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Color vision and occupational chemical exposures. II. Visual functions in non-exposed subjects.

This paper presents data on visual functions (visual acuity, contrast sensitivity, and several tests of color vision), in a group of 199 non-exposed healthy subjects with an even distribution over the age range 18-65 years, and sex. Although subjects with obvious congenital color vision deficiencies were removed from the analyses (four males), females were superior to males on several of the color vision tests applied. Age influenced visual acuity and contrast sensitivity, while color discrimination was less affected. Correlations between functions of the right and the left eye in the individual subjects were rather low, ranging from 0.40 to 0.73. Correlations between visual acuity and contrast sensitivity on the one hand and color discrimination ability on the other hand were still lower (r < 0.20). These low correlations between functions in the two eyes support the need for testing each eye separately.

Adolescent↗

Color vision in the dog.

The color vision of three domestic dogs was examined in a series of behavioral discrimination experiments. Measurements of increment-threshold spectral sensitivity functions and direct tests of color matching indicate that the dog retina contains two classes of cone photopigment. These two pigments are computed to have spectral peaks of about 429 nm and 555 nm. The results of the color vision tests are all consistent with the conclusion that dogs have dichromatic color vision.

Animals↗

Quadrant analysis of peripheral colour contrast thresholds can be of significant value in the interpretation of minor visual field alterations in glaucoma suspects.

Peripheral colour contrast thresholds were investigated in glaucoma suspects with no or minor visual field alterations, determining the average colour contrast threshold at 12.5 degrees off axis. The technique was introduced as a rapid screening test for pre-glaucomatous visual loss. Using this 'ring' test, all definite glaucoma patients in the initial study had elevated colour contrast thresholds. In our experience, however, a substantial proportion of early glaucoma patients were found to have normal thresholds. The peripheral colour contrast threshold determined by the ring test is an average threshold in the entire annular zone at 12.5 degrees eccentricity. We therefore modified the test procedure without a major increase in test duration. An arcade subtending 45 degrees at 12.5 degrees eccentricity was used to determine colour contrast thresholds in four quadrants of the visual field separately ('quadrant' test). We present here the first results of this novel procedure, investigating peripheral colour contrast thresholds in glaucomatous patients. The quadrant test is shown to be more sensitive than the ring test in the detection of functional loss.

Adult↗

An empirical explanation of color contrast.

For reasons not well understood, the color of a surface can appear quite different when placed in different chromatic surrounds. Here we explore the possibility that these color contrast effects are generated according to what the same or similar stimuli have turned out to signify in the past about the physical relationships between reflectance, illumination, and the spectral returns they produce. This hypothesis was evaluated by (i) comparing the physical relationships of reflectances, illuminants, and spectral returns with the perceptual phenomenology of color contrast and (ii) testing whether perceptions of color contrast are predictably changed by altering the probabilities of the possible sources of the stimulus. The results we describe are consistent with a wholly empirical explanation of color contrast effects.

Color Perception↗

The importance of controlled illumination in color vision testing in a pediatric ophthalmology clinical practice.

The AO-HRR pseudoisochromatic plates are commonly used for color vision testing in pediatric ophthalmology; however, the recommended procedure for obtaining proper illumination (a completely darkened room and standard illuminant) is typically not followed. To evaluate the role of the illuminant in clinical testing with the AO-HRR, 132 children, ages 3 to 16 years, were tested with and without the recommended illuminant (MacBeth Easel Lamp) and with the self-illuminated APT-5 Color Vision Tester. Twenty-two failed the AO-HRR with the recommended illuminant; 28 failed the AO-HRR without the illuminant. Only 13 failed the APT-5. The Cochran Q test for three related samples showed that the differences among the three groups were significant (Q = 17.1, P < .001). Diagnostic evaluation following clinical screening indicated that the differences among the tests were primarily due to false alarms, which were greatest without the recommended illuminant and least with the APT-5. These results demonstrate the importance of controlled illumination in color vision testing, either by using the recommended illumination with the AO-HRR or a self-illuminated test such as the APT-5.

Adolescent↗

VEP test of the blue-sensitive pathway in glaucoma.

