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Biomedical subjects

Stephen J Dain

Publications and source records attributed to Stephen J Dain.

6 recordsLinked to original sources

Clinical colour vision tests.

The structure and function of the available and significant clinical colour vision tests are reviewed in the light of the needs in the clinical examination of congenital and acquired colour vision deficiencies. The tests are grouped and described as pseudo-isochromatic plates, arrangement tests, matching tests and vocational tests. The colorimetric constructions of the test types are described and the efficiency of their performance and usefulness discussed. Recommendations are made for basic and extended test batteries, when examining of congenital and acquired colour vision deficiencies in the consulting room.

Color Perception Tests↗

Differences in FM100-Hue test performance related to iris colour may be due to pupil size as well as presumed amounts of macular pigmentation.

BACKGROUND: It has been reported that the differences in macular pigment between Asian and Caucasian eyes might give rise to different performance on the Farnsworth-Munsell 100 Hue test. However, the study did not appear to account adequately for the observation that differences were apparent only in older age groups. It was also acknowledged that other factors, like pupil size and crystalline lens colouration, could influence the result. METHOD: We investigated the performance of the Farnsworth-Munsell 100 Hue test, under standard conditions, by three groups with presumed different macular pigmentation and narrow age range. We also measured pupil size. RESULTS: The group with blue irides (presumed low macular pigmentation) performed significantly better on the colour vision task than the Asian group and the brown-eyed subjects as a whole (presumed higher macular pigmentation). In addition, the difference in pupil size between the blue-eyed group and brown-eyed groups bordered on significance. The difference in pupil size and consequential reduction in retinal illuminance account for a significant proportion of the difference in colour vision performance. In addition, a difference in both pupil size and Farnsworth-Munsell 100 Hue test performance was also observed between males and females that reinforced the importance of pupil size, and not just macular pigment, as a factor in colour vision performance difference between Asian and non-Asian eyes. CONCLUSION: It is concluded that pupil size, not just macular pigment, may have a significant influence on colour vision performance in a young, healthy population.

Adult↗

Sunglasses and sunglass standards.

Sunglasses and sunglass standards are reviewed from the point of view of the history of sunglasses and the development of sunglass standards. The need for eye protection from solar radiation is discussed and the provisions of the various national sunglass standards are discussed in relation to that need.

Eye Protective Devices↗

Traffic signal color recognition is a problem for both protan and deutan color-vision deficients.

We investigated the effect of color-vision deficiency on reaction times and accuracy of identification of traffic light signals. Participants were 20 color-normal and 49 color-deficient males, the latter divided into subgroups of different severity and type. Participants performed a tracking task. At random intervals, stimuli simulating standard traffic light signals were presented against a white background at 5 degrees to right or left. Participants identified stimulus color (red/yellow/green) by pressing an appropriate response button. Mean response times for color normals were 525, 410, and 450 ms for red, yellow, and green lights, respectively. For color deficients, response times to red lights increased with increase in severity of color deficiency, with deutans performing worse than protans of similar severity: response times of deuteranopes and protanopes were 53% and 35% longer than those of color normals. A similar pattern occurred for yellow lights, with deuteranopes and protanopes having increased response times of 85% and 53%, respectively. For green lights, response times of all groups were similar. Error rates showed patterns similar to those of response times. Contrary to previous studies, deutans performed much worse than protans of similar severity. Actual or potential applications of this research include traffic signal design and driver licensing.

Accidents, Traffic↗

Colorimetric analysis of four editions of the Hardy-Rand-Rittler pseudoisochromatic tests.

At the Göttingen meeting of the International Colour Vision Society, I reported on a comparison of the second edition of the American Optical Hardy-Rand-Rittler Pseudoisochromatic plates (AO HRR) with the Richmond Products third edition of the same test and concluded that the chromaticities were exceptionally poorly matched and that the new edition was a "pale imitation of the real thing" (unpublished). This conclusion led to our abandoning a clinical trial. In 2002, Richmond Products has published a fourth edition and, in 2003, Waggoner has published a modified HRR with additional (Ishihara style) plates and the tetartan confusion figures removed. As a precursor to any clinical trial, the colors used in the plates have been measured and comparisons drawn between the four editions. While the two most recent editions much more closely resemble the original AO HRR and the chromaticities are much better aligned on the dichromatic confusion lines, the excitation purities (and therefore the degree of difficulty) of the plates are less well matched in the Richmond Products editions. In addition, there is a significant degree of metamerism in the third edition and Waggoner edition that makes variations in illuminant more critical to performance.

Color Perception↗

Illuminant and observer metamerism and the Hardy-Rand-Rittler color vision test editions.

A previous study identified a significant metamerism in the several editions of the Hardy-Rand-Rittller pseudoisochromatic plates (HRR) but did not proceed to quantify the consequences of that metamerism (Dain, 2004). Metamerism arises from two sources and is almost inevitable when a printed color vision test is reproduced in several editions. Metamerism has two consequences; these are illuminant/source-based changes in performance and changes in performance with observer (less well known) when assessing anomalous trichromats. This study addresses the effects of illuminant/source and observer metamerism on the fourth editions of HRR. Groups of colors intended to lie on a dichromat confusion line generally remain on a confusion line when the source id changed. The plates appear to be resistant to each form of metamerism, perhaps because the features of the spectral reflectance are similar for figure color and background gray. As a consequence, the clinician needs to be less concerned about using a non-recommended source than was previously believed.

Color Perception↗