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Huematic--an automated scorer for the Farnsworth-Munsell 100 hue test.

A cheap, portable automated scorer for the Farnsworth-Munsell (FM) 100 hue test has been developed. It consists of a light pen, a series of omni-directional bar-codes attached to the reverse of the FM 100 hue caps and a small micro-computer. The print-out includes patient details, a linear histogram of the partial errors by cap position, indication of the peak error positions for congenital colour vision deficiencies and appropriate statistical analysis of the total error score. All the results are available within four minutes of completing the testing procedure.

Adolescent

The Roth 28-hue test.

The Roth 28-hue test, first described in 1966, uses every third color cap from the Farnsworth-Munsell 100-hue (85-color-cap) test. Protans, deutans, and tritans exhibit slightly different confusion axes on the Roth 28-hue test and the Farnsworth D-15 test. These axes are illustrated on a CIE chromaticity diagram. The little-used Roth 28-hue test may be a good compromise between the D-15 and 100-hue tests, but clinical trials for verification are needed.

Adolescent

Macular colour contrast sensitivity in ocular hypertension and glaucoma: evidence for two types of defect.

Colour contrast sensitivity (CCS) of a large cohort of glaucomatous patients, ocular hypertensive patients (OH), and normal persons was measured at six-month intervals during a two-year period. The OHs were graded into high, medium, and low risk groups. 69% of glaucomatous patients and 32% of all OHs had CCS thresholds greater than the mean plus 2 SDs of the controls. Satisfactory specificity and sensitivity could not be obtained by adjusting the criterion of threshold. In abnormal eyes, progressive small increases of threshold occurred during the study, but glaucomatous eyes with normal thresholds on the first visit retained normal thresholds in the subsequent visits. Although our system is very sensitive and precise, the proportion of abnormalities detected is no greater than with other techniques. In some glaucomatous patients there is a true preservation of colour vision which does not merely reflect the limitations of the test employed.

Color Perception

Perimetric testing of tritan deficiency.

Three members of a family with dominantly inherited juvenile optic atrophy tested with a computerized perimeter employing violet and blue-green test lights and low-intensity white background, all showed larger reduction in the relative sensitivity to violet light in the more central parts of the visual field compared with the periphery within 30 degrees from the center. Two subjects had typical optic atrophy, centrocecal scotoma and lower than normal visual acuity. In 1 subject with good visual acuity of both eyes, no optic atrophy was observed but there was impairment in the luminosity function (tested with white test object on white background) of the peripheral visual field.

Adult

Velhagen Pfügertrident pseudoisochromatic plates in screening congenital red-green vision defects.

Red-green colour vision defects were screened in a group of 425 trade school students using Velhagen Pflügertrident pseudoisochromatic plates. Thereafter, the students were examined with the Nagel anomaloscope. Of the 425 students, 31 (7.3%) were found to be colour defectives. Deuteranomalous defects were found in 4.9% of cases; deuteranopic defects, in 0.2%; and protanomalous defects, in 2.1%. There were no protanopic students in the study group. The Velhagen plates found 19 of the 31 defectives (sensitivity, 61.3%); none of the students with normal colour vision were suspected of being colour defectives (specificity, 100%). The sensitivity of the Velhagen plates is not as high as that of other pseudoisochromatic tests. However, the Velhagen Pflügertrident test is easy to use when screening of pre-school-aged children is needed.

Adolescent

[Theoretical patterns of the panel D-15 test in congenital dichromatic color vision defects].

In order to study the theoretical patterns of the panel D-15 test for congenital dichromatic color vision defects, the spectral reflectance for the 16 color caps of the panel D-15 test was measured with a spectro-photometer. Then, the chromaticity-coordinates of each color cap were calculated using the spectral distribution of standard illuminant C. The theoretical patterns of the panel D-15 test for dichromats were obtained based on the confusion lines. For this procedure, the slope of the line between the color cap and the convergence point on the CIE chromaticity diagram was obtained first. Then, the order of the arrangement was decided starting with the slope having the smallest cap number and continuing progressively. For the chromaticity coordinates of the convergence points the following values were used; x = 0.7465, y = 0.2535 for protanopia, x = 1.08, y = -0.08, x = 1.40, y = -0.40, and x = 1.70, y = -0.70 for deuteranopia, and x = 0.171, y = 0.000 for tritanopia. The results show a very clear similarity between the orientation axis obtained by simulation and the actual data. Therefore, it was confirmed that dichromats arrange the color caps in the order of the slope of the line between the color cap and the convergence point, when performing the panel D-15 test. Furthermore, it was suggested that the patterns of the panel D-15 test differ by the convergence points among dichromats even of the same type.

Color Perception

[Theoretical patterns of the panel D-15 test in congenital red-green dichromats as a function of the chromaticity coordinate of the convergence points].

In order to determine whether or not the patterns of the panel D-15 test for congenital red-green dichromats change when the convergence point is changed, a simulation experiment was attempted assuming that dichromats arrange the color caps in the order of the slope of the line between the chromaticity coordinates of the color cap and the convergence point. For this procedure, chromaticity coordinates of the color cap were calculated using both the spectral distribution of standard illuminant C and the daylight fluorescent lamp (Toshiba-EDL). For this prediction, the chromaticity coordinates of the convergence points were changed according to y = 1-x. The results show several different patterns for both protanopia and deuteranopia under both illuminants. The range of the x chromaticity coordinates common to both illuminants was 0.6868 to 0.8552 when the protanopic patterns were obtained, while the range of the x chromaticity coordinates common to both illuminants for deuteranopic patterns was 1.0878 to infinity and minus infinity to -1.8153. As a result, it was suggested that the patterns of the panel D-15 test for red-green dichromats change according to the convergence points. Therefore, it was considered that this test cannot be used as a dependable measurement for color discrimination ability in cases showing dichromatic patterns.

