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[Options and limits of visual function tests available on the internet].

BACKGROUND: The quantitative capability of the visual system can be tested using graphic presentations with defined size, form and colour. For presentations a chart projector or personal computer (PC) can be used. In the meantime the number of visual function tests on the internet is continually increasing. These tests are potentially available for over 400 million internet users with different hard- and software requirements. METHODS: From 38 on-line visual acuity tests and 19 on-line colour vision tests found by means of search engines on german language web pages, the offerer of the test, the type of chart used and the data for the test conditions, as well as hard- and software adjustment were registered. RESULTS. Various visual function tests, such as visual acuity tests, the Amsler grid, stereo and colour vision tests, can already be planned via internet. The variability of the tests ranges from a simple presentation of graphic elements to a laboriously programmed interactive input by the user to specify the test result. Most of the tests are presented by opticians and the optical industry. DISCUSSION: The analysed tests allow for a considerable variability of the test conditions, for example by missing data concerning the room lighting and lacking monitor calibration. Furthermore, problems of the web-based colour presentation were not considered or not considered sufficiently in most of the on-line colour tests. CONCLUSIONS: Because of the test deficits determined, the results of visual function tests on the internet are to be classified as doubtful. At present, most data of test offerers are not sufficient with respect to the test conditions. Standards should be defined for internet-based visual function tests and further studies should be followed to check the effectiveness of these tests for screening examinations.

Color Perception Tests↗

Color discrimination in patients with keratoconjunctivitis sicca before and after artificial tear application.

BACKGROUND: The precorneal tear film is of decisive importance for the optical quality of the cornea. Poor stability of this film causes not only dry eye symptoms, but also has negative effects on optical functions of the eye, as previous studies on visual acuity, field test performance and contrast sensitivity have shown. METHODS: 60 patients with dry eyes randomized into 2 groups of 30 underwent color vision testing with the Lanthony Desaturated 15 Hue test before and after instillation of artificial tear (test group) or physiological saline (control group) drops. RESULTS: The improvement in color discrimination in the group given artificial tear treatment was found to be slightly better than in the saline group but in both groups this improvement was not of statistical significance. CONCLUSION: Even though an unstable tear film adversely affects the optics of the eye and even mildly degraded optics can affect spatial visual tasks, color discrimination performance on tasks such as the Lanthony D-15 test does not appear to be markedly impaired.

Adult↗

Video color perimetry: impairment in glaucoma suspects.

PURPOSE: To detect mild visual field impairment in asymptomatic glaucoma suspect patients. METHODS: Color perception within the visual field was tested with customized color video perimetry. The key features of the system were stimuli color desaturation, low-level luminance and equiluminant gray background. Twenty patients with asymptomatic glaucoma were tested and compared with a group of age-matched control subjects. RESULTS: Automated perimetry test findings differed significantly in the two groups, particularly for short-wavelength sensitivity (blue). The severity of color impairment correlated directly with intraocular pressure. CONCLUSION: Desaturated low-luminance video perimetry will reliably detect and quantify asymptomatic visual field defects. A previous work on multiple sclerosis has detected a mild long-wavelength (red) impairment in asymptomatic patients after an episode of optic neuritis, even in clinically unaffected fellow eyes. Our findings in glaucoma suspect patients indicate that a mild blue impairment could be the initial sign of this disease.

Adult↗

Extent and duration of practice effects on performance with the Farnsworth-Munsell 100-Hue test.

The extent and persistence of practice effects on serial performance in the Farnsworth-Munsell 100-Hue test (100-Hue test) were evaluated in an experiment in which six subjects performed the 100-Hue test up to 17 times over six weeks, and then once more after 7 months. A practice effect occurred which was highly statistically significant for the group as a whole (P < 0.001) and for three individual subjects (P < 0.05). A practice effect was still evident 7 months after the last test performance. Error scores were reduced almost to zero after 5-10 retests so that it was unclear whether the effects of practice had disappeared or whether failure to improve further was a 'floor effect'. As a control against a floor effect, a second experiment was performed in which subjects' performance was impaired by placing neutral density filters in front of their eyes (thus artificially raising their 100-Hue error score). Under these conditions, error scores continued to fall and were halved after 17 tests (P < 0.03). It is concluded that practice has a large effect on 100-Hue test performance which continues over many retests and for many months after testing.

Adult↗

Color vision in the ring-tailed lemur (Lemur catta).

