Quantitative Scoring Methods for D15 Panel Tests in the Diagnosis of Congenital Color Vision Deficiencies

Atchison, David A., Bowman, Kenneth J., & Vingrys, Algis J. (1991) Quantitative Scoring Methods for D15 Panel Tests in the Diagnosis of Congenital Color Vision Deficiencies. Optometry and Vision Science, 68(1), pp. 41-48.


Farnsworth’s standard D15 and L’Anthony’s desaturated D15 panel tests were administered to 99 congenital red-green color defective subjects. The results were analyzed in three ways: (1) by summing the color differences between adjacent caps according to Bowman, (2) by averaging color difference vectors (CDV) according to Vingrys and King-Smith, and (3) by visually inspecting and counting the crossings. The Bowman measure was highly correlated with one of the CDV measures but provides less information regarding a cap arrangement. The desaturated D15 test can be expected to misclassify 5% of dichromats by type (protan/deutan) compared to a type misclassification rate of <0.1% for the D15 panel test. The correct diagnostic rates for type were 45% for the standard D15 test and 58% for the desaturated D15 test. However, the improvement in correct diagnostic rate for the latter test was accompanied by an increase in the misdiagnostic rate from 2 to 10%. The main value of the desaturated D15 test in congenital color vision diagnosis would seem to be in providing classification of those subjects who pass the standard D15 test. Quantitative scoring of the tests proves a good estimate of severity of defect. Visual inspection provides a similar diagnostic rate to CDV analysis, but has a lower type misdiagnostic rate at the desaturated D15 test and is more likely to be correct when the two methods disagree. We suggest that quantitative scoring techniques are of limited benefit for the clinical diagnosis of congenital color vision defects but that they are of use in clinical trials or for the monitoring of changes in color vision over time. A protocol for the clinical use of panel D15 tests in detection and diagnosis of congenital color vision defects is suggested.

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12 citations in Web of Science®
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ID Code: 4784
Item Type: Journal Article
Refereed: Yes
Additional Information: Self-archiving of the author-version is not yet supported by this publisher. For more information, please refer to the journal’s website (see link) or contact the author. Author contact details: d.atchison@qut.edu.au
The contents of this journal can be freely accessed online via the journal’s web page (see link) 12 months after publication.
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Keywords: color vision, color vision deficiencies, color vision testing, color difference vectors, Farnsworth, Munsell tests
ISSN: 1538-9235
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OPTOMETRY AND OPHTHALMOLOGY (111300)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 1991 Lippincott Williams & Wilkins
Deposited On: 15 Aug 2006 00:00
Last Modified: 10 Aug 2011 18:06

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