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At least 19 recordsLinked to original sources
PubMed1999

Evaluation of a new color vision test: "color vision testing made easy".

PURPOSE: A new pseudoisochromatic color plate test, "Color Vision Testing Made Easy" (CVTMET) has recently been introduced. Said to be designed for all age groups, including pre-school children, it uses the identification of simple shapes and objects to detect red-green color deficiencies. We evaluated the CVTMET to determine if the test is suitable for color vision screening of young children. METHODS: Forty-one adults predetermined to be color normal (n = 20) or to have hereditary red-green color deficiency (n = 21), served as subjects. A battery of color vision tests including the Ishihara, Panel D-15, and the anomaloscope were used for diagnosis and color deficiency classification. Subjects were then tested with Part I and Part II of the CVTMET test and results were compared to the Ishihara, Panel D-15, and anomaloscope. In addition, the CVTMET was used to screen for color vision deficiency in 152 kindergarten children 5 to 7 years of age. RESULTS: The pass/fail results for the adult subjects were the same for Parts I and II and compared favorably with the anomaloscope. There were no false positives (100% specificity) and only a few (2 of 21) false negatives (90.5% sensitivity). The two color-deficient subjects who passed the CVTMET had the mildest color deficiencies (simple deuteranomaly) and also passed the Ishihara test. Testability of kindergarten children was found to be 100%. Color vision deficiency occurred in 5.06% of the boys, which is about the same frequency found in older boys of similar ethnic background. CONCLUSION: This preliminary study indicates that the CVTMET appears to be an excellent screening instrument for red-green color deficiency in adults and has been shown to be useful for examining color vision in children 5 to 7 years of age.

Adult↗
PubMed2002

The validity of the University of Waterloo Colored Dot Test for Color Vision Testing in adults and preschool children.

PURPOSE: Most color vision tests require a high level of cognitive ability and as such are problematic for preschool children and multiply challenged individuals. Our goal was to design a color vision test for these groups and evaluate the clinical utility for preschool children. METHODS: The University of Waterloo Colored Dot Test (UWCDot) for Color Vision Testing requires the subject to distinguish a colored disc from seven gray discs. The target disc was a Munsell color along the deutan, protan, or tritan confusion line with gray. The first phase estimated the sensitivity and specificity of the test for adults. Thirty-one adults with normal color vision and 21 adults with congenital red-green defects participated. In the second phase, the utility of the UWCDot test for screening preschool children was determined. Subjects were 281 males and 269 females aged 2.5 to 5 years with normal vision. Their color vision was also assessed with the Standard Pseudoisochromatic Plates, Part 1 (SPP1). RESULTS: The sensitivity and specificity of UWCDot for adults approached the values for the desaturated D-15 when subjective responses were scored. Monitoring fixational eye movements produced sensitivity and specificity values that were similar to the anomaloscope. After adjusting the scoring criterion for the preschool children by using the females as a control, 2.9% of the males were identified as red-green deficient, 1.8% were blue-yellow deficient, and 3.2% had an unclassified deficiency. By definition, 1% of the females failed the test. Counting fixational eye movements was not a useful scoring method in the preschool children. Comparisons with SPP1 indicated that the UWCDot uncovers approximately 35% of the individuals with definite red-green color vision defects. CONCLUSIONS: Our results indicate that the UWCDot is capable of detecting approximately 35% of the preschool children who have a congenital red-green color vision defect. These individuals are likely to have a more severe deficiency.

Adult↗
PubMed1988

Preschool vision testing with a new device, the Scolatest.

To determine the reliability of results obtained in preschool children by school nurses with a new device for testing vision, the Scolatest, 153 children aged 4 to 5 years were presented with the Snellen E on the standard American Optical projector and with five letters of the Sheridan test (H, O, V, T and X) on the Scolatest. Another 212 children aged 3 to 4 years were presented with the Allen symbols on the projector and with the Pigassou symbols on the Scolatest. The tests with the projector were given at 6 m by an experienced pediatric orthoptist, those with the Scolatest at 2.5 m by a school nurse. The proportion of good responses was higher with the Pigassou symbols than with the Allen symbols. The results with the Sheridan letters and the Snellen E were similar up to 20/30; beyond 20/30 the Snellen E appeared unreliable. The four vision-testing systems were also presented by a school nurse at 2.5 m on the Scolatest to 102 children aged 4 to 5 years (Snellen E and the five Sheridan letters) and 80 children aged 3 to 4 years (Allen and Pigassou symbols). The proportions of good responses were more comparable. The results suggest that a working distance of 2.5 m should be used in testing vision in preschool children. Visual screening at this distance should test acuity beyond the 20/30 equivalence if results comparable to those at 20 feet with the 20/30 standard requirement are to be obtained.

