Lecture 5 and 6 (starting pres 4-end) Flashcards

(45 cards)

1
Q

Which pathway is isolated using a high TEMPORAL frequency? What function does this allow us to obtain?

A

MAGNOcellular (aka luminance) pathway

-relative luminous efficiency function…plots shifts in the spectrum (normally 555nm) in those w/ CVDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

about where does a protanope’s peak wavelength lie on the relative luminous efficiency plot?

  • the deuteranope’s?
  • the tritanope’s?
A

protanope: 535nm (no L cones - shifts toward shorter wavelength) - 535 seen brighter, L wavelengths seen darker)
deuteranope: 560nm
tritanope: 555nm (same as normals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

for protanopes, how do long wavelengths appear compared to short and medium wavelengths?
-what about for protanomalies?

A

DARKER

protanomalies - result of intermediate curve b/w nml and dichromatic curve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

a slow, flickering stimulus isolates which pathway? measures what?

A

PARVOcellular pathway. Measures detection thresholds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Topic: wavelength discrimination
-Which two wavelengths show OPTIMAL wavelength discrimination in a normal trichromat? i.e. where’s the MINIMA of the wavelength discrim. fxn?)

  • Where is the optimum for pro/deutanopes?
  • Wavelengths longer than ___nm can’t be discriminated in pro/deutanopes
A

trichromat: 500nm, 600nm (MOST sensitive to small changes in wavelengths at these wavelengths)

pro/deutanope: 495 (close)
-can’t discriminate above 540nm (where green starts)

**wavelength discrimination SEVERELY IMPAIRED in protanopes and deuteranopes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tritanopes can’t discriminate b/w which two wavelengths?

A

between ~450-480nm (where blue is)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F: the major axes of trichromats do NOT converge to a single point, as they have a wide range of orientations

A

true (referencing macadam ellipses w/ different axes in color matching)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/F: the major axes of ANY dichromat do NOT converge to a single point

A

FALSE - they DO converge to a single point - aka co-punctal points. They DON’T converge for a nml trichromat, giving them their excellent color discrimination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/F: Misreads on Ishihara count as errors

-why (esp w/ Ishihara) might this happen?

A

FALSE- must be excluded in determining whether a CVD is present (i.e. 3/8, 5/6)

-SERIF font

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how many errors on the first 16 plates of the 38-plate ishihara is considered a defect?

how about on the first 12 plates of the 24-plate edition?

A

38-plate: 3 errors = defect

24-plate: 2 errors = defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ishihara: excellent ___ and ___. Are these properties still good w/ HRR plates? When would you use HRR plates instead?

A

Ishihara: high sensitivity, and specificity (won’t miss anyone)

HRR - will miss 10% of CVDs…used for B/Y defect suspicion, OR for QUANTIFYING the type of defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

topic: detection threshold.

- saturation of ZERO produces what color? can two colors been seen as different?

A

equal energy WHITE - can’t discern until you start to increase saturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

An observer is shown a spot, then the chromaticity is changed around that spot and the observer says the second spot looks like the first. Where must this second spot be relative to the first?

-observers have a good ability to see changes in the __/__ region of the color space, but a poor ability in the ___ region (recall: variability)

A

within the same MACADAM ellipse.

-each ellipse has a major AXIS, and each axis has a WIDE range of orientations (around 180 degrees)

  • GOOD: blue/purple
  • POOR: green
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which type of dichromat has a co-punctal point OUTSIDE the color space

-All these lines converging to a single point are termed what?

A

deuteranope (point has a negative value)

-color CONFUSION lines (observers CAN’T tell the difference between the colors along that line)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which point divides the spectrum into two regions for dichromats?

A

the neutral point. Pro/deutanopes’ neutral point separates B/Y (since that’s all they can tell the difference between), and tritanopes neutral point separates (R/G)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Co-punctal point locations for:
protanopes?
deutanopes?
tritanopes?

A

(X,Y)

protanope: 0.75, 0.25 (reddish purple)
deutanope: 1.4, -0.4 (bluish purple)
tritanope: 0.17, 0 (violet)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how are vanishing plates designed?

A

background and number spots all fall on the same color confusion line; can’t be discerned as separate if CVD present. Amt of saturation = severity of defect (recall: MORE saturation=FARTHER from the color confusion line)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T/F: the spectral anomaloscope is the ONLY test that can diagnose a CVD fully.

A

True - PIC plates ID can’t identify, classify, and grade all types of CVD separately - anomaloscope does it all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How many plates technically needed for Ishihara for official “diagnosis” (even though it doesn’t diagnose)

20
Q

What is a tetartan defect?

