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PubMed2006

End-box scoring artefact evaluation of the Farnsworth-Munsell 100-Hue colour vision test.

The scoring artefact in the Farnsworth-Munsell 100-Hue test, arising from the grouping of the caps into four boxes, was investigated. The traditional method of scoring performed with the numbers of the anchor caps disregarded and the alternative scoring performed with the numbers of the anchor caps employed, were compared. For the traditional method of scoring, we revealed an increase of the error score of the outside (end-box) caps when the total error score was above 240. On the contrary for scoring performed with the numbers of the anchor caps employed, the difference between the error score of the outside caps and the average error per cap is not significant. To mitigate the end-box artefact and to improve the reliability of the Farnsworth-Munsell 100-Hue test, corrections to the traditional method of scoring are proposed.

Adolescent↗
PubMed1978

Lanthony's new color test. II. Clinical evaluation.

The desaturated 15 Hue test is estimated to give about 7% false-positive single protanopic confusions. Confusions between tetartanopic and protanopic directions are not infrequent. The New Color Test findings, in general, reflect the AOH-R-R pathology but, among other things, because of the difference in their size, the classifications of both tests should not be compared. The New Color Test proves to be valuable, and can be easily employed in a routine clinical procedure. An examination scheme is proposed.

Color Perception Tests↗
PubMed1998

Skewness and transformations of Farnsworth-Munsell 100-hue test scores.

In the past, suggested transformations of Farnsworth-Munsell 100-Hue Test (FM 100-Hue) test scores distributions have been limited to a square root transformation. In this study, the choice of transformations of total error scores (TES) are considered by identifying a possible source of skewness. Several distributions of FM100-Hue Test TES were assessed for skewness (third moment). The error score (ES) distributions for the 85 individual caps in each of the populations were also analysed for skewness (Figs. 3 and 4). There is no single transformation which will normalise all TES distributions. The single cap ES distributions with low mean ES (such as those achieved normals and, for some regions of the test, by anomalous trichromats and dichromats) are symmetrical because most subjects can organise the cap perfectly (and could do even better given smaller colour differences). The distributions of ESs where the mean ES is in the moderate range (such as those achieved by diabetics) are skewed because some ESs at the lower end of the range represent performance which could also be better than the test allows. ES distributions with a high mean (such as random distributions and some regions of the test by congenital dichromats) are symmetrical being unaffected by the limitations of the test. TES distributions of diabetics are asymmetrical and comprise skewed cap ES distributions. A suggestion for a transformation is made.

Color Perception Tests↗
PubMed1975

[A railway accident a hundred years ago as reason for systematic testing of colour vision (author's transl)].

Holmgren's supposition that colour blindness was one of the causes for the train-disaster which happened on 15th November 1875 near Lagerlunda had been passed on as an established fact. The course of the accident is outlined on the basis of the court records. It shows that not colour blindness, but the fact that the engine-driver and the station-master were acting contrary to regulations resulted in the head-on collision with the opposite train. After this event systematic testing of colour vision in railway-men was instituted and the methods of examination were considerably improved.

Accidents, Traffic↗
PubMedDate not supplied

Color vision screening and viewing conditions: the problem of misdiagnosis.

The most popular techniques for assessing color vision, the pseudoisochromatic tests, have been found to differ widely in their sensitivity to changes in viewing conditions. A significant number of color-normal subjects will be misdiagnosed as color defective by some of the standard tests with even relatively minor variations from standardized viewing conditions. These results appear to have strong implications for the use of the tests in many applied settings which precise control over viewing conditions is difficult. In particular, as the consequences of a misdiagnosis become very serious, the tests must be used with special caution. If we were to recommend one test for use, our findings point to the Ishihara, which appears impervious to variation in viewing conditions.

Color Perception Tests↗
PubMed2000

A functional MRI case study of acquired cerebral dyschromatopsia.

