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Lanthony 15-Hue Desaturated Test for screening of early color vision defects in uncomplicated juvenile diabetes.

PURPOSE: To identify the most appropriate test for screening of early color vision abnormalities in uncomplicated juvenile diabetes. METHODS: Enrolled in this study were 39 diabetic adolescents, characterized by optimal Early Treatment Diabetic Retinopathy Study criteria for visual acuity, transparent dioptric means and angiographically normal retinas. Color vision was examined with Standard Pseudoisochromatic Plates (Part 2, SPP2), Roth 28-Hue Test (R28), Farnsworth-Munsell 100-Hue Tests (FM100), and Lanthony 15-Hue Desaturated Test (L15). Color confusion score (CCS) and desaturation angle (DSAT) were measured on L15 only. Thirty-nine normal subjects served as a control group. Poor metabolic control was an exclusion criteria. RESULTS: CCS was significantly higher in the patients than in the controls (37.8 +/- 11.1 vs 0 +/- P < .001) and normal scores were found in only 4 diabetic patients. DSAT values were spread, not showing a well-defined axis of the defect. The results of FM100 were clinically reliable but affected by a longer execution time. R28 and SPP2 demonstrated a low sensitivity, as all patients scored normally with both tests. CONCLUSIONS: Impaired color vision is a common observation even in patients with uncomplicated juvenile diabetes. Our results indicate that L15 is the most suitable test for screening of early color vision abnormalities in these subjects.

Adolescent↗

Color vision defect type and spatial vision in the optic neuritis treatment trial.

PURPOSE: To describe the types of color vision defects present in the acute phase of the disease and 6 months into recovery in the 438 participants of the Optic Neuritis Treatment Trial. METHODS: Patients meeting strict eligibility criteria were seen within 8 days of the onset of symptoms and then at regular follow-up visits. At the first and 6-month visits (and subsequent annual visits), spatial vision (acuity, contrast sensitivity), visual fields, and color vision were measured. Farnsworth-Munsell 100-hue tests were scored by a variant of the method of quadrant analysis described by Smith et al (Am J Ophthalmol. 1985; 100:176-182). RESULTS: Most persons show mixed red-green (RG) and blue-yellow (BY) color defects (one type predominating, accompanied by a lesser defect of the other type). BY defects tend to be slightly more common in the acute phase of the disease, with slightly more RG defects at 6 months. Persons may shift defect type over time. Defect type was not related to any of the spatial vision measures at either test time or to treatment group; however, severity of color defect was related to both spatial vision measures and treatment group. CONCLUSIONS: Contrary to common clinical wisdom, optic neuritis is not characterized by selective RG defects. Color defect type cannot be used for differential diagnosis of optic neuritis.

Acute Disease↗

Who fails lantern tests?

A battery of clinical colour vision tests was given to a group of 100 observers with abnormal colour vision who were also tested on the Farnsworth lantern and the Holmes-Wright lanterns types A and B. It was found that clinical colour vision tests are imperfect predictors of lantern test performance. However, observers classified as having a 'severe' colour vision defect were found to fail the lantern tests but only one half to two-thirds of those who fail the lantern tests can be identified in this way. It is not possible to identify with certainty any of the people likely to pass the lantern tests: about one-third to two-thirds of observers classified as being mildly affected fail the lantern tests. The Farnsworth D-15 and City University tests were found to be the best predictors of lantern test performance but other tests such as the Nagel anomaloscope, the H-16, L'Anthony's desaturated test can also be used. The lack of a strong correlation between clinical tests and the recognition of the small coloured stimuli presented by the lantern tests suggests that clinical tests do not test the same aspect of colour vision that is important to the recognition of signal lights. For this reason lantern tests should be retained for occupational testing of colour vision.

Adaptation, Ocular↗

Spectrophotometric analysis of a nongreening, metal-fusing porcelain.

Spectrometric analysis has been used previously to examine color differences among various porcelains and metal ceramic systems. This study determined whether nongreening porcelain of a single shade fused to high-gold and palladium-silver alloys results in the same final color. Both conventional (VMK-68) and nongreening (VMK-68N) porcelains were fused to metal coupons of high gold (Will-Ceram Y) and palladium-silver (Will-Ceram W-1) to make up four groups. CIELAB colorimetric data were collected at each of seven fabrication steps to define color differences between steps for each alloy-porcelain group as well as between groups at each step. For the shade tested, perceptible color differences between high-gold/conventional porcelain and palladium-silver/nongreening porcelain coupons did not support manufacturers' claims.

Analysis of Variance↗

[Representation of normal and pathologic macular color vision].

INTRODUCTION: The computerized chromatic test allows a graphic visualization of the colors perceived by normal and pathologic retina. MATERIAL AND METHOD: This test was returned by an album (six series of plates with ten levels of saturation), a lamp and a program for graphic representation. RESULTS: The graphic image was returned by the computer. For a normal eye, the aspect of the chart was a set of ten concentric saturation levels: the most saturated circle were located on the outside. For an acquired or congenital dyschromatopsia, the limits of the neutral zone are located in the center and are constituted by the most saturated level of blind charts of the album. DISCUSSION AND CONCLUSION: The informatized chromatic test is a very easy one to appreciate color vision defects.

Color Perception Tests↗

The desaturated panel D-15.

The Desaturated Panel D-15 is analogous in design to the standard Panel D-15 but of lower purity (chroma 2 Munsell); the test is more sensitive to mild and moderate losses in chromatic discrimination ability. Combination of the results of both tests allows recognition of several degrees of chromatic discrimination loss.

Child↗

Binocular enhancement of color discrimination in a deutan.

A 31-year-old white male deutan produced reliably different profiles when examined binocularly and monocularly with a Farnsworth-Munsell 100-hue test. Discrimination in the long wavelengths improved under the binocular conditions. Intensive testing yielded no information to account for the phenomenon.

Adult↗