PURPOSE: The blue-sensitive pathway in normal subjects and in patients with primary open-angle glaucoma (POAG) was tested with the pattern visual evoked potential (VEP) method under selective adaptation. METHODS: Recording of pattern-onset VEP in response to blue (460-nm) stripes (0.88 c/deg) presented either without or with a bright yellow (570-nm) adaptation light (Maxwellian view, 33 degree diameter). Amplitude and peak times were evaluated, and the mean tritan score of the Farnsworth 100-hue test was determined. Age-matched normal subjects (n = 34) and (n = 32) patients with POAG were examined. RESULTS: The amplitude and peak time of the VEP without selective adaptation did not discriminate normal subjects from the POAG group. With selective adaptation, the amplitude was reduced (P = 0.002) and its peak time delayed (P < 0.0001) in POAG, yielding a sensitivity of 75% and a specificity of 94%. The VEP measures only under selective adaptation correlated significantly in patients with POAG with the mean perimetric defect, with the optic disc damage, and with the 100-hue test. CONCLUSIONS: Recording the blue-on-yellow VEP is a useful test in glaucoma research.

Adult↗

Visually impaired children's visual characteristics and intelligence.

The results are presented of the mentally normal, visually impaired, Braille-educated population of Dutch and Dutch-speaking Belgian children on verbal and non-verbal tests of intelligence and school achievement. The children were aged between six and 15 years old. Their visual characteristics were strongly inter-related and correlated similarly with the test scores. Colour perception did not contribute to the intelligence test score variation after controlling for near visual acuity. Congenital blindness had a positive influence on verbal memory and a negative influence on spatial ability.

Achievement↗

[Visual evoked potentials, contrast sensitivity and color perception in patients with optic nerve neuritis and multiple sclerosis].

Forty-nine patients with acute optic neuritis (in 21 cases associated with MS) and 26 patients known to have MS but with no history of optic nerve disease underwent visual evoked potential, contrast sensitivity and color vision tests. In patients with optic neuritis the contrast sensitivity was shown to detect optic nerve lesions better than the VEP an often permitted a distinction between acute and past optic neuritis. Combined testing with contrast sensitivity and VEP was superior to the single tests and detected 100% of the acute optic nerve lesions, although in many cases damage was selective and only involved some of the information channels. Desaturated color tests were abnormal in 3/4 of the patients, disturbances of blue-yellow discrimination being commoner than those of red-green. In cases with clinically unilateral optic neuritis the apparently normal partner eye was affected in 61% of the patients; complete recovery of optic nerve function without some residual deficit is rare. Approximately 3/4 of the eyes of patients known to have MS but with no history of past visual disturbances showed bilateral optic nerve involvement. The frequency of subclinical optic nerve lesions rose to 91% at a follow-up examination one year later. the literature is reviewed and our results are compared with the previously published data.

Adolescent↗

Color vision testing with a computer graphics system: preliminary results.

We report a method for computer enhancement of color vision tests. In our graphics system 256 colors are selected from a much larger range and displayed on a screen divided into 768 x 288 pixels. Eight-bit digital-to-analogue converters drive a high quality monitor with separate inputs to the red, green, and blue amplifiers and calibrated gun chromaticities. The graphics are controlled by a PASCAL program written for a personal computer, which calculates the values of the red, green, and blue signals and specifies them in Commité Internationale d'Eclairage X, Y, and Z fundamentals, so changes in chrominance occur without changes in luminance. The system for measuring color contrast thresholds with gratings is more than adequate in normal observers. In patients with mild retinal damage in whom other tests of visual function are normal, this method of testing color vision shows specific increases in contrast thresholds along tritan color-confusion lines. By the time the Hardy-Rand-Rittler and Farnsworth-Munsell 100-hue tests disclose abnormalities, gross defects in color contrast threshold can be seen with our system.

Adult↗

Binocular visual impairment in glaucoma.

Monocular and binocular vision was assessed in patients with glaucoma (n = 21), in patients with ocular hypertension (n = 20), and in age-matched visual control subjects (n = 20) using three tests: color vision with the Lanthony Desaturated D-15 test, low spatial frequency contrast sensitivity with the Pelli-Robson chart, and stereoacuity with the RANDOT test. No significant differences were found among the groups in the severity or type of color vision loss. Monocular contrast sensitivity testing showed considerable overlap among groups but a significant loss of contrast sensitivity in the glaucoma patients relative to ocular hypertensives and control subjects. Binocular testing also showed a significant loss of contrast sensitivity in the glaucoma patients compared with both the ocular hypertensives and the control subjects. Stereoacuity also was significantly impaired in the glaucoma patients. These results indicate that two tests of binocular function, stereoacuity and binocular contrast sensitivity testing, may have utility in identifying early glaucomatous damage.