Child, Preschool↗
PubMed2004

Development of a critical flicker/fusion frequency test for potential vision testing in media opacities.

PURPOSE: To determine whether critical flicker/fusion (CFF) thresholds fulfill the criteria for a potential vision test (PVT) by being unaffected by media opacity yet affected by retinal disease. METHODS: CFF thresholds for three different stimulus sizes (0.5, 1.0, and 1.5 degrees ) were measured in 72 patients (mean age, 78.43 +/- 7.07 years) comprising 31 subjects with media opacity, 21 with macular disease, and 20 with pseudophakia. RESULTS: There were no statistically significant differences between CFF values from the media opacity and the pseudophakia groups for any target size (p > 0.10). However, CFF values were significantly lower in patients with macular disease for all the target sizes (p < 0.05). Analysis of a subset of six subjects with media opacity and seven subjects with macular disease and visual acuity of 20/200 or worse showed the media opacity group still had similar CFF values as the pseudophakia group and had significantly higher CFF than the macular disease group. CONCLUSIONS: CFF testing is shown to fulfill the requirements for a PVT and may prove to be particularly useful for patients with dense media opacity.

Aged↗
PubMed2001

[Technical realization of an LCD-based vision test device].

We describe a computer-aided self-test vision screener for testing near and far visual acuity. The device generates images separately for each eye on a LCD. Acuity can be measured in the range between 0.1 and 1.6 for any distance between 0.34 m and 6 m. In addition, it also enables testing for colour deficiency, phoria, stereopsis and contrast sensitivity. The device is fully automatic and enables self-testing of the above mentioned functions. Initial practical application in an industrial environment has demonstrated the practicability of the device.

Diagnosis, Computer-Assisted↗
PubMed2007

[Validity of a web-based color vision test for screening examinations of color vision].

BACKGROUND: With standardized examination conditions, a web-based color vision test using pseudoisochromatic color plates can deliver test results comparable to those yielded by conventional color vision tests. The aim of the study is to analyze to what extent a web-based color vision test can be used as a screening test on the internet after visual monitor calibration. METHODS: A German-language web-based color vision test with 25 pseudoisochromatic color plates based on the color plates of Velhagen and Broschmann and of Ishihara was developed, which can be seen at http://www.farbsehtest.de. Volunteers were recruited by means of specific information distributed on the internet, in various print media, and on the radio. RESULTS: Over a period of 12 months, 2,126 of the initial volunteers [541 women and 1,588 men; mean age 34.27 (+/-14.1) years] with a valid test result for 25 color plates performed the web-based color vision test, 1,700 (506 women and 1,194 men) of whom passed it. Of the 426 volunteers who did not pass the test, 32 were women and 394, men. Counter-testing was performed on 101 volunteers (34 women and 67 men) with a mean age of 36.74 (+/-11.6) years. CONCLUSIONS: The results recorded in the patients who underwent counter-testing suggest that, if handled correctly, the web-based color vision test can be used as a color vision screening test on the internet.

Adolescent↗
PubMed1992

Spatial uncertainty in stereoacuity tests: implications for clinical vision test design.

In an attempt to design a new stereo vision test we found that the spatial uncertainty effect had substantial impact on the measured stereo acuity thresholds. This effect is present whenever there is uncertainty of where the critical information occurs in a visual target. We studied the spatial uncertainty effect for stereo acuity and for line length estimation. In addition, we determined the temporal uncertainty effect in a stereoacuity test. In foveal vision, uncertainty effects increased visual thresholds, sometimes dramatically. For example, for an uncertainty factor of 25 (i.e., the critical information occurred randomly in any of 25 positions) stereo thresholds increased more than four-fold compared to those obtained without uncertainty. Although the uncertainty effect has been well described theoretically, we think that it is not always appreciated in the design of clinical or experimental visual tests. In tests aimed at determining visual thresholds, spatial and temporal uncertainty factors should be minimized.

