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64 Cards in this Set

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Define: colour vision
the ability to perceive and discriminate between light on the basis of wavelength composition
Give an example of radiation considered to have LOW WAVELENGTH
low wavelength = high energy
x-rays gamma rays, UV rays
give examples of high wavelength radiation
broadcast, infrared
How many types of receptor in the retina are responsible for colour perception??
3 - R, G, B
What happens when all 3 colour receptors are equally stimulated in retina?
white light is perceived
What is the Young-Helmholtz theory?
Any colour can be generated simply by the superimposition of pure red, green and blue light
* at retinal level
What are the 3 primary colours of paint? Is it true that they behave the same way as light?
cyan, magenta, yellow
NO
What did Ewald Herring introduce to modify the Helmholtz theory?
He suggested instead of having 3 types of receptors in the retina (helmholtz), that at the cortical level there are 3 pairs of receptors: B/Y, G/R, and Black/white and whichever out of the pair is stimulated more then that is the one which is seen
What is the general belief about the theory of colour vision today?
combo of helmholtz and herring. (retinal and cortical/optic nerve)
What photopigments exist in each type of cone in the retina?
red: erythrolabe
green: chlorolabe
blue: cyanolabe
How far (in degrees) in the field is colour seen?
90 degrees
Define: Hue -
what we normally refer to as "colour"; the extent to which something is a certain colour
what is saturation? what does it depend on?
the strength of a colour
depends on the amount of white or black in mix
what is a saturation level?
high saturation = high number
ex. sat of 8 higher than sat of 2
what os brightness?
luminance of a colour. 0 = blaCK, 10 = white
what are the prefixes for colour deficiences?? (red, green and blue)
prot = red
deut = green
trit = blue
what suffix refers to a partial deficiency? complete?
anomaly = partial
anopia = complete
WHAT Is the term for a pt who has a complete red defect
protanopia
what is the term for a pt who has a partial blue defect
tritanomaly
what is the most common type of colour defect
anomalous trichromats: 2/3 cones function normally but 1 is abnormal
*doesnt affect acuity
someone with a protanomaly sees red weakly. what is their probable deficiency? what colors do they tend to confuse?
tan, olive brown (esp brown)
deficient in erythrolabe
someone with a deutanomaly sees green weakly. what is their probable deficiency? what colors will they confuse?
confuse between pink/dull green, tan/olive, brown
chlorolabe deficient
what is the most rare type f color anomaly?
tritanomaly
What is a dichromat?
only 2 types of photopigment are available
Why do some believe that anomalous trichromats and dichromats are essentially the same?
believe that in dichromats, all 3 photopigments are present but one is acting soooo sub-optimally that it is considered as barely present or not present.
What is a monochromat or achromat? what are the types
1. rod monochromat (complete achromats) - pt only has rhodopsin pigment acting, and reduced number of cones. ~20/70 and worse acuity
2. Blue cone monochromats (incomplete achromats)
only have cyanolabe pigment (blue cones)
can see blue, yellow, grey
What is the inheritance pattern of a protan defect? deutan?
both X-linked recessive
If mom is a carrier of protan defect and dad is affected with the same defect, what is the chance that they will have an AFFECTED son? A CARRIER daughter?
affected son: 25%
carrying daughter: 25%
If mom is unaffected, but dad is affected with a deutan defect, what is the chance they will have an AFFECTED son? A CARRIER daughter? AN AFFECTED daughter?
0%
0%
50%
What is a common reason for developing an acquired colour defect?
drug toxicity
also, ocular or systemic disease
List soem ocular or systemic diseases that can cause colour vision defects
Optic Nerve Disease
Retinal Disease
Stargadt's Disease (Macular degeneration)
Macular Degeneration
Macular Dystrophies
Inflammation
Vascular hypertension
Diabetes
Acquired retinal defects usually result in what tyype of defect
blue/yellow
True or false: A pt who makes errors over one specific area of the colour wheel has an acquired colour vision defect.
false. congenital: specific areas. acquired: all ovaaa
Other visual entities (acuity etc) are normal in what type of colour defect?
congenital
other abnormalities usually present in acquired defect
What are the characteristics of a congenital colour vision defect?
- errors made in specific areas of colour wheel
- other visual functions normal
- reproducible test results
- stable defect
- symmetrical defect
- pt names colours correctly
What are the characteristics of an acquired colour vision defect?
- pt makes errors all over wheel
- other visual abnormalities are usually present
- test results not reproducible (may vary)
- defect may progress or regress
- often asymmetric
- may name colours incorrectly
What is Kollner's rule?
congenital colour defective ppl make mistakes only in specific areas of the couluour whell. acquired make mistakes all over the wheel.