Evidence from imaging studies suggests that primary visual cortex and multiple areas in ventral occipitotemporal cortex subserve color perception in humans. To learn more about the organization of these areas, we used structural and functional MRI (fMRI) to examine a patient with damage to ventral cortex. An art professor, KG, suffered a cerebrovascular accident during heart surgery that impaired his ability to perceive color. The Farnsworth-Munsell 100-Hue test was used to assess the extent of his deficit. When tested 12 months after the lesion, KG performed worse than 95% of age-matched normals on the 100-Hue test, but well above chance. Structural and functional MRI studies were conducted 3 years after the lesion to investigate the neuroanatomical correlates of KG'ss remaining color ability. Structural MRI revealed bilateral damage to ventral occipitotemporal cortex. In young and age-matched normal controls, an fMRI version of the 100-Hue reliably activated bilateral, color-selective regions in primary visual cortex and anterior and posterior ventral cortex. In subject KG, color-selective cortex was found in bilateral primary visual cortex. In ventral cortex, no color-selective activity was observed in right ventral cortex, and only a small area of activity was observed in left anterior ventral cortex. However, significant color-selective activity was observed in posterior left ventral cortex spared by the lesion. This posterior left ventral activation was similar in extent, position, and degree of color-selectivity to the posterior left posterior activation observed in normal controls, suggesting that this focus may be the cortical substrate underlying KG's remaining color perception.

Adult↗
PubMed1997

Impaired color vision in cocaine-withdrawn patients.

BACKGROUND: The main reinforcing effect of cocaine happens by altering dopaminergic neurotransmission in the brain reward systems. Dopamine is found in high concentrations in the retina in which it plays an important role in color vision. Therefore, we investigated whether cocaine-dependent patients might have impaired color vision. METHODS: We compared patients recently withdrawn from cocaine (n = 31) with matched normal controls (n = 31) on 2 color vision tests. RESULTS: Cocaine-withdrawn patients had significantly higher error scores than matched controls on the Farnsworth-Munsell 100-hue and Lanthony desaturated D-15 color vision tests. Also, 23 of the 31 cocaine-withdrawn patients had blue-yellow color vision losses on the Farnsworth-Munsell 100-hue test compared with 3 controls (P < .001, chi 2 test) and 15 had blue-yellow color vision loss on the Lanthony desaturated D-15 test compared with 2 controls (P < .001, chi 2 test). CONCLUSIONS: These significantly higher test error scores and blue-yellow color vision losses suggest that color vision is impaired in cocaine-withdrawn patients. Color vision testing may be useful in future studies of cocaine-dependent patients.

Adult↗
PubMedDate not supplied

[Positive influence of color experience on result of color-arrangement-test Roth 28-hue (E) desaturated - a clinical study on 44 patients].

BACKGROUND: The color arrangement test can be applied for early diagnosis of diabetic retinopathy, even small confusion of colors influence clinical diagnosis. It is therefore necessary to be aware of influential factors. METHODS: Forty-four patients with color-experience (VW-Werk Wolfsburg) were included and devided in two groups: group 1: non-smokers without ophthalmological and systemic diseases (n = 27, 42+/-9 years), group 2: smokers without ophthalmological and systemic diseases (n = 17; 43+/-8 years). The control group 3 (n = 30; 42+/-4 years) included non-smokers and the control group 4 (n = 10; 42+/-8 years) smokers, both groups without color-experience, ophthalmological and systemic diseases. Besides the ophthalmological examinations (visual acuity, refraction, intraocular pressure, slit lamp and fundus examination) the color-vision was tested by the color-arrangement-test Roth 28-hue (E) desaturated monocularly under standard conditions: The background used was black cardboard, illuminated by two Osram fluorescent lamps (L36W/12LDL Daylight) providing 2000 lux at the test table. RESULTS: Ophthalmological examination in all subjects was without pathological findings. The mean error score in the non-smokers with color-experience (median+/-mean absolute deviation: 48+/-47) was lower than in the non-smokers without color experience (72+/-45; Mann-Withney-U-Test: p = 0.02). The mean error score in the smokers with color-experience (60+/-60) was lower than in the smokers without color-experience (156+/-65; p = 0.0014). No statistically significant difference was found between the measurements of the right and left eye (Wilcoxon-Test: group 1: p = 0.89; group 2: p = 0.9; group 3: p = 0.77; group 4: p = 0.87). CONCLUSION: Color experience improves the results in color-arrangement-tests like the Roth 28-hue (E) desaturated and should be considered in quantitative evaluation.

