Recommendations and requirements for the wavelengths in Rayleigh equation anomaloscopes.

DIN 6160:2019 is a technical standard that sets requirements for Rayleigh equation anomaloscopes. Table 1 of the standard contains the limits for centroid wavelengths and spectral half power bandwidths (SHBW). The centroid limits are more restrictive than dominant wavelength recommendations. The SHBW limits have no known evidence base and are inconsistent between colors. The spectral characteristics of three commercial anomaloscopes brands were measured using a telespectroradiometer. Only the oculus instruments complied with DIN 6160 Table 1, but all the anomaloscopes complied with published recommendations. All complied with the DIN 6160 bandwidth requirements. This highlights the need to provide an evidence base for such requirements.

Clinical analysis of the Konan-Waggoner D15 color vision test using the Surface-Pro display.

This work expands on our previous comparison of the Konan-Waggoner D15 (KW-D15) and Farnsworth D15 (F-D15). Sixty subjects with normal color vision and 68 subjects with a red-green color vision defect participated in the study. The KW-D15 had good agreement with the F-D15 for both pass/fail and classification across all failure criteria. The agreement was slightly better if subjects had to pass on 2/3 trials compared with just the first trial. The KW-D15 is an adequate substitute for the F-D15, with the caveat that the KW-D15 might be slightly easier to pass than the F-D15 for deutans.

Color Vision in the Mountains.

This Lessons from History article uses science, aviation, medicine, and mountaineering sources to describe some of the effects of hypoxia, illumination, and other environmental conditions on the eye, the central nervous system, and light and color perception. The historical perspective is augmented by an analysis of an informal observation of the altered perception of red color on a deck of playing cards while climbing Mera Peak in the Himalaya. The appearance of a grayer red color on the cards was initially attributed to the effects of hypoxia alone. Instead, analysis of cards in combination with the low incidence of protan color vision defects at altitude indicated that glare and contrast effects in the extremely bright lighting environment combined with hypoxia likely caused the perception of a grayer red. The incident provides an educational opportunity for review, analysis, and commentary about some of the complex elements that impact color vision.

Evaluation of the Third edition of the City University Colour Vision Test.

INTRODUCTION: The 3rd edition of the City University Colour Vision Test (CUT) was originally based on the Farnsworth-Munsell D-15 test (D15). The first part of the test is for detecting a defect, and the second part is used to diagnose the type and severity of the defect. This study evaluates the CUT 3rd edition relative to the Ishihara and the D15 colour vision tests. METHODS: Fifty nine colour vision normal subjects and 60 subjects with a congenital red-green colour vision defect were recruited. Subjects were tested with the Ishihara and CUT tests. Subjects who failed the Ishihara also performed the D15 test. RESULTS: The agreement between the Ishihara and CUT screening plates was marginally higher when using the CUT failure criterion of >1 error compared with using >2 errors. If the diagnostic plates were included with the screening plates in determining the pass/fail outcomes, the agreement between the Ishihara and CUT was high, with a first-order agreement coefficient (AC1) of 0.90. The AC1 coefficient agreement between the D15 and CUT diagnostic plates in terms of pass/fail was 0.81 when using the D15 failure criteria of >1 or >0 crossing. CONCLUSION: The level of agreement between the 3rd edition of the CUT and D15 was lower than the 2nd edition of the CUT. The primary reason for the lower agreement of the 3rd edition of the CUT was that it had a lower specificity relative to the D15 compared to the 2nd edition. Although the CUT predictive value for failing the D15 is over 90%, the predictive value for passing shows that 19%-25% of patients who pass the 3rd edition of the CUT test will fail the D15. The 3rd edition tends to misclassify protans as deutans or cannot classify the type of defect relative to the D15 and Ishihara.

Lighting for color vision examination in the era of LEDs: the FM100Hue Test.

Lighting conditions nominated for color vision testing are many and varied. The recommendation of CIE color rendering index (CIE CRI) ≥90 and correlated color temperature of close to 6500 K is widely made for color vision testing generally. With the demise of incandescent and fluorescent lighting and their replacement by light-emitting diodes (LEDs), this is an opportune time to revisit the recommendation. In this paper, we consider the current sources, acceptable and unacceptable, and improvements to the recommendation as it applies to the Farnsworth-Munsell 100 Hue Test (FM100Hue Test). We conclude that there is no need to treat LEDs as a special case but propose a modified CRI measure.