Name the 4 types of colour vision tests.
1. Lantern - simulate colour tasks under working conditions
2. Pseudo-isochromatic plates - colour figures embedded in a bg
3. Sorting/Arranging - colour caps arranged accorindg to colour
4. Anomaloscope - requires mixing of colours to match a control
How can you differentiate between an acquired an congenital defect (during testing)?
test monocularly

(????????? why ?? i have no idea)
What is the Holmgren wool test
3 large skeins of wool and 72 small ones (12 diff colours); 5 match the controls and 7 are confusng colours
pt matches similar colours to controls
What is the APT-5 colour vision test
automated - illuminated pseudo-isochromatic plates. Uses HOTV letters; supposed to simulate results of anomaloscope. timed stimulus presentation
What is the farnworth panel d-15?
designed for CONGENITAL defects; especially dichromats
- single fixed chip and 15 moveable
- saturation level 5
- dot to dot format on score sheet - normals form a circle
- abnormals cross axis
Name the 4 types of colour vision tests.
1. Lantern - simulate colour tasks under working conditions
2. Pseudo-isochromatic plates - colour figures embedded in a bg
3. Sorting/Arranging - colour caps arranged accorindg to colour
4. Anomaloscope - requires mixing of colours to match a control
How can you differentiate between an acquired an congenital defect (during testing)?
test monocularly
What is the Holmgren wool test
3 large skeins of wool and 72 small ones (12 diff colours); 5 match the controls and 7 are confusng colours
pt matches similar colours to controls
What is the APT-5 colour vision test
automated - illuminated pseudo-isochromatic plates. Uses HOTV letters; supposed to simulate results of anomaloscope. timed stimulus presentation
What is the farnworth panel d-15?
designed for CONGENITAL defects; especially dichromats
- single fixed chip and 15 moveable
- brightness and saturation level 5
- dot to dot format on score sheet - normals form a circle
- abnormals cross axis
what is desaturated D-15?
- similar to farnsworth oanel d-15 but brightness increased to 8 and saturation decreased to 2
- designed primarily for aCquired
what s 100-Hue test
- detects both congenital and acquired
- only 1-2% of normals can do this test and not mke any error
- 93 coloured caps, 8 fixed in four trays
- hood with lughts off in room
- scoring card is retarded
How is scoring done on 100-Hue test
correct order: 1 2 3 4 5
pt order: 2 1 3 4 5
difference: 3 2 1 1
cap score: 5 2
then cap score is plotted on circular grid; innermost = 2(lowest)
error score: cap score - 2
total error score: = sum of all error scores on each line
R: 46 G: 56 B: 66
What is Lanthony new colour test
- both congenital and acquired
- studies effects of hue, sat, brightness independenty
- 4 boxes with 15 caps; range in saturation from 8 to 2
- 10 grey caps range in brightness from 4 to 8
- no fixed starting colour
describe the three types of scenarios which can occur with Lanthony new colour test.
1. Pt leaves colours in with greys
2. Pt leaves greys in with colours *congenital*
3. Pt separates/sorts normally
In new Lanthony colour test, when does the pt sort the greys?
last task (level 2 saturation) and only done if separation task is abnomal.
How is scoring done in new lanthony colour test?
separation score: (#mistakes)*(sat level)
score>10 = abnormal
What is precision vision (colour) test
similar to d-15 but larger caps
more suitable for low vision pts or kids
coated caps that dont stain
what is the ishihara test
designed for congenital RED-GREEN DEFECTS
- pr detects a number embedded in bg of coloured dots (isochromatic test)
What is American-Optical-Hardy-Rand-Ritler
DETECTS RED/GREEN AND BLUE/YELLOW
- pt told to detect shape or symbol embedded in variable grey dot background
What is the standardized isochromatic plates test
- v similar to ishihara but it has calculator style numbers
Part 1: congenital
Part 2: acquired
not quantitative, tho
What is th city university test?
four coloured dots surround a centre dot; pt matched one dot with the one int he middle
saturation varies (6 plates at sat=4 and 4 at sat = 2)
What is the Tritan album
detects blue/yellow
square with an area cloured in pt tells which corner is coloured
describe the sloan achromatopsia test
designed to see if pts can match colours to grey.
high saturation
describe anomaloscope test
- gold standard
- congenital and acquired
- based on mixing of 2 colours to form one
- not good for low vision or children
describe guy's colour vision test
for children
- ishihara style but with letters
- matching set of letters supplied
RED GREEN SCREENER ONLY
this test sux because you dont even know what letters are intended sometimes
What is the best protocol to follow when assessing colour vision?
battery of tests./ best is: New Colour. if not: then try precision vision, AOHRR or APT-5