eyes) referred to the Neuro-Ophthalmology Unit and the General Eye Service of the Wilmer Eye Institute and examined by two of the authors were enrolled from July 1992 to June 1993. OUTCOME MEASURES: Results of testing with HRR and Ishihara plates. RESULTS: Among the 202 eyes that were found to have no ocular disease on neuro-ophthalmologic testing, the HRR plates gave a normal result in 168 (83.2%), compared with 196 (97.0%) with the Ishihara plates (p < 0.0001). The HRR plates detected an acquired colour vision deficit in 48 (87.3%) of the 55 eyes with NGON, compared with 38 (69.1%) for Ishihara plates (p = 0.001). The values for the eyes with NGON with a visual acuity of 20/25 or better were 76.5% (13/17) and 35.3% (6/17) respectively (p = 0.008) and with a visual acuity less than 20/25, 92.1% (35/38) and 84.2% (32/38) respectively. CONCLUSIONS: For patients with unilateral or bilateral NGON, HRR plates are more likely than Ishihara plates to detect a colour vision defect, particularly when the visual acuity is 20/25 or better. However, neither test is sensitive enough to be used as the sole criterion for the diagnosis of NGON. The results of comparison of colour perception of the two eyes may be more useful than absolute colour vision responses, particularly in patients with unilateral disease.

Adolescent↗
PubMed1988

The influence of homonymous visual field disorders on colour sorting performance in the FM 100-hue test.

An influence of visual field disorders on sorting performance in the FM 100-hue test is reported. Patients with left-sided field disorders performed worse in the conventional testing direction, i.e. from left to right, compared with patients with right-sided defects. Reversing the direction of sorting led, however, to a similar impairment in patients with right-sided field defects. Observations in normals tested under different conditions of hue sorting support the view that the difference obtained cannot be accounted for by a hemisphere difference in colour processing but by the strategy adopted by subjects.

Adolescent↗
PubMed1993

Colour vision in retinitis pigmentosa. Influence of cystoid macular edema.

In retinitis pigmentosa patients the effect of cystoid macular edema on colour vision was studied. The occurrence of cystoid macular edema decreases with increasing colour vision defect. The mutual proportion of the main types of colour vision defects remains stable until visual acuity has dropped to 0.5; at lower VA levels the number of red-green defects increases. Neither the finding of a blue-yellow colour vision defect in FM100 Hue testing nor the appearance of anomaloscopic pseudoprotanomaly is influenced by cystoid macular edema. The authors conclude that cystoid macular edema in retinitis pigmentosa patients mainly affects visual acuity and not colour vision. They also noted a familial occurrence of cystoid macular edema.

Color Perception↗
PubMed1988

[Blue cone monochromasia: diagnosis, genetic counseling and optical aids].

Cone and rod functions of three blue cone monochromats (age 13-20, male) from three different families were investigated. In contrast to rod monochromats, they lack prominent nystagmus. Color matches as determined using the Nagel anomaloscope came close to those of rod monochromats but the green primary appeared slightly brighter to them. In color discrimination tests (Farnsworth-Munsell 100-hue and Panel D-15 desaturated), maximum confusion followed protan rather than scotopic axes. Measurements of spectral sensitivity revealed action spectra exclusively of blue sensitive cones, even under conditions that should isolate green- or red-sensitive cones. After 20 minutes of dark adaptation, rods determined the spectral sensitivity function. Transient tritanopia, which in normals results from the interaction between cones sensitive to short and long wavelengths, was completely absent in blue cone monochromats. Visual acuity (Snellen charts and contrast gratings) revealed values between 20/200 and 20/60. Recognition of high-spatial low-contrast gratings was improved by blue cut-off filters (Schott BG 28) and considerably worsened by yellow cut-off filters (Schott OG 510). Since alteration of visual acuity induced by cut-off filters was not found in rod monochromats, this two-filter test is a means of differentiating quickly between rod achromats and blue cone monochromats. As the mode of inheritance is autosomal recessive in rod achromats and x-linked recessive in blue cone monochromats, differential diagnosis is important for correct genetic counseling.

Adult↗