Aged↗

[Evaluating visual function with visual display graphics on the Macintosh II computer].

A collection of programs has been developed on the Macintosh II computer to generate visual tests for an ophthalmological practice. The large number of available colours makes it possible to emulate most of the available tests and also to develop new ones. The system allows testing of the following visual functions: Visual acuity, Stereopsis, Aniseikonia, Phoria, Cyclophoria, Colour Vision and Contrast sensitivity.

Color Perception Tests↗

[Optic neuropathy in diabetics (author's transl)].

Three groups of insulin-dependent diabetics (I without clinical signs of peripheral neuropathy; II with peripheral neuropathy; III with neuropathy involving the peripheral and autonomous nervous system) and investigated for optic and trigeminal neuropathy (corneal sensitivity). In all groups, but with increasing frequency from group I to III, signs of optic neuropathy (constriction of visual fields with good central vision, impaired colour vision, decreased visually evoked responses and corneal sensitivity) were noted. The frequent observation of impaired colour vision deserves particular attention, since the patient's interpretation of tape-tests for glucosuria depends upon it.

Adult↗

Natural history and visual outcome in patients with APMPPE.

We undertook a retrospective study of the files of 21 patients (42 affected eyes) with acute posterior multifocal placoid pigment epitheliopathy to obtain details on the natural history of the disease and on the functional and visual outcome (mean follow up: 17 months). The final visual acuities were 8/10 or better in 34 eyes (81.0%), 7/10 to 2/10 in 6 eyes (14.2%) and 1/10 in two eyes (4.8%). Although the final visual acuity was good in most eyes, 24 eyes (57.2%) were still symptomatic due to scotomas (33.3%), metamorphosia (21.4%), decreased vision (16.6%), floaters (4.8%) and chronic redness (2.4%). Recurrences did not occur in this group of patients. Electrophysiological and color vision tests were performed in the initial phase of the disease, but we found no correlation between the test results and the final visual acuity.

Adolescent↗

Colour perception in pathologists: the Farnsworth-Munsell 100-hue test.

The value of many histological stains depends on the ability of the observer to differentiate colour. This ability was assessed in 30 histopathologists and cytopathologists of varying experience using the Farnsworth-Munsell 100-hue test. As a group, the pathologists performed better than a reference population. Twenty eight subjects showed a wide ranging ability to differentiate colour: none was colour blind. Three of the 30 pathologists, however, fell below the twentieth centile for normal subjects and only one was aware of this deficiency! They may unknowingly misinterpret subtle stains. Two of these three had specific and major defects which could affect their ability to interpret a wide range of less subtle stains. Those with the poorest colour discrimination were not those with the least experience of microscopy. Pathologists should be apprised of the importance of their ability to discriminate colour, and that formal colour vision testing of prospective histopathologists may be appropriate.

Adult↗

Large-field S-cone flicker test.

BACKGROUND: Disturbances of blue color vision and of temporal contrast sensitivity can indicate early damage in glaucoma. For the present study a quick and easy test was devised which examines both functions at one time by testing the temporal contrast sensitivity of a blue flickering light on an intense yellow background. METHODS: Large coextensive background and test fields (85 degrees) are used, making fixation uncritical. Detailed experiments were made in two normal subjects to derive spectral sensitivity curves from flicker-fusion frequency (FFF) versus intensity functions and to obtain complete temporal contrast-sensitivity (De Lange) curves under different levels of adaptation and test lights. After selection of appropriate luminances and one stimulation frequency from these experiments, test-retest variability was studied in four subjects in five repetitions. In addition, normal values were collected from 22 subjects. RESULTS: Spectral sensitivities for two levels of FFF (15 Hz and 44 Hz) agree with Stiles' pi 1 at the low and with pi 4 at the high FFF. Temporal contrast-sensitivity curves show a low-frequency section with peak sensitivity at 1 Hz and a high-frequency section with a peak at around 4 Hz. From the basic experiments the following conditions for the clinical examination were selected: Background luminance 2600 cd/m2, test luminance at 451 nm 0.8 cd/m2, stimulation frequency 4 Hz. The test-retest variability showed an acceptable intraclass correlation co-efficient (0.6). CONCLUSIONS: The present experiments carried out with a very large stimulus led to meaningful results which are in rather good agreement with results reported in the literature on small-field stimuli. The blue-on-yellow flicker test carried out under the conditions mentioned above is a quick and easy test which could be helpful in improving early glaucoma diagnosis.

Adaptation, Ocular↗