Predicting the CN Lantern Test for Railways with Clinical Color-vision Tests.

SIGNIFICANCE: This research will help clinicians in advising their color-vision-defective patients regarding their career options. PURPOSE: In Canadian railways, individuals with a color-vision-defect (CVD) may qualify for positions at shorter sighting distance from signal lights. The railway companies' medical units use the CN Lantern (CNLan) test, and there is little information available as to whether clinical color-vision tests (CCVTs) can predict the CNLan results. This study determines the ability of some CCVTs to predict the CNLan performance to assist clinicians in advising their CVD patients regarding career options. METHODS: The CNLan viewing distance was varied between 4.6 and 0.57 m using a geometric progression. The CCVTs were the Hardy, Rand, and Rittler; Ishihara; ColorDx pseudoisochromatic plate (PIP); the Rabin Cone Contrast Test; Color Assessment and Diagnosis; Cambridge Color Vision Test; U.S. Air Force Operational Based Vision Assessment Cone Contrast Test; Farnsworth Munsell D15; and ColorDx D15. Fifty-six normal-color-vision and 63 CVD subjects participated in this study. RESULTS: Failure of either the Farnsworth Munsell D15 or ColorDx D15 essentially guarantees failure on the CNLan at the 4.6-m distance. The agreement values decreased as the viewing distance decreased. CONCLUSIONS: To counsel patients regarding a career as a locomotive engineer, clinicians should have either the Hardy, Rand, and Rittler or ColorDx PIP and a D15 test. For patients applying for a position in the yard, a mild-to-moderate classification CVD on HRR or ColorDx PIP indicates a high probability of passing CNLan.

The CN Lantern Test and Different Viewing Distances.

SIGNIFICANCE: This research shows that some color-vision-defective patients could identify railway signal lights correctly if they are working in the yard where sighting distances for signal lights are shorter. PURPOSE: When interpreting railway signal lights, sighting distance can vary depending on the employee's location and job requirements. Individuals with a color-vision-defect may pass railroad employment color vision testing for positions with shorter sighting distances, despite failing to qualify for positions with longer sighting distances. The CN Lantern (CNLan) simulates railway signal lights. We evaluated performance and repeatability on CNLan at different viewing distances in color-normal and color-deficient individuals. METHODS: Fifty-six subjects with normal color vision and 63 subjects with a red-green color-vision-defect participated. The CNLan test was performed at 4.6-, 2.3-, 1.15-, and 0.57-m viewing distance. The test was repeated after 10 days. RESULTS: All individuals with normal color vision passed the CNLan at all distances at both visits without errors. For the group with a color-vision-defect, the pass rate increased from 12% at 4.6 m to 62% at 0.57 m. The repeatability of the CNLan between visits for the color-vision-defective group was very good with AC1 agreement values greater than 0.85. CONCLUSIONS: An increase in retinal illumination was likely responsible for the improved performance as the test distance was decreased. Typical sighting distances in railway yards correspond to the 0.57-m test distance in our study. The results of this study suggest that 62% of the individuals with a red-green color-vision-defect may correctly identify colored signal lights in a railway yard where sighting distances are less than 100 m.

Limitations and Precautions in the Use of the Farnsworth-Munsell Dichotomous D-15 Test.

SIGNIFICANCE: Clinicians who administer the Farnsworth-Munsell D-15 test need to pay attention to the quality and quantity of lighting and the time that they allow for completion of the test, and all repeat attempts need to be included in reports on compliance with color vision standards. PURPOSE: The validity of the Farnsworth-Munsell D-15 has been questioned because practice may allow significantly color vision-deficient subjects to pass. In this article, we review the influence of practice and other factors that may affect the performance. These relate to both the design and the administration of the test. METHODS: We review the literature and present some calculations on limitations in the colorimetric design of the test, quantity and quality of lighting, time taken, and repeat attempts. RESULTS: In addition to the review of the literature, color differences and luminance differences under selected sources are calculated, and the increases in luminance clues under some sources and for protanopes are illustrated. CONCLUSIONS: All these factors affect the outcome of the test and need specification and implementation if the test is to be applied consistently and equitably. We recommend the following: practitioners should never rely on a single color vision test regardless of the color vision standard; lighting should be Tcp '' 6500 K and Ra > 90; illuminance levels should be between 200 and 300 lux if detection of color vision deficiency is a priority or between 300 and 1000 lux if the need is to test at the level where illuminance has minimal influence on performance; illuminance should be reported; time limits should be set between 1 and 2 minutes; repeat testing (beyond the specified test and one retest) should be carried out only with authorization; and initial and repeated results should be reported. A set of test instructions to assist in the consistent application of the test is provided in the Appendix.

