Color Vision

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Color vision

Color vision……
• Attribute of the sense of sight which provides an appreciation of differences
in the physical composition of wavelength of light that excite the retina
OR
• Color vision is the capacity of an organism or machine to distinguish objects
based on the wavelength (or frequency) of the light they reflect or emit
OR
• Ability to discriminate a light stimulus as a function of its wavelength
Clinical uses
• Identify hereditary & acquired color deficiencies
• Diagnosis of color deficiencies
• Evaluate macular function
• Evaluate ability for color discrimination
Terminology

• Dyschromatopsia: Color confusion due to deficiency of color


• Achromatopsia: Absence of color sensation due to complete absence of color
• Trichromats: Requires all 3 primary colors (Red, green, blue) to make a match with unknown
color
• Anomalous Trichromats: use colors in anomalous measures
• Dichromats: Requires only 2 primary colors
• Protans: Red color deficiency
• Deutran: Green color deficiency
• Tritan: Blue color deficiency
Tests

• Pseudo isochromatic test


• Color arrangement test
Pseudo isochromatic plate test
• Identification of a colored symbol made of colored dots of varying size
embedded in a background of differently colored dots
• Consists of several plates
• Colors are chosen for figure & background
4 designs
• Vanishing figure
• Transformed figure
• Hidden digit
• Qualitatively diagnostic
Vanishing figure

• Simplest design
• Red-green & blue-yellow deficits
• Background & figure colors are different
• Figure vanishes
• Depending on differences between figures & background colors plates are
designed for screening & diagnosis
• Eg: American optical, Dvorine, Ishihara
Transformed design
• Colors chosen such that both normal & color defective patients can see the
figures. But each identify different one
• 4 clusters of color chosen, 2 for the figure, 2 for the background
Hidden digit design
• Figure cleverly concealed by normal but visible for severely color defective
persons
• Figure & background each consist of 3 colors
• Colors intermingled in a haphazard fashion
• Potential for confusion thus eliminated from screening
• Eg: Ishihara (14th, 15th & 19th plate in 24plate edition)
Qualitative diagnostic design
• Extension of vanishing figure
• 2 figures of different colors placed at different locations on a plate with
uniform background color
• Each figure identifies the diagnosis for the type of color deficiency
• Eg: American optical HRR
Color arrangement test
Farnsworth D-15 test
• Logical placement of color sequences
• Color confusions & ability to discriminate fine differences in color is evaluated
• Arrangement errors in case of color deficiencies
• Used for diagnosis. Not screening

Farnsworth Munsell 100 hue test


Commercially available test

Farnsworth D-15 test


• Set of 16 different colored papers fixed in numbered caps
• 12 cm of circular disc
• Fixed reference cap
• Evaluate major color confusions (red-green & blue-yellow)
• Scoring sheet

Farnsworth Munsell 100 hue test


Testing
1. Patient positioning, test, illumination

2. Verbal instructions

3. Check for comprehension, ocular malingering(ocular malingering is when patient


can see the color and still acts as if he/she cannot see )
Hereditary Vs Acquired CV defect

Hereditary Acquired
Bilateral & equal Unilateral & severe in one eye
Red-Green defect, common in males Predominantly Blue-Yellow defect, males &
females equally susceptible

Visual functions not effected Visual acuity, visual fields, other vision functions
may be effected

Rare color naming errors Obvious color naming errors


Stable throughout life Depends on underlying cause
Unambiguous color confusions Absence of confirmed color vision defect
THANK YOU

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