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Eigenvector interpretation of the Farnsworth-Munsell 100-hue test.

We measured the reflectance spectra for the 85 color caps of the Farnsworth-Munsell 100-hue test. Eigenvectors and eigenvalues of a correlation matrix of cone responses were computed, with the cone responses being determined from the 85 test caps, arranged in order (according to color) by means of a linear model. It is shown that the Farnsworth-Munsell 100-hue test can be simulated by use of eigenvectors of the cone responses. The eigenvectors can be interpreted as nonopponent signal and opponent color signals. The normal observer can determine the color of a cap by using two opponent color signals. For color-blind persons (dichromats) one or the other opponent signal is defective, and errors can occur during the test. The simulation results also suggest that eigenvectors can be used to predict results of arrangement tests similar to the Farnsworth-Munsell 100-hue test.

Color Perception↗

[Chromatic sense: types of defects and clinical evaluation tests].

Evaluation of the chromatic sense has a great value in ophthalmic practice, both for diagnosis of the congenital defects (daltonism), as well as for diagnosis and follow-up of acquired defects. Many clinical tests are available to be used for this purpose. However it is necessary to know the details and sensitivity of each test, since there are many variations in the results, depending on the searched condition, if congenital or acquired pathologies. Our goal is to review the types of defects of the chromatic sense and provide information about the main current available tests and their best purpose. We further emphasize the importance of standard illumination procedure in the application of the tests.

Color Perception↗

Validation of the Holmes - Wright lanterns for testing colour vision.

The recently introduced Holmes - Wright Type A and Type B lanterns and the Farnsworth lantern were administered to 100 observers with normal colour vision and 100 observers with defective colour vision. With the fail criteria adopted, all normals passed the Holmes - Wright Type A lantern and with one exception all normals passed the Farnsworth lantern. However, 8% of normals failed the more difficult Holmes - Wright Type B lantern. It is noted that the normals who fail this lantern test appear to do so not because of poor colour discrimination but because the coloured stimuli presented by the lantern have a point brilliance close to the average chromatic threshold. About one-third of the colour vision defective group passed the Farnsworth lantern and between 14 and 17% passed the Holmes - Wright Type A lantern depending on the test procedure used. Only two mild deuteranomals in the sample of 100 colour abnormal observers succeeded in passing the Holmes - Wright Type B lantern. Dichromats and severe anomalous trichromats fail all three lanterns so that those who pass are all mild anomalous trichromats. A significant proportion of protanomals pass the Farnsworth lantern and some protanomals pass the Holmes - Wright Type A lantern despite their reduced sensitivity to red light and correspondingly reduced signal range for red signals.

Color Perception Tests↗

Clinical experience with the Lovibond Colour Vision Analyser. Results from the examination of normal and congenital colour-deficient subjects.

The Colour Vision Analyser was used for testing 98 persons of both sexes, aged from 10 to 70 years, and recognized as normal by means of pseudo-isochromatic plates and an anomaloscope. A drop of the saturation thresholds from yellow to green and from blue to purple was observed from the age of 40 years. The saturation thresholds from yellow to green was found lower in every age group than that from blue to purple. Congenital colour defects could be completely distinguished from normal subjects. As for the classification in types, those diagnosed as deutan by means of the anomaloscope were also diagnosed as deutan by the Analyser, however, there were, among those diagnosed as protan by the anomaloscope, some subjects who were diagnosed as deutan by the Analyser. Nearly all cases could be classified as anopia or anomaly.

Adolescent↗

Pattern of dysfunction in progressive cone dystrophies--an extended classification.

An extended classification for progressive cone dystrophies is proposed on the basis of the retrospective analysis of the clinical and electrophysiological findings obtained in a series of 91 patients with progressive cone dystrophies and of a review of the literature. This classification depends on the different patterns of electroretinographic responses. Four main categories and ten subgroups are distinguished. Generalized cone dystrophies are most frequent (76/91), affect all types of cones, and may be subdivided according to the degree of rod involvement. In selective cone dystrophies (8/91), the three cone types are affected differently as detected with the color electroretinogram. They are subdivided on the basis of the cone type predominantly involved. Additional inner retinal transmission defects may occur in cone dystrophies (3/91). They are identified by an alteration in the b/a-wave ratio on the electroretinogram and may affect the cone or rod pathway. Localized cone dystrophies (4/91) are limited to certain retinal areas.