Adult↗
PubMed2005

Evaluation of the new web-based "Colour Assessment and Diagnosis" test.

PURPOSE: The purpose of the study was to determine the sensitivity, specificity, and repeatability of the web-based Colour Assessment and Diagnosis (CAD) test in comparison to current tests of color vision. METHODS: Thirty color normals and 30 color deficients, identified and diagnosed by the Nagel anomaloscope, were tested. The results of the CAD test were compared with standard tests like Nagel anomaloscope, Ishihara (concise version, 2001), Hardy, Rand and Rittler (HRR; 4 ed) pseudoisochromatic test, and the Farnsworth Munsell 100 (FM-100) hue test. RESULTS: Using the Nagel anomaloscope as the "gold standard," the sensitivity with the CAD test was 93.33%, Ishihara 96%, HRR 100%, and the FM-100 hue 100%. The specificity was 100% with CAD and the Ishihara color plates, whereas it was 33% with the HRR and 83% with the FM-100 hue test. The concurrent validity of the CAD test for color normals was 93.75%. The concurrent validity of CAD test for color deficiency was 100%. Thus, anyone failing the CAD test has a color defect. The coefficient of agreement for the Nagel anomaloscope and the CAD test was 0.93, with Ishihara it was 0.96, with the HRR it was 0.33, and with FM-100 hue it was 0.83. CONCLUSION: These results showed that the CAD test is a valid test for identifying congenital red-green color deficiency. Further testing is required in a larger population of anomalous trichromats.

Adult↗
PubMed1985

Colour vision of diabetics.

The Farnsworth-Munsell 100-hue test has been assessed as a screening test for the detection of diabetic retinopathy likely to benefit from laser photocoagulation therapy. Two hundred and thirty-two diabetic eyes of 126 patients were tested. The results were assessed both for total error score relative to age and for the presence of polarity. Although the incidence of abnormal colour discrimination was found to correlate with the severity of retinopathy, the test was not sufficiently selective to be of value as a screening test in the detection of retinopathy requiring treatment.

Aged↗
PubMed1997

Evaluation of a significantly shorter version of the Farnsworth-Munsell 100-hue test in patients with three different optic neuropathies.

We tested the hypothesis that a subset of the Farnsworth-Munsell 100-hue test (FM-100) would be a sensitive, specific, and practical means of monitoring color vision in patients with chronic optic nerve disorders. We retrospectively analyzed the records of 1,113 patients affected with optic neuritis (ON), Graves' ophthalmopathy with suspected optic neuropathy, or idiopathic intracranial hypertension with suspected optic neuropathy (IIH). One hundred six records of patients showed that an FM-100 had been performed (23 ON, 46 Graves', 37 IIH). Forty additional patients were studied prospectively (11 ON, 17 Graves', 12 IIH). The sensitivity and specificity of all possible 21 chip subtests were compared against the same statistics for the entire test. We found that for these three optic nerve disorders, a test consisting of chips 22-42 had nearly the same sensitivity and specificity as the entire test when compared with the clinical diagnosis. At 90% specificity, the ratio of sensitivities of the short version to the original version of the test were IIH, 53%/45%; optic neuritis, 85%/79%; and Graves', 67%/70%. The majority of the clinical value of the test can be achieved in one fourth of the original examination time.

Adult↗
PubMed1977

The Davidson and Hemmendinger color rule as a color vision screening test.