Repeatability of Associated Phoria Tests.

PURPOSE: H.J. Haase developed a set of tests for measuring associated phoria and stereopsis using a variety of different targets for each. This testing method is known as the MKH-Haase method and it is used commonly in Germany. The aim of this study was to investigate the test-retest repeatability of the distance and near associated phoria tests for the MKH-Haase charts and other clinical tests. METHODS: Horizontal and vertical associated phorias were measured at distance and near for 34 symptomatic and 40 asymptomatic participants with different tests. The tests are Cross, Pointer, Double Pointer, and Rectangle tests of MKH-Haase charts at distance and near. The other common tests include the Mallett Test and the American Optical (AO) Slide at distance. At near, there are the Mallett Test, the AO Card, the Saladin Card, the Wesson Card, and the Sheedy Disparometer. RESULTS: The 95% limits of agreement for all of the distance horizontal values for the symptomatic group were within ±1.25, except for the AO Slide limits, which were larger by 0.43. The limits of agreement for the asymptomatic group were within ±0.875. At near, the 95% limits of agreement for most of the horizontal associated phoria tests were ±2.00. The exception was the symptomatic group's Sheedy Disparometer limits, which were -4.25 to 5.75. Except for the Disparometer values for the asymptomatic group, the mean between-session differences were not statistically significant different from zero based on the 95% confidence interval. The asymptomatic group's mean Disparometer value was less eso at the second session. The 95% limits of agreement for all of the vertical values at distance and near for both groups were very narrow (i.e., within ±0.375). CONCLUSIONS: Most of the tests showed good repeatability for both subject groups at distance and near, except for the Sheedy Disparometer. The reason for the lower repeatability could be the design of the Disparometer.

Protan response times to red lights in a mildly hypoxic environment.

PURPOSE: This study was conducted to determine whether protans have slower reaction times to red lights than individuals with normal color vision and to identify whether protan reaction times increase differentially in a mildly hypoxic environment. METHODS: Simple reaction times (SRT) to a red light-emitting diode (LED) display were measured using the Psychomotor Vigilance Task (PVT) at ground (1293 ft/394 m), simulated 12,400-ft (3780-m) altitude, and 20 min after returning to ground. Subjects were 13 individuals with normal color vision (NCV), 12 with a deutan color vision defect, and 4 with a protan color vision defect. RESULTS: The mean reaction times increased by 8% with altitude and decreased after returning to ground for all groups. However, the reaction times of the protans were often faster than the NCV mean and never below the NCV 10(th) percentile. The only significant difference between color vision groups was the slowest mean reaction time of the NCV group was slower than both the pooled dichromats and pooled anomalous trichromats across all conditions by 23%. The number of lapses did not vary with altitude, but the dichromatic subjects had significantly fewer lapses than the trichromatic subjects across all conditions. CONCLUSION: Although protans may be slower to respond to some red warning lights, this decrement in performance could not be demonstrated under the conditions of our experiment. Furthermore, the protan group's simple reaction times were not differentially affected by mild hypoxia. These results suggest that the red LEDs were sufficiently bright for these protan observers.

Simulated night vision goggle wear and colored aftereffects.

