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PubMed2002

[Comparative study of the impact of diet versus pravastatin on color vision in Brodman area 19 detected by computerized chromatic analysis (CARDIOCOLOUR Study)].

INTRODUCTION AND OBJECTIVES: Hypercholesterolemia causes important neurodegenerative changes in the cerebral cortex, which are manifested by defects in the color perception by the neurons of Brodman area 19. Extensive interventional epidemiological data from both primary and secondary-prevention clinical trials indicate that cardiac ischemic events decrease when total cholesterol or LDL-C is reduced. Our goal was to elucidate the effects of diet compared with a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor (pravastatin) on color perception using computerized chromatic analysis (CCA) and plasma cholesterol levels. PATIENTS AND METHODS: We studied 191 normotensive patients (133 men and 58 women) with pre-study plasma cholesterol levels in excess of 200 mg/dl. Seventy of these patients were treated with the American Heart Association Step II diet for six months. The remaining 121 were treated with pravastatin, 61 patients with 10 mg and 60 patients with 40 mg. They were examined by CCA after excluding any general or ophthalmological pathology. RESULTS: Chromatic vision recovered by 23% with diet, 38% with pravastatin 10 mg and 92% with pravastatin 40 mg. CONCLUSIONS: This study confirmed a strong association between therapeutic intervention with either diet or pravastatin and improved color vision.

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PubMed2002

Color discrimination in schizophrenia.

Neuropsychiatric conditions that involve dopaminergic depletion have been associated with color discrimination deficits along the blue-hue (tritan, or short-wavelength-sensitive) axis. Because dopamine dysregulation may be a major factor in schizophrenia, we investigated color vision in this disorder. The performance of males with schizophrenia (SZ, n = 16) and normal male control subjects (CS, n = 14) was evaluated on five measures of color discrimination. SZ made more hue discrimination errors than CS, but no pattern emerged regarding a hue-specific axis of deficit. Dosage of anti-psychotic medication was not correlated with performance on hue discrimination. These results suggest that in medicated patients with schizophrenia, the dopaminergic disturbance, which may involve system hyperactivity, does not produce tritan-specific color deficits that have been observed in disorders involving dopaminergic hypoactivity.

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PubMedDate not supplied

Quantification of color vision with cone contrast sensitivity.

Human color vision is based fundamentally on three separate cone photopigments. Hereditary color deficiency, which affects up to 10% of males, results from an absorption shift or lack of L or M cone phototoreceptors. While hereditary S cone deficiency is rare, decreased S cone sensitivity occurs early in eye disease, underscoring the importance of quantifying S cone function. Our purpose is to describe a novel approach for quantifying human color vision based on the photopigments of normal color vision. Colored letters, visible to a single cone type, are presented in graded steps of cone contrast to determine the threshold for letter recognition. This approach quantifies normal color vision, indicates type and severity of hereditary deficiency, and reveals sensitivity decrements in various diseases.

Color Perception↗
PubMedDate not supplied

Modelling the Rayleigh match.

We use the photopigment template of Baylor et al. (1987) to define the set of Rayleigh matches that would be satisfied by a photopigment having a given wavelength of peak sensitivity (lambda(max)) and a given optical density (OD). For an observer with two photopigments in the region of the Rayleigh primaries, the observer's unique match is defined by the intersection of the sets of matches that satisfy the individual pigments. The use of a template allows us to illustrate the general behavior of Rayleigh matches as the absorption spectra of the underlying spectra are altered. In a plot of the Y setting against the red-green ratio (R), both an increase in lambda(max) and an increase in optical density lead to an anticlockwise rotation of the locus of the matches satisfied by a given pigment. Since both these factors affect the match, it is not possible to reverse the analysis and define uniquely the photopigments corresponding to a specific Rayleigh match. However, a way to constrain the set of candidate photopigments would be to determine the trajectory of the change of match as the effective optical density is altered (by, say, bleaching or field size).

Color Perception Tests↗
PubMedDate not supplied

Interactions between rod and L-cone signals in deuteranopes: gains and phases.