Color Perception

Predictive validities of several clinical color vision tests for aviation signal light gun performance.

Scores on the American Optical Company (AOC) test (1965 edition), Dvorine test, Farnsworth Lantern test, Color Threshold Tester, Farnsworth-Munsell 100-Hue test, Farnsworth Panel D-15 test, and Schmidt-Haensch Anomaloscope were obtained from 137 men with color-defective vision and 128 men with normal color vision. The validity of each of these tests in predicting scores on the aviation signal light gun was assessed by using daytime and nighttime administrations of the light gun as the criteria. Two "best sets" of plates from the AOC and Dvorine tests were selected by calculating a multiple regression equation in a stepwise manner with the nighttime and then the daytime administration of the signal light gun test as the criteria. Based on a graphic presentation of the miss and false alarm rates for each test at various possible cut scores, suggestions were made regarding the use of each test and the selection of optimal pass/fail scores.

Aerospace Medicine

Eye disease and color defects.

The groundwork for understanding color defects in eye disease was established by the end of the nineteenth century. Thereafter the field was neglected as scientists concentrated on studies of normal color vision and congenital color vision defects. Spurred by the development of the Farnsworth 100 hue-test, interest was renewed in the 1950s. The past 25 years have seen an explosion of interest in color defects in eye disease. The International Research Group on Color Vision Deficiencies has played an important role in this activity. The development of new clinical tests and instruments as well as refinement of laboratory techniques are among the important developments.

Color Perception Tests

The clinical significance of change.

Clinicians frequently make judgements about the clinical importance of a change in "score" on visual function tests obtained from patients on successive visits. Almost no normative data for assessing the significance of change in performance on routinely used clinical tests exists, and the importance of collecting such data is emphasized. A description of how normative data for the significance of change can be collected is given, using the Farnsworth-Munsell 100 hue test as an example. Although there are always limitations to estimates of error variance, the importance of determining the precision of clinical tests, for guiding rational decision making, is stressed.

Adult

Performance of the standard pseudoisochromatic plate test.

The Standard pseudoisochromatic Plate (SPP) test was administered to 346 normals, 55 anomalous trichromats, and 46 dichromats. Its ability to detect and classify congenital color defectives was assessed. The performance of each plate was assessed separately and compared with its colorimetric properties. The test as a whole achieves a high level of accuracy in separating normals from color vision defectives [Youden's Index (YI) = 92.4%] and a high reliability (71.3%) in classification of the congenital color vision defectives. The performance of individual plates in separating color normals and color vision defectives of individual plates varies (YI ranges from 69.8 to 86.1%). A set of three plates can be chosen, which achieves a performance similar to that of the whole test. The test is found to be a reliable clinical screening method for congenital red-green color vision defectives.

Color Perception Tests

Color vision testing in young children: a review.

It is often recommended that children be screened for possible color vision deficiencies as early as possible. This paper examines the validity of commercially-available color vision tests when used with young children (age three to seven years). It is concluded that with the possible exception of the anomaloscope, no test is entirely suited for children, in most cases because the test makes cognitive demands beyond the capability of the young child.

Adult

Observations on color vision testing in ocular hypertension and glaucoma.

Forty-eight patients aged from 60 to 69 years (58 eyes) with ocular hypertension (OHT) or primary open angle glaucoma (POAG) and a control group of 16 persons (31 eyes) were studied with six color vision tests: Standard Pseudoisochromatic Plates Part 2, Farnsworth Panel D 15, Farnsworth-Munsell 100-hue (FM 100) test, Lanthony Desaturated Panel, Nagel (red-green) anomaloscope, and Besançon (blue) anomalometer. In the color vision tests, the newly diagnosed OHT eyes without treatment differed significantly from the control group in the blue anomalometer. The long-term OHT eyes with treatment had no significant difference from the normals in any of the tests. The newly diagnosed POAG eyes without treatment were significantly different from the normals in the FM 100 test as well as in the boxes I, II, III and IV of the test, in the Lanthony Desaturated Panel and in the blue anomalometer. The long-term POAG eyes with treatment only differed significantly from the normal eyes in the blue anomalometer. The box IV of the FM 100 test and blue anomalometer were observed to be the most useful of these six tests in finding the possible early beginning of the blue color vision defect in the group of newly diagnosed OHT.

Aged

Lanthony's new color test. II. Clinical evaluation.

The desaturated 15 Hue test is estimated to give about 7% false-positive single protanopic confusions. Confusions between tetartanopic and protanopic directions are not infrequent. The New Color Test findings, in general, reflect the AOH-R-R pathology but, among other things, because of the difference in their size, the classifications of both tests should not be compared. The New Color Test proves to be valuable, and can be easily employed in a routine clinical procedure. An examination scheme is proposed.

Color Perception Tests

[A railway accident a hundred years ago as reason for systematic testing of colour vision (author's transl)].

Holmgren's supposition that colour blindness was one of the causes for the train-disaster which happened on 15th November 1875 near Lagerlunda had been passed on as an established fact. The course of the accident is outlined on the basis of the court records. It shows that not colour blindness, but the fact that the engine-driver and the station-master were acting contrary to regulations resulted in the head-on collision with the opposite train. After this event systematic testing of colour vision in railway-men was instituted and the methods of examination were considerably improved.

Accidents, Traffic