BACKGROUND: Surveys of military pilots report that between 1.6% and 65% of the respondents experienced altered color vision after night vision goggle (NVG) wear. For the majority of these pilots, the aftereffect was a brownish afterimage that lasted less than 10 min. Given the large disparity in the surveys, we asked subjects to wear goggles which simulated NVGs to determine the nature and duration of any color aftereffects after removing the goggles. METHODS: Two separate experiments were conducted after wearing the goggles for 30 continuous minutes. The first measured the adaptation effects on color appearance by determining the spectral locations of unique blue and unique yellow. The second measured the adaptation effects on color discrimination using the Lanthony Desaturated D15 (Desat D15) color vision test. RESULTS: The location of unique blue shifted to a longer wavelength by 4 nm immediately after removing the goggles and returned to baseline by 12 min post-wear. The unique yellow location was unaffected by the color aftereffect. In the second experiment, the time to complete the Desat D15 was 13% longer than baseline for the first 6 min post-wear. There was also a decrease in the frequency of errors relative to baseline. Only one subject reported an afterimage in either experiment. CONCLUSIONS: The results showed that the color aftereffects were subtle and unlikely to cause major color vision problems. The time course of the color aftereffect in this experiment resembled short-term adaptation effects.

Trichromatic and dichromatic relative sensitivity to green light in a mild hypoxic environment.

INTRODUCTION: Several studies have reported that individuals with normal color vision have a relative decrease in sensitivity to green light in hypoxic environments approximating altitudes above 4000 m. Because there is little available information describing the effects of mild hypoxic environments (less than 4000 m) in subjects with deficient color-vision, we examined the effect of mild hypoxia on the relative sensitivity to green light for color-normal and color-deficient subjects. METHODS: Relative sensitivity to the green light was measured using the Medmont C-100 at ground and 3780 m in an altitude chamber. There were 30 subjects, 13 with normal color vision and 17 with a congenital red-green defect, who participated in the study. The relative sensitivity to the green light was determined from the average of four settings measured during the 4.5-h trial. RESULTS: Color-normals and anomalous trichromats showed a small decrease in the relative sensitivity to the green light at 3780 m compared to ground. In contrast to the trichromatic results, the relative sensitivity of the dichromats to the green light did not differ between 3780 m and ground. DISCUSSION: Our results show that a decrease in the relative sensitivity to green light can occur in hypoxic environments that are equivalent to altitudes greater than 3700 m in individuals with trichromatic but not dichromatic color vision. Although the change in sensitivity was significant, it was small and unlikely to have any operational impact.

Hypoxia, color vision deficiencies, and blood oxygen saturation.

Chromatic thresholds were measured using the Cambridge Colour Test (CCT), the Colour Assessment and Diagnosis (CAD) test, and the Cone Specific Contrast Test (CSCT) at ground and 3780 m (12,400 ft) for subjects with normal color vision and red-green color vision defects. The CAD revealed a small (~10%) increase in the red-green thresholds for the trichromatic subjects and a similar increase in the blue-yellow thresholds for the dichromats. The other two color vision tests did not reveal any significant change in chromatic thresholds. The CAD results for the trichromats were consistent with a rotation of the discrimination ellipse counterclockwise with little change in the elliptical area. This alteration in the color discrimination ellipse can occur when retinal illumination is lowered.

When yellow lights look red: tinted sunglasses on the railroads.

PURPOSE: A major Canadian railway company purchased safety eyewear sunglasses that were purported to have a neutral gray tint and that met the North American occupational and fashion sunglass requirements for signal light transmittance. After several weeks, the company began to receive reliable reports from employees that the yellow wayside signal appeared red when viewed through these sunglasses. Furthermore, the lenses themselves appeared to have a greenish brown tint rather than gray as the labeling implied. METHODS: The transmission properties of the lenses were measured with a spectrophotometer, and color shifts were calculated for both roadway and railway signal lights. RESULTS: The lenses did have a brown tint and they did meet the North American and European occupational sunglass transmittance requirements for roadway traffic signal lights. However, they did not meet the Australian occupational requirements because the red signal visibility factor was too high. Calculations using typical railroad wayside signal lights showed that the lenses would shift the yellow signal chromaticity coordinates beyond the boundaries for the railway yellow signals and toward the red end of the International Commission on Illumination chromaticity diagram, confirming the employees' reports. CONCLUSIONS: Although the lenses met the North American and European sunglass transmittance requirements for traffic signal lights, the results showed that these standards are inappropriate for the railroad environment because the yellow wayside signal lights are redder and smaller in angular size than typical North American and European traffic lights. Some suggestions on a modified transmittance requirement are given to avoid this problem in the future.

Does dichromatic color simulation predict color identification error rates?