Adolescent↗

Colorimetry by a new principle.

A simple and informative method is described for determining the type and extent of color defects. The subjects' responses are registered automatically on a chromaticity diagram that is based on the newtonian model. Color defects are readily identifiable by a skewing of the normal central gray area toward the defectively perceived color. The examination permits independent variation of hue and saturation for each color and requires less than five minutes for the entire procedure. Unlike conventional color tests, the present method indicates exactly what colors are or are not seen at any level of saturation.

Adolescent↗

Impaired color discrimination among viscose rayon workers exposed to carbon disulfide.

A possible effect of chronic carbon disulfide exposure on the optic nerve was studied by giving the Farnsworth Munsell 100-Hue Test for color discrimination to 62 exposed and 40 nonexposed men. Carbon disulfide exposure did not relate to specific pattern defects in color discrimination, but impaired color discrimination occurred significantly more often in the exposed group than among the referents. The abnormal findings suggest an impairment in the receptiveness of the ganglion cells or demyelination of the optic nerve fibers.

Adult↗

Repeatability indices for the Adams D-15 test for colour-normal and colour-defective adults.

PURPOSE: The Adams desaturated D-15 test was administered to individuals with normal colour vision or with congenital red-green colour vision defects to establish the repeatability of the test. METHODS: One hundred subjects with normal colour vision and 64 subjects with defective colour vision participated in the study. Results were analysed from two different sessions to determine the repeatability of the test for different pass/fail criteria. The test was scored using both visual inspection of the score sheet and the modified Colour Difference Vector analysis (CDV) program. RESULTS: For both subject groups, the repeatability was lowest when a perfect arrangement was required for a pass and improved as more errors were allowed. The improvement in repeatability was greatest as the failure criterion changed from 'any mistake' to 'more than two crossings'. The kappa coefficient for the reliability of the defect classification was 0.38 for visual inspection and 0.59 for the CDV analysis. All the protans who failed the test at both sessions were classified correctly. CONCLUSIONS: Approximately 98 per cent of the colour-normals and 82 per cent of the colour-defectives would have the same pass/fail outcome on the Adams D-15 test conducted several days apart when the failure criterion was either one or more or two or more crossings. Individuals who make less than four crossings on the Adams D-15 should repeat the test to ensure confidence in the pass/fail result.

Adult↗

Peripheral cone contrast sensitivity in glaucoma.

Colour vision tests for detection of glaucomatous damage frequently suffer from two problems: most tests are confined to foveal vision, whereas defects tend to appear first extrafoveally; and the modulation directions in colour space are not optimal. This paper deals with peripheral testing à la Yu, Falcao-Reis, Spileers and Arden [(1991) Investigative Ophthalmology and Visual Science, 32, 2779-2789], and investigates whether there are modulation directions that show preferential sensitivity reduction in glaucoma. In 14 eyes with early glaucoma, 17 risk eyes and 10 normals, 12 deg peripheral colour contrast thresholds were determined for L, M, S, L-M and L+M test directions. Threshold elevations were correlated in all test directions, with S modulation yielding the largest elevations.

Aged↗

Colour vision screening in glaucoma: the Tritan Album and other simple tests.

Results from simple colour vision tests used for the detection of the Type III colour vision deficiency in glaucoma and ocular hypertension are presented. We assessed 49 patients with primary open angle glaucoma, 16 ocular hypertensives, 54 age matched normals and 50 young normal observers using six established tests and the recently introduced Tritan Album. This test was introduced specifically for acquired colour vision deficiencies. Results show in general that individual tests have low sensitivity and poor screening efficiency. The best screening efficiency was achieved by the City University Colour Vision Test and the AO HRR plate test, no acquired tritan defects were identified by the Farnsworth F2 plate, and the Tritan Album had very low sensitivity (the lowest excluding the F2 plate). Best results were obtained from a combination of City University and HRR test scores and this combination could provide useful additional data on colour vision in a glaucoma screening programme.

Aged↗

Red-green mixture thresholds in congenital and acquired color defects.

