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Sahlgren's Saturation Test for acquired dyschromatopsia: increased lightness enhances sensitivity.

Sahlgren's Saturation Test (SST) is a simple sorting test designed for the detection and grading of acquired color vision defects. Like other pigment-based color vision tests, the SST color samples have medium lightness, i.e., they belong to the intermediate part of the gray scale. We tested normal controls and subjects with congenital or acquired dyschromatopsia with five SST versions that differed only in the amount of lightness. The sensitivity of the test increased considerably with increasing lightness. Therefore, the lightness level of SST has now been changed from 30 to 10 Natural Color System units.

Color

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

The influence of homonymous visual field disorders on colour sorting performance in the FM 100-hue test.

An influence of visual field disorders on sorting performance in the FM 100-hue test is reported. Patients with left-sided field disorders performed worse in the conventional testing direction, i.e. from left to right, compared with patients with right-sided defects. Reversing the direction of sorting led, however, to a similar impairment in patients with right-sided field defects. Observations in normals tested under different conditions of hue sorting support the view that the difference obtained cannot be accounted for by a hemisphere difference in colour processing but by the strategy adopted by subjects.

Adolescent

Color-axis determination on the Farnsworth-Munsell 100-hue test.

Error scores on the Farnsworth-Munsell 100-hue test were partitioned into those representing red-green and those representing blue-yellow losses. Data from two groups of normal observers were used. One group showed results characteristic of published norms; one group showed superior performance. Both observers showed a correlation between red-green and blue-yellow scores indicative of a strong performance factor in this test. The difference between blue-yellow and red-green scores eliminates their correlated variance and allows evaluation of the axis. Both groups showed an increase in difference scores, with age indicating development of a blue-yellow axis. This increase was significant for the observers characteristic of the norms. We suggest cutoff scores to allow a decision as to whether a given patient shows a blue-yellow or red-green axis.

Adolescent

Colour contrast sensitivity changes caused by peripheral retinal laser photocoagulation.

Macular phototoxicity is known to occur with laser use, and there is evidence that the wavelength of the light used influences this effect. In this study, a computer based colour contrast sensitivity test was used to assess the immediate macular effects of photocoagulation of peripheral flat retinal holes in otherwise normal retinas, using blue-green (488 and 514 nm), yellow (577 nm), orange (595 nm) or red (647 nm) laser light. The laser aiming beam was not allowed to traverse the macula at any stage during treatment. No protan or deutan axis threshold changes were noted in the 17 patients tested irrespective of the laser wavelength used. Tritan axis sensitivity was significantly reduced one hour after treatment with the blue-green laser, but no tritan axis change was found after treatment with longer wavelength lasers. The effect was no longer present the day after treatment in the subjects tested. The results show that even peripheral retinal treatment with blue-green laser can cause acute macular phototoxicity.

Color Perception

Color-vision mechanisms in the peripheral retinas of normal and dichromatic observers.

It is possible that so-called normal trichromatic vision occurs only between the central blue-blind fixation area and about 30 degrees peripherally. Beyond about 30 degrees vision has been alleged to become dichromatic (red-green blind), and beyond about 60 degrees , monochromatic. Hence every form of color blindness may characterize various zones of the normal retina. We have studied mechanisms of peripheral color vision, mainly by measuring the spectral sensitivities of the blue-, green-, and red-sensitive systems, isolated by differential color adaptation. In normal observers the sensitivity of the blue-mechanism falls off about 2 log units by 80 degrees out. The green- and red-sensitive systems decline only about 0.7 log unit over the same range. Protanopes, deuteranopes, and tritanopes exhibit comparable changes. We have not found any color mechanism present centrally to be wholly lost peripherally. Nor, for dichromats, have we found any mechanism missing centrally to be present peripherally. Whatever evidences of peripheral color blindness have been observed appear to involve other mechanisms than failure of receptors, probably including some fusion of neural pathways from receptors to centers.

Color Perception

The use of the Lanthony New Color Test in determining the effects of aging on color vision.

The primary purpose of this study was to collect data on the loss of color vision as a function of age. The Lanthony New Color Test (NCT), which measures acquired losses of color vision in the dimensions of hue, saturation, and brightness, was used to compile data on 68 subjects. The minimum number of subjects were 10 per decade from age 30 to 90 years. An age gradient of selective loss of discrimination of saturation beginning at age 50 was demonstrated, with rapid change noted after age 60. Similar findings were seen for hue but were not evident for brightness. By age 70, a neutral zone emerged at blue/purple, Munsell chroma level 2. The instrument was shown to be reliable and valid in comparison to the Farnsworth Dichotomous Panel D.15. It is seen that this information will provide a basis for planning safer, more functional environments for elderly people.

Adult

Adverse consequences of altering the Farnsworth-Munsell 100-Hue test.

Modifications of the Farnsworth-Munsell 100-Hue test (e.g., selection of new fixed-reference caps from within the test) have been proposed, with little or no theoretical justification or experimental verification. Predictions based on theoretical considerations of the underlying nature of the test and verified by experimental measurements on subjects with known color defects demonstrate that (1) modification can destroy the very nature of the test; (2) modification can alter axis determination and therefore, potentially, the diagnosis; (3) the resulting test scores cannot be compared reliably to established norms; and (4) accurate predictions of test performance can be made from theoretical considerations.

Color Perception

Performance of air traffic control tasks by protanopic color defectives.

Air traffic controllers perform a number of tasks which involve color identification, color discrimination, and color naming. Normal color vision is required for air traffic controllers, although the requirement is currently under review. The most critical task involving color is the distinction of red and black on flight strips; the distinction must be made reliably, quickly, and routinely for flight safety. In this study of four protanopes and three normals, all the protanopes were unable to make this distinction reliably under the lighting levels encountered at air traffic control (ATC) centers, whereas none of the normals had any difficulty. Protanopes also made numerous errors with other ATC tasks involving color. The use of a red filter, often recommended to aid color defectives, actually made performance worse and additionally compounded the usual protanopic loss of brightness for red light. When Snellen visual acuity was tested using the red filters, protanopes needed up to four times larger letters than the color normals. It is concluded that protanopes have inadequate vision for safe performance of some current ATC tasks.

Aviation

Defective colour vision can impede information acquisition from redundantly colour-coded video displays.

Earlier findings showed that redundant colour coding decreased response times and reduced errors in carrying out various tasks that required information acquisition from the video display of an electronic flight instrument system. The results of this experiment showed that observers with defective colour vision have slower response times and higher error rates than normal observers for some of the tasks and that their performance is similar to that of colour-normal observers for a monochrome display. However, they were not disadvantaged when blue was used to colour code the target feature. Protanopes were shown to be especially disadvantaged in responding to a red 'fail' message.

Adult

The role of small-field tritanopia in two measures of colour vision.

The present work extends the findings of previous efforts examining the comparability of current colour-screening tests. Several popular tests are shown to differ greatly in the performance exhibited by colour-normal observers as well as in their differential sensitivity to experimental manipulations of viewing duration and viewing distance. Those tests designed to identify yellow-blue dichromacy are especially sensitive to the manipulation of viewing distance, which is interpreted as reflecting 'small-field tritanopia' and the asymmetry in retinal density of the three cone types. These findings are discussed in terms of factors that influence the comparability of current colour-screening devices and the particular need for close adherence to standardized conditions with such instruments.

Color Perception