The dynamics of interactions between rod and L-cone driven signals were studied psychophysically in two deuteranopic observers. Flicker detection thresholds for different ratios of rod to L-cone modulation were measured at temporal frequencies between 1 and 15 Hz. A model, which assumes that rod and L-cone driven signals are vector added, can describe the threshold data adequately. We found that up to about 8-10 Hz temporal frequency, rod and L-cone signals interact additively, whereas at higher frequencies the interaction is subtractive. Rod and L-cone signal strengths depend similarly on temporal frequency and are maximal between 3 and 5 Hz. The phase difference between rod and L-cone signals increases linearly with temporal frequency, indicating that their responses have a delay difference of about 20 to 30 ms, consistent with involvement of the faster rod pathway. The data would suggest a nearly complete additivity of the rod and cone driven signals when using flashed stimuli. But, literature data showed only partial additivity of the two, suggesting that different postreceptoral mechanisms are involved in the two tasks.

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PubMedDate not supplied

Color naming and categorization in inherited color vision deficiencies.

Dichromatic subjects can name colors accurately, even though they cannot discriminate among red-green hues (Jameson & Hurvich, 1978). This result is attributed to a normative language system that dichromatic observers developed by learning subtle visual cues to compensate for their impoverished color system. The present study used multidimensional scaling techniques to compare color categorization spaces of color-vision deficient (CVD) subjects to those of normal trichromat (NT) subjects, and consensus analysis estimated the normative effect of language on categorization. Subjects sorted 140 Munsell color samples in three different ways: a free sorting task (unlimited number of categories), a constrained sorting task (number of categories limited to eight), and a constrained naming task (limited to eight basic color terms). CVD color categories were comparable to those of NT subjects. For both CVD and NT subjects, a common color categorization space derived from the three tasks was well described by a three-dimensional model, with the first two dimensions corresponding to reddish-greenish and yellowish-bluish axes. However, the third axis, which was associated with an achromatic dimension in NTs, was not identified in the CVD model. Individual differences multidimensional scaling failed to reveal group differences in the sorting tasks. In contrast, the personal color naming spaces of CVD subjects exhibited a relative compression of the yellowish-bluish dimension that is inconsistent with the typical deutan-type color spaces derived from more direct measures of perceptual color judgments. As expected, the highest consensus among CVDs (77%) and NTs (82%) occurred in the naming task. The categorization behaviors studied in this experiment seemed to rely more on learning factors, and may reveal little about CVD perceptual representation of colors.

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PubMed2000

The luminance fall in anomaloscope examination: clinical examples.

PURPOSE: The evaluation of the anomaloscope slope quotient in patients with acquired colour vision deficiency. METHODS: Two patients with Stargardt's disease in combination with protanomaly and deuteranomaly, respectively, were selected and also 3 patients with a presumed dominant optic atrophy of the protan type. The anomaloscope examination was performed according to the Linksz procedure. The luminance fall was calculated as the slope quotient SQ:Y units luminance fall per X units width of the matching range. RESULTS: The SQ of the 2 Stargardt patients was steeper than the SQ of congenital colour vision defectives, especially at the red end of the anomaloscope green-red mixture scale, indicating pathologic scotopization superimposed on the congenital deficiency. In optic atrophy of the protan type the SQ was flatter than in congenital deficiency, indicating that this deficiency has nothing to do with congenital protan deficiency. CONCLUSION: Calculation of the slope quotient SQ is helpful for the diagnosis of acquired colour vision deficiency, especially when the subject also has a congenital colour vision deficiency or is supposed to have such a deficiency.

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PubMed2004

[Color vision and the diagnosis of reduced visual acuity].

Unexplained visual acuity loss requires a systematic approach to gather as many findings of diagnostic value as possible. Most retinal or optic nerve diseases are accompanied by color vision disorders. The type and severity of color vision disorders may provide additional diagnostic or guiding information or may uncover aggravating or simulating factors.

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PubMed1990

[Erythropsia following exposure to toluene].

A patient who had been exposed to toluol for ten years developed acute erythropsia. The examinations leading to the diagnosis and the possible differential diagnosis are discussed.

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