The Davidson and Hemmendinger (DH) color rule was evaluated for color vision screening of normal and congenital color-defective subjects. Ninety-eight normal and 14 color-defective subjects were tested on the color rule under Macbeth illumination of 5,400 K. The color-defective subjects were also tested on the Nagel anomaloscope, the Farnsworth D-15, and the H-R-R pseudoisochromatic plates. The DH color rule performed as accurately as the anomaloscope and was superior to the other two tests in detecting anomalous trichromats and in discriminating protanomalous subjects. The color rule also discriminated dichromats from anomalous trichromats. For severe color-defective subjects (dichromats, achromats), the color rule was more time-consuming than the other tests and discrimination was less certain. Response patterns on the DH color rule and response variability of the different classifications are reported.

Adolescent↗
PubMed2007

Can color vision defective subjects who pass the farnsworth lantern test recognize surface color codes?

INTRODUCTION: The International Civil Aviation Organization requires that pilots be able to distinguish the colors used in air navigation and in particular be able to identify the colors of signal lights. Most national aviation authorities use a lantern test to assess the ability of applicants for a pilot's license who have abnormal color vision to recognize the colors of signal lights. However, color-coding is now widely used in aviation systems other than signal lights. Color is used in tarmac markings, maps, manuals, and electronic flight instrument displays. These color codes can use 10 or more colors, many more than the 3 to 5 used for signal lights. This study investigated whether people with defective color vision (DCV) who pass the Farnsworth lantern test can recognize the main colors used for surface color codes. METHODS: There were 99 subjects with DCV who were tested using the Optec 900 version of the Farnsworth lantern test and also named the colors of a set of 10 surface colors that varied in shape (dots and lines) and size (3 sizes; angular diameters 0.27, 1.0, and 2.4 degrees; angular widths 0.14, 0.27, and 0.50 degrees). A control group of 20 subjects with normal color vision also named the surface colors. RESULTS: Of the DCV subjects, 19% passed the Farnsworth lantern test, of whom 74% made no errors with the surface colors. The other 26% made few errors (up to 5 errors in 120 presentations) and those errors were mostly to confuse red, orange, and brown. The subjects with normal color vision made no errors naming the surface colors. CONCLUSION: Those who pass the Farnsworth lantern test can recognize the colors of a 10-color surface color code with few or no errors. This is because the small (2.9-min arc) stimulus of the lantern test presents a more difficult task than the larger surface colors.

Adolescent↗
PubMed1981

Color vision defects in retinitis pigmentosa.

Sixty-seven patients with retinitis pigmentosa underwent color vision testing with the Nagel anomaloscope and Farnsworth-Munsell (FM) 100-hue test. Results showed both similarities and differences among different genetic types. The presence of an atrophic-appearing foveal lesion found in individual cases served as a reliable indicator of performance on color vision testing as did a reduction in visual acuity to less than 20/30. When no foveal lesion was apparent in patients with visual acuity better than 20/30, patients with autosomal dominant disease showed superior performance on color vision testing when compared to autosomal recessive, X-linked recessive, and isolated cases. Regardless of genetic type, the FM 100-hue test was more sensitive in detecting poor color vision performance than the Nagel anomaloscope.

Adolescent↗
PubMedDate not supplied

A sweep VEP test for color vision deficits in infants and young children.

PURPOSE: Color vision testing in young children typically is precluded by the motor and cognitive skills required by standard tests; yet this information can be useful for diagnosis and counseling in many conditions. The purpose of this study is to evaluate a visual evoked potential (VEP) method for assessing red-green color vision anomalies in pediatric patients. METHOD: The relative chromatic luminance (C = R/R + G) of a rapidly reversing red-green checkerboard was varied across a wide range within a short viewing period (10 sec). Swept-parameter VEP methods were used to measure the cortical response to the range of C presented. RESULTS: Individuals with normal color vision exhibit a VEP response that exceeds noise levels across all values of C, often with an amplitude minima near the photopic equiluminant point (C = 0.5). Results from children with established protan and deutan color vision anomalies show loss of VEP amplitude and phase at values of C consistent with the respective color defect. A patient with achromatopsia showed a generalized depression of VEP response across all values of C tested. CONCLUSION: Color sweep VEP techniques appear promising for the clinical assessment of color status in pediatric patients.

Child↗