Interpretation of Lanthony Desaturated Panel D-15 Test in Anomalous Trichromats with Congenital Red-green Color Vision Defects

K. Miyazaki, Teiko Kashiwada, Takaaki Hayashi, T. Kitakawa, A. Kubo, M. Urashima, K. Kitahara, Hiroshi Tuneoka
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Abstract

Purpose: The Lanthony desaturated panel D-15 test (Desaturated test) consists of 16 caps, similar to the Farnsworth dichotomous test (Panel D-15). The color caps of the Desaturated test are lower chroma and higher value than those of the Panel D-15. We evaluated the Desaturated test in anomalous trichromats with congenital red-green color vision defects. Methods: We examined 162 anomalous trichromats (155 males and 7 females) diagnosed by a Nagel Type I anomaloscope. All participants had the pass results in the Panel D-15, 1.0 or better of bestcorrected visual acuity and no ocular disease. Comparisons of the Desaturated-test pass/fail results between protanomalous and deteranomalous trichromats were performed using a chisquare test (with significance at p<0.05). Odds ratio (OR) was calculated. The Desaturated-test pass/fail results were compared between anomalous trichromats aged 7-10 years, and aged 11 or older. Results: Nineteen out of 54 (35.2%) protanomalous trichromats, and 19 out of 108 (17.6%) deteranomalous trichromats had the fail results in the Desaturated test. The discrepancy was significant (OR 2.50, 95% confidence interval 1.1-5.7, p=0.013). The fail ratio in anomalous trichromats aged 7-10 years was much higher than that in anomalous trichromats aged 11 or older. Conclusion: Our results suggest that protanomalous trichromats compared to deteranomalous trichromats, and anomalous trichromats aged 7-10 years compared to aged 11 or older are likely to have the fail results in the Desaturated-test.
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先天性红绿色觉缺陷异常三色者的Lanthony去饱和面板D-15试验解释
目的:Lanthony去饱和面板D-15测试(去饱和测试)由16个帽组成,类似于Farnsworth二分类测试(面板D-15)。去饱和测试的色帽比D-15面板的色度低,值高。我们评估了先天性红绿色觉缺陷的异常三色者的去饱和测试。方法:对162例经Nagel型异常镜诊断的异常三色视者(男155例,女7例)进行分析。所有参与者均通过D-15组,最佳矫正视力1.0及以上,无眼部疾病。原异三色者和去异三色者去饱和测试通过/不通过结果的比较采用直角检验(p<0.05)。计算比值比(OR)。比较了7-10岁和11岁以上的异常三色者去饱和测试的通过/不通过结果。结果:54名原异三色者中有19名(35.2%)不合格,108名非异三色者中有19名(17.6%)不合格。差异有统计学意义(OR 2.50, 95%可信区间1.1 ~ 5.7,p=0.013)。7 ~ 10岁异常三色视者的失败率远高于11岁及以上的异常三色视者。结论:我们的研究结果表明,原异三色者与去异三色者相比,7-10岁的异常三色者与11岁以上的异常三色者相比,在去饱和测试中可能有失败的结果。
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