PURPOSE: Several algorithms are available to transform colored digital images into simulated dichromatic color perception. These algorithms can be very illustrative of the problems dichromats experience in discriminating colors. The purpose of this study was to determine whether one type of transformation could provide a quantitative account of error rates in identifying colors displayed on a computer monitor. METHODS: The experimental task required observers to identify the color of small rectangles displayed on a computer monitor within a black background. There were eight colors. The number of errors for each color was recorded. Four deuteranopes and five protanopes participated. Color differences were calculated using normal trichromatic and dichromatic values. The dichromatic color differences were calculated using the procedure developed by Brettel et al. [J Opt Soc Am (A) 1997;14:2647-55]. RESULTS: The relationship between error rates and color differences calculated in either color space was fit by an exponential decay function. However, the fit provided by the dichromatic color differences was no better than that using color differences calculated in trichromatic color space and both regressions could only account for approximately 30% of the variance in the data. CONCLUSIONS: Correlations between the error rates in identifying colors for dichromats and color differences were low-to-moderate whether the color differences were based on normal trichromatic color space or a dichromatic transformation. This finding suggests that it may be sufficient to calculate the color difference only in color-normal space to determine whether the colors will be confused by a person with a congenital color vision defect. Although computer algorithms are useful in illustrating color discrimination problems experienced by dichromats, they may not offer any advantage over typical trichromatic color spaces in predicting performance in color identification. The lack of any advantage may be due to how dichromats use brightness information to identify colors.

Pupil light reflex in Parkinson's disease patients with and without freezing of gait symptoms.

PURPOSE: Freezing of gait (FOG) is considered as a motor disorder that affects some Parkinson's disease (PD) patients; however, sensory systems may also be involved in FOG. The pupil light reflex (PLR) is a reliable measure of the autonomic nervous system. Different dilation and constriction pupil parameters may be used to investigate the integrity of the autonomic nervous system in PD patients with and without FOG symptoms. This study aimed to look at the integrity of autonomic nervous system and to investigate the nonmotor functions mediated by the cholinergic system in Parkinson's patients with and without FOG symptoms. METHODS: Constriction and dilation pupil light reflexes were measured by using a handheld pupillometer. Twenty-two patients with FOG symptoms, 25 patients without FOG symptoms, and 25 aged-matched healthy controls participated in this study. RESULTS: The results showed that most of the constriction parameters and dilation latency of both patient groups differed significantly from healthy controls. FOG patients showed larger pupil size under light condition and larger deficits in constriction latency than nonFOG patients. Both the groups of PD patients had longer dilation latencies than healthy controls. CONCLUSION: This study suggests that the cholinergic autonomic nervous system is affected in PD patients more than the adrenergic system. FOG patients had larger impairments in nondopaminergic mediated functions such as pupil light reflexes, which suggests that FOG patients have greater impairment in functions that involve cholinergic neurotransmitters.

Visual processing and BDNF levels in first-episode schizophrenia.

Previous studies have shown that patients diagnosed with schizophrenia (SCZ) have deficits in early visual processing, namely contrast processing. The brain-derived neurotropic factor (BDNF) is an important measure to investigate neuroplasticity in some visual functions like visual perception. In this study, we investigated the relationship between visual processing and BDNF levels in first-episode SCZ patients. Thirty-nine healthy controls and 43 first-episode SCZ patients were enrolled. Contrast sensitivity measurements were conducted using low, mid- and high spatial frequencies. First-episode SCZ patients had higher contrast sensitivity than healthy controls for all frequencies, except for the middle spatial frequency. Negative correlations were found between BDNF, contrast sensitivity and clinical variables, mostly for middle and high spatial frequencies among females. Our results provide support for (i) the association of SCZ with alterations of magno- and parvocellular pathway functioning and (ii) decreased BDNF levels in first-episode SCZ patients. This study highlights the importance of using biomarkers along with other measures to investigate visual processing in SCZ and other disorders.

Visual processing speed in freezing and non-freezing Parkinson's disease patients.

