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The Standard Pseudoisochromatic Plates part 2 are able to detect acquired blue-yellow color vision defects as well as acquired and congenital red-green color vision defects. One test plate might be age dependent. The value of 3 test plates is not clear.
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Routine color vision testing to differentiate between hereditary and acquired color deficiencies and the usefulness of color fields.
Modifications of the Farnsworth-Munsell 100-Hue test (e.g., selection of new fixed-reference caps from within the test) have been proposed, with little or no theoretical justification or experimental verification. Predictions based on theoretical considerations of the underlying nature of the test and verified by experimental measurements on subjects with known color defects demonstrate that (1) modification can destroy the very nature of the test; (2) modification can alter axis determination and therefore, potentially, the diagnosis; (3) the resulting test scores cannot be compared reliably to established norms; and (4) accurate predictions of test performance can be made from theoretical considerations.
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From our results we can be sure that the colour test disk is at least as reliable for mass testing for colour blindness as the Ishihara isochromatic colour plates. In practice the test disk has the advantage of constancy of testing conditions and easy and quick procedure. If it is necessary to differentiate between protopia and deuteropia the colour test disk is significantly better Ishihara's colour plates.
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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.
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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.
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.
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.
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