Adult↗
PubMed2003

The UWCDot colour vision test and low vision.

PURPOSE: Previous studies have shown that colour vision defects are common in the low vision population even when properly designed tests are used. However, there are very few clinical tests available that are suitable for this group of patients. One of the more common is the Jumbo D-15 (JD15). Although this test uses caps more suitable for the reduced acuity, it requires the patient to have some knowledge of colour order and sufficient dexterity to manipulate the caps. We compared the JD15 with the University of Waterloo Colored Dot test (UWCDot), which has neither of these requirements, to determine whether the UWCDot test could be used as a substitute for the JD15. METHODS: The colour vision of 40 consecutive low vision patients was evaluated with both tests. Acuities ranged from 6/6 to 6/1600 with a median value of 6/30. RESULTS: All subjects could perform both tests. The kappa coefficient of agreement between tests was high at 0.85 when any major crossing was a failure on the JD15 and any mistake was a failure on the UWCDot. Classification of the type of defect was also reasonable when the defect was relatively severe. CONCLUSIONS: The UWCDot can be used as a substitute for the JD15 in the low vision clinic. Both tests identify individuals with moderate-to-severe deficiencies, but the UWCDot does not require any manual dexterity and it does not require knowledge of colour-order.

Adolescent↗
PubMed1982

Improved color vision testing.

Pseudoisochromatic color vision testing plates have traditionally provided the clinician with screening-type information regarding the color with screening-type information regarding the color vision of patients. The introduction of a variable-color filter, through which the patient views these plates during testing, produces quantifiable results while exploiting the clinical advantages of the color plates. Thus, this approach allows the quick classification and quantification of color vision defects in a clinical setting. The results of this study on 153 subjects show that a variable-color filter combined with a series of traditional pseudoisochromatic plates can be successfully used on patients in a typical ophthalmology clinic to identify normal persons, protanopes, and deuteranopes. The results of the new test correlated well with those of standard tests.

Adult↗
PubMed1978

A possible explanation as to why the newly sighted commonly perform well on pseudoisochromatic colour vision tests.

Patients whose vision has been restored after long periods of blindness commonly experience difficulty in perceiving. Parodoxically, such patients often perform well on pseudoisochromatic colour-vision tests. A well-known example is Gregory and Wallace's subject, S.B. who performance on the Ishihara test was perfect. It is suggested that restoration of vision may be associated with relatively poor visual acuity and that this, by filtering higher spatial frequencies, enhances the legibility of pseudoisochromatic test patterns. Two experiments confirm that the Ishihara plates are more legible when seen as defocused images.

Blindness↗
PubMed2004

Color vision testing.

The science of color vision testing has evolved since its inception in the late 1700s. Since then, the rudimentary technique of comparing color names has been replaced by more sophisticated methods. Commonly used tests in clinical practice today include isochromatic plates, arrangement tests, anomaloscopes, and lantern tests. Each category has unique attributes that make it suitable for a particular clinical situation. The clinician should be aware of the requirements for administering and grading each test type. Factors such as the quality of the illuminant and the size of the field of view are important elements in setting up a proper color vision laboratory. Currently, no treatment exists for congenital color vision defects. However, studies show that diagnosis of these defects early in life may help children adjust better to tasks at school and may help adults understand their limitations at work. Acquired color vision defects are often used as markers of ocular pathology in the clinical setting. Different color vision tests are appropriate for diagnosing the different categories of defects. Sometimes, a battery of tests may be appropriate. This paper is a review of the current knowledge in the field of color vision testing.

Color Perception↗
PubMed1999

[The development of an intelligent vision testing instrument].

The paper introduces an intelligent vision testing instrument, which works on automatic method or manual method. The examinee inputs his or her judgement about the direction of the letter "E" with remote control. The system examines and judges the examinee's judgement, and then prints the testing report. The vision testing range is from logarithm vision 3.0 to 5.3. The distance between examinee and optometer can be measured automatically by the system with infrared and ultrasonic testing functions and a good accuracy.

Diagnosis, Computer-Assisted↗
PubMed1988

Visual skills of athletes versus nonathletes: development of a sports vision testing battery.