INTRODUCTION: Parkinson's disease patients are usually characterized by body motor dysfunction due to dopaminergic reduction in the central nervous system. Freezing of gait is a motor disorder that affects certain Parkinson's disease patients. However, it is hypothesized that non-motor functions mediated by the cholinergic system are also involved in developing freezing of gait. Visual information processing speed, or inspection time is independent of the motor response, and can be used a reliable measure of the cholinergic system integrity. OBJECTIVE: Inspection time can be used to investigate whether Parkinson's disease patients with freezing of gait symptoms have a larger impairment in cholinergic mediated functions than those patients who have no freezing of gait symptoms and healthy controls. METHODS: The inspection time was determined by a simple length discrimination task. Twenty-two Parkinson's disease patients with freezing of gait, 25 Parkinson's disease patients without freezing of gait, and 25 aged matched healthy controls participated in the study. RESULTS: Based on the log values of IT score, Parkinson's disease patients with freezing of gait symptoms had statistically significant slower inspection times (mean of 1.793 ms) than Parkinson's disease patients without freezing of gait (mean of 1.655 ms) and healthy controls (mean of 1.523 ms). Inspection times for the Parkinson's disease patients without FOG symptoms were also significantly slower than healthy controls. CONCLUSION: The results of this study support the hypothesis that the cholinergic system integrity is affected more in Parkinson's disease patients with freezing of gait symptoms.

Stereopsis and ocular alignment in Parkinson's disease patients with and without freezing of gait symptoms.

BACKGROUND: Parkinson's disease patients are classically described by having motor disorder symptoms. Freezing of gait is one of these motor symptoms that presents in some of these patients. Even though freezing of gait is classically considered as motor dysfunction, it is now widely accepted that deficits in other sensory systems, for example visual system, may lead or contribute to freezing of gait. The purpose of this study is to characterise some of the binocular vision functions in freezing of gait patients, non-freezing of gait Parkinson's disease patients and age-matched healthy controls. METHODS: Binocular vision measurements included local and global stereopsis using different clinical stereo tests, along with fixation disparity and fixation disparity curves. The fixation disparity measures were primarily an assessment of the vergence motor system, and the clinical stereo tests assess the combined effects of motor and sensory aspects of binocular vision. Twenty-two freezing of gait patients, 25 non-freezing of gait patients, and 25 aged-matched healthy controls completed all of the measurements in this study. RESULTS: The freezing of gait group had worse stereopsis than the non-freezing of gait group, and the non-freezing of gait group had worse stereopsis than the healthy controls. The impairment of global stereopsis was more common than local stereopsis in Parkinson's disease patient groups. The reduction in stereopsis among Parkinson's disease patients was not associated with fixation disparity. CONCLUSIONS: Results from this study clearly indicate that the freezing of gait patients group has a greater loss in stereopsis than the other two groups, especially for the global tests. Whether these impairments are contributing to the freezing of gait or just associated with freezing of gait is uncertain.

A Survey on Daily Activity Inclination and Health Complaints among Urban Youth in Malaysia.

Environmental influence is one of the attributing factors for health status. Chronic interaction with electronic display technology and lack of outdoor activities might lead to health issues. Given the concerns about the digital impact on lifestyle and health challenges, we aimed to investigate the daily activity inclination and health complaints among the Malaysian youth. A self-administered questionnaire covering lifestyle and health challenges was completed by 220 youths aged between 16 and 25. There were a total of 22 questions. Seven questions inspected the patterns of indoor and outdoor activities. Fifteen questions focused on the visual and musculoskeletal symptoms linked to both mental and physical health. The total time spent indoors (15.0 ± 5.4 hours/day) was significantly higher than that spent outdoors (2.5 ± 2.6 hours/day) (t = 39.01, p < 0.05). Total time engrossed in sedentary activities (13.0 ± 4.5 hours/day) was significantly higher than that in nonsedentary activities (4.5 ± 3.8 hours/day) comprised of indoor sports and any outdoor engagements (t = 27.10, p < 0.05). The total time spent on electronic related activities (9.5 ± 3.7 hours/day) was were higher than time spent on printed materials (3.4 ± 1.6 hours/day) (t = 26.01, p < 0.05). The association of sedentary activities was positive in relation to tired eyes (χ 2 = 17.58, p < 0.05), sensitivity to bright light (χ 2 = 12.10, p < 0.05), and neck pain (χ 2 = 17.27, p < 0.05) but negative in relation to lower back pain (χ 2 = 8.81, p < 0.05). Our youth spent more time in building and engaged in sedentary activities, predominantly electronic usage. The health-related symptoms, both visual and musculoskeletal symptoms, displayed a positive association with a sedentary lifestyle and a negative association with in-building time.