Behavioral discrimination tests were used to examine spectral sensitivity and color vision in a pair of ring-tailed lemurs (Lemur catta). Sensitivity tests revealed the presence of a Purkinje shift and a photopic visual system. As measured at increment-threshold, the photopic spectral sensitivity function for the lemur has multiple peaks (at ca. 440-460, 540, and 620 nm). In color vision tests lemurs behave trichromatically in that (a) they show no evidence for a neutral point in the spectral range of 470-510 nm, and (b) they set a unique Rayleigh match (540 nm + 645 nm = 570 nm). Tests of wavelength and colorimetric purity discrimination reveal that although this prosimian has color vision, it is not an acute capacity--thresholds for these color discriminations were consistently much higher for lemurs than for normal human trichromats tested in the same situation.

Animals↗

Blue cone monochromatism.

Blue cone monochromatism (BCM) is a subtype of achromatopsia in which the blue cone mechanism predominates. Each of the four patients in this study had BCM proven by their having peak spectral sensitivities in the blue region of the visible spectrum (near 440 nm). Clinically, the diagnosis was suspected because of x-linked inheritance, the presence of acuities better than 20/200 in two patients and myopia ranging from -1.75 to -15.00 diopters in three patients. Congenital nystagmus was the presenting sign in three of the four patients. Examination of the fundi was uniformly normal. The distinctive spectral properties of BCM were demonstrated by the American Optical H-R-R and the Panel D-15 tests. All affected patients correctly identified three of the four blue-yellow plates and a variable number of the red-green plates in the American Optical H-R-R test. The study patients consistently made errors oriented along the protan and deutan axes but they made none along the tritan axis. The authors conclude that the results of these two color discrimination tests are useful in diagnosing BCM.

Child↗

[Evaluation of the central visual field by the Friedmann Mark I analyzer and color vision in 85 patients with multiple sclerosis. Correlation with visual evoked potentials in 50 cases].

Analysis of the visual field using Friedmann's analyser Mark I and color study in 85 multiple sclerosis patients. Static perimetry of the central visual field and test batteries (Ishihara plates, 15 Hue Standard, 15 Hue of Lanthony) for acquired color vision defects were performed in 85 multiple sclerosis patients (61 definite, 12 probable, 12 possible cases). Results in patients were compared to data obtained in 53 control subjects matched for age. 64% of the 85 patients and 52% of 48 patients with no history of optic nevritis showed visual field abnormalities and/or color vision defects. Comparison with VEP was available in 50 patients. While 10 patients had abnormal VEP and normal static perimetry and coloration tests, 5 patients had the reverse findings.

Adolescent↗

A BASIC computer program for analysis of the Farnsworth 100-hue test.

A computer program in BASIC has been written which will compute all scores for the Farnsworth 100-hue test, and plot them in the appropriate colour on a polar co-ordinate graph. Hard copy can be obtained on a dot-matrix printer. The program is simple to use, and considerably curtails the analysis time for this test, as well as eliminating possible computational errors.

Color Perception Tests↗

Children's color perception in relation to habitat and skin color.

Developmental color perception of negroid and caucasoid children in 3 societies is examined in relation to the theories that proximity to the equator and fundus pigmentation (as measured by skin color) reduce shortwave (blue-green) in comparison with long-wave perception. The 278 4- and 8-year-old native-born, urban, English-speaking children were from latitudes 6 degrees 27' N (Enugu, Nigeria), 17 degrees 18' N (Basseterre, Saint Kitts, East Caribbean), and 34 degrees 3' N (Los Angeles, Calif.). Equal numbers of boys and girls from middle socioeconomic homes were medically examined for normal nutritional status and near vision. Children were individually tested on the Gaines Color Perception Test. The results show that short-wavelength perception is less accurate than long-wave-length perception in all locations, but most of the variance is attributable to conditions of low value or chroma stimuli rather than to proximity to the equator. There were no significant differences between Nigerian, Saint Kittitian and California caucasoid children. In accord with the pigmentation theory, young California negroid children had less accurate short-wavelength color perception than California caucasoid children. However, Nigerian and Saint Kittitian negroid children's perceptual accuracy was at least as accurate as that of caucasoid children. Amount of pigmentation does not appear to be a universal variable in children's color perception. Socioeconomic status, nutritional variables, developmental growth of the eye, or controlled stimulus conditions of the present research could account for the lack of positive relationships between color perception and habitat or skin color.

Child↗