The field of sports vision has a fundamental premise that athletes require superior visual abilities to succeed in their sporting activity. This study takes a scientific look at what appear to be sports-related visual abilities using a clinical battery of vision tests to compare the visual performances of athletes to nonathletes. Significantly better visual performances were found to exist in the athletic population for certain visual skills: vergence facility, saccades, visual reaction time, peripheral awareness and near point of convergence. The tests for accommodative facility, visual proaction time, span of recognition distance phoria and distance stereopsis did not yield a statistically significant difference between the groups. These results provide a foundation for the development of a research-based sports vision testing battery.

Adult↗
PubMed2004

[Investigation of color vision using a web-based color vision test].

BACKGROUND: Screening tests of visual functions using the Internet are theoretically possible. To use these tests as a screening test, they must deliver comparable results with conventional test procedures. A web-based color vision test was developed based on pseudoisochromatic color plates. METHOD: The web-based color vision test was developed according to the pseudoisochromatic color plates by Velhagen and Broschmann using the programming-languages HTML, Java, and Perl. Sixty-five voluntary subjects, including nine color-deficient subjects, were examined by luminescence color plates (via web-based color vision test) and pigment color plates (via book). The statistical analysis was performed by determining the correspondence and the 95%-confidence interval. RESULTS: The correspondence of the test results for all subjects was 0.98 and the 95%-confidence interval was within 0.91 and 0.99. The correspondence of the test results in the group of color-deficient subjects was 1.0 and because of the limited number the 95%-confidence interval was within 0.71 and 1.0. CONCLUSIONS: The web-based color vision test with luminescence color plates for color-efficient and color-deficient subjects delivers test results comparable to pigment color plates under standardized examination conditions. Further studies are needed to examine if the web-based color vision test can also be used as an Internet screening test.

Adult↗
PubMed1985

[Vision test program for ophthalmologists on Apple II, IIe and IIc computers].

A microcomputer program for the Apple II family of computers on a monochrome and a color screen is described. The program draws most of the tests used by ophthalmologists, and is offered as an alternative to a projector system. One advantage of the electronic generation of drawings is that true random orientation of Pflueger's E is possible. Tests are included for visual acuity (Pflueger's E, Landolt rings, numbers and children's drawings). Colored tests include a duochrome test, simple color vision tests, a fixation help with a musical background, a cobalt blue test and a Worth figure. In the astigmatic dial a mobile pointer helps to determine the axis. New tests can be programmed by the user and exchanged on disks among collageues.

Color Perception Tests↗
PubMed1998

Potential human and economic cost-savings attributable to vision testing policies for driver license renewal, 1989-1991.

PURPOSE: This study assessed the impact of vision-related relicensing policies on traffic fatalities in the United States. There is a limited empirical basis for state vision testing policies for relicensing. Furthermore, it is uncertain whether contemporary vision standards for driver licensing achieve their implicit goal of protecting the public's health, or inappropriately restrict the mobility of competent drivers. METHODS: The 48 contiguous states and the District of Columbia were the "subjects" in this investigation. During the study period (1989 to 1991), 10 states did not require vision testing for driver license renewal. Multiple regression modeling was used to assess the impact of vision-related relicensing policies on traffic safety and to estimate the number of avoidable vehicle occupant fatalities and corresponding economic costs associated with traffic crashes involving older drivers (> or = 60 years). The primary data source for this investigation was the Fatal Accident Reporting System (FARS) database. RESULTS: Vision-related relicensing policies were significantly associated (p < 0.05) with lower vehicle occupant fatality rates of older drivers. According to the final regression model, approximately 222 fewer vehicle occupant fatalities (-12.2%) associated with older drivers would be expected for the 3-year period if mandatory vision testing policies had been in effect in 8 of the 10 states without such policies. Conservatively, those avoidable deaths represent an estimated $31 million in avoidable economic costs. CONCLUSIONS: State-level mandatory vision testing for relicensure may enhance traffic safety and reduce the economic burden of fatal crashes. Vision testing requirements should be maintained by jurisdictions with such requirements, and jurisdictions without such requirements should consider the potential traffic safety benefits of vision testing for driver license renewal.

Accidents, Traffic↗