A color television display was used to measure thresholds for mixtures of red and green on a white background; red and green components could be either incremental, decremental or zero. Ellipses are fitted to a plot of green contrast as a function of red contrast, and it is argued that the length of the ellipse is a measure of red-green color discrimination and the width of the ellipse is a measure of luminance discrimination. It is shown that the technique reliably distinguishes normals from congenital color defectives and also protan from deutan subjects. For some cases of acquired color defects (e.g. optic neuritis), there is a roughly equal loss of color and luminance discrimination whereas, in other cases (e.g., hereditary optic atrophies), the loss of color discrimination is much greater than the loss of luminance discrimination.

Adult↗

Visual evoked response in syphilitic optic atrophy. A case report.

A case of neurosyphilis is described. The presenting symptoms were reduced visual acuity and impaired colour vision. The examination revealed bilateral optic atrophy and acquired red-green colour defect. A syphilitic aetiology was based on positive serological tests in blood and CSF, pleocytosis and increased total protein in the CSF. The abrupt decline in visual acuity was arrested by treatment with penicillin and systemic steroids, but normalization of vision was not obtained. All VER-records, of P2 latencies and morphologies were surprisingly normal, but the amplitudes were reduced.

Color Vision Defects↗

[Blue-on-yellow perimetry in tobacco and alcohol consumers].

PURPOSE: To evaluate the visual field changes in blue-on-yellow perimetry (B/Y) strategy 10-2 in alcohol and tobacco smoking consumers. METHODS: Forty-two eyes of twenty-one users were studied. Fifteen individuals were used as a control group. All volunteers were males. After normal ophthalmologic examinations, central 10-2 (B/Y) was performed in both eyes. Analysis of the results was performed through the alterations in the depth graph defect and number of altered points. RESULTS: It was found that the majority of the chronic alcohol and tobacco smoking consumers had a greater frequency of alterations in the depth graph defect; 40 eyes (95.3%), (> 10 dB), and 27 eyes (64.3%) showed a number of altered points, (> 10 points), (p < 0.0001). All those who were used as a control group showed alterations in the depth graph defect and number of altered points, but had less than 10dB and 10 altered points, respectively. CONCLUSION: A higher number of abnormal points and depth graph defects and number of altered points were observed in alcohol and tobacco smoking consumers reflecting a higher number of alterations in the cells of the parvocellular system, responsible for color function, by B/Y perimetry.

Adult↗

Pathologic scotopization: a shortened Nagel-II anomaloscopic micro-screw method.

The Nagel-II micro-screw method uses eleven colour equations between 620 and 560 nm. The luminance settings are given and are based on the data of colour normal individuals. In the shortened version, intended to detect pathologic scotopization, it is ascertained at which position of the micro-screw the patient's colour adjustments drop beneath the level of 60 scale Units. A total of 64 patients was examined. 29 congenital colour defectives and 35 acquired colour defectives. With the shortened micro-screw method the patients can be divided into four groups: (1) a group without pathologic scotopization, which includes congenital protan defectives: (2) a group in which pathologic scotopization starts; (3) a group with evident pathologic scotopization, due to Stargardt's disease and other cone dystrophies; and (4) a group with complete pathologic scotopization, which includes the congenital achromats and the end-stages of the cone dystrophies.

Color Perception Tests↗

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↗

[Juvenile neuronal ceroid lipofuscinosis (Spielmeyer-Vogt disease)].

BACKGROUND: The neuronal ceroid-lipofuscinosis (NCL) belongs to progressive neurodegenerative disorders of childhood with both ophthalmologic and neurologic symptoms. In the most common type in Germany, the juvenile type, the ophthalmological examination is essential for an early diagnosis. PATIENT: A 5-year-old boy had exhibited a loss of visual acuity, visual field and colour perception in his pre-school age. His clinical features and electrophysiologic data are presented. The final diagnostic clues were drawn from the neuropediatric and cytologic examinations. RESULTS: This patient shows the typical clinical feature of the juvenile NCL with a relatively rapid visual loss with bull's eye maculopathy in the pre-school- to early school age. His electroretinogram was abolished, and his EEG showed pathologic results. The diagnosis could be established by electron microscopy of his lymphocytes. Epilepsy and intellectual defects are expected to set in only few years later. CONCLUSIONS: Although there is no therapy, the ophthalmologist should be aware of this rare entity because prognostic counselling, social help and perhaps genetic counselling could be offered to the families. In many cases, a prenatal diagnosis is possible.

Child↗