A

Defect of the vis PATHWAY itself - all three cones nml…post-receptoral connexns abnml

21
Q

What is HRR GOOD at?

A

grading the severity

-considered COMPLIMENTARY to ishihara -suggested to do ishi to schreen, then HRR to classify/grade

22
Q

T/F: the examiner w/ screening plates waits as long as it takes the pt to reply w/ an answer

A

false - 4 secs and move on. we ain’t got all day buddy..

…but seriously-hesitation IS CONSIDERED and error, may indicate slight CVD

23
Q

What’s unique about the C’s seen in the cambridge color test?

A

three different chromaticities fall on the protan/deutan/tritan color confusion lines

  • pt must identify where GAP is
  • uses a COMPUTER screen - expensive. research purposes only.
24
Q

hue discrimination tests (farnsworth D15, 100 Hue, LD15) are for more (mild/mod/severe) CVDs

25
will someone with a slight CVD pass the Farnsworth D15?
probably. Forms TWO groups of test subjects: nml-slight CVD (pass) and mod-severe CVD (fail) - used for vocational testing
26
The desaturated Farnsworth (LD15) detects the ____ of the CVDs (picks up on more subtle ones). Useful in (congenital/acquired) CVDs?
severity acquired! -color quality control workers - must be precise
27
Farnsworth 100 Hue will only identify pts w/ ___ and ___ CVDs. - Do these caps fall on color confusion lines as seen with the D15? - Where would a CVD subject make mistakes w/ the 100 Hue test?
moderate-severe only - NO (color confusion lines' colors would be in different boxes) - errors where caps are ADJACENT to confusion lines, where confusion lines are TANGENT to the color circle
28
Munsell 100 Hue: typical axes of confusion for: - protan - deutan - tritan -grading system? (assume no errors exist around specific axes)
protan: 17, 64 deutan: 15, 58 tritan: 5, 45 superior: 100
29
How does the city university test relate to the D15? - does it detect mild CVDs? - Do protans or deutans make more errors? - Can this test grade protans?
uses 4 caps: protan/deutan/tritan color conf lines, and the 4th cap is the next cap color from the D15 - nope: only MODERATE-SEVERE (like d15 etc) - DEUTANS = more errors (>5 errors =severe deuteranomalous) - NO - can't grade protans
30
Anomaloscope - GOLD STANDARD for testing CVDs. Two types: R/G and B/Y: names? Which one can be used for tritan defects? - In the upper half, ____ is FIXED (try to match it on the bottom) - in the bottom half, ____ is fixed
Nagal, Neitz, Oculus --> Oculus can be used for tritans - upper: luminance - bottom: hue
31
hue mixture field (upper half): 0-73 (546nm-670nm) -which two colors are at these wavelengths? -how does this relate to the fact that a trichromat imitates a dichromat because of this?
546-pure green 670-pure red S-cones are NOT sensitive to anything in this range - it's as though they don't exist! Only using M and L cones to detect deutan or protan defects!
32
anomaloscope: trichromats act as dichromats (d/t isolation of S-cones), and dichromats act as ___chromats - they only have to change what parameter to get the colors to match?
monochromats - change LUMINANCE only!!
33
so a TRICHROMAT using the anomaloscope must use an appropriate combination of HOW many wavelengths? How about a dichromat?
trichromat: combo TWO wavelengths dichromat: only ONE wavelength, and they can match it by changing ONLY the luminance value (on the bottom)
34
The anomaloscope uses what fxn to classify whether a pt is a protanope or deutanope?
relative luminous efficiency - if pt is a PROtanope, they'll DIM the luminance of the middle wavelength (dim the YELLOW) (b/c they see the longer wavelength as DIMMER and want to match it w/ the middle wavelength) - deutanopes will set the luminance value close to NORMAL (since their color vision is pretty close to nm) - nml luminance value ~17
35
What does the Moreland equation measure?
B/Y defects. Don't need to memorize the formula
36
Can lanterns be used to identify CVDs?
NO- only to tell whether the observer can tell the two colors apart (maritime, military, avation)
37
Among the following options, who is most likely to FAIL the lantern test: protanomalous, deuteranomalous, or dichromats?
DICHROMATS (need 3 opsins to discern the difference) - -anomalies may pass the test - unfortunately, only 75% sensitivity means that 25% of pts will PASS the Farnsworth lantern
38
Three causes of ACQUIRED CVD?
1) systemic pathology 2) intracranial injury 3) therapeutic drugs -interesting = acquired might be MONOcular or BINOcular, and also might be SECTIONAL depending on where they affect the retina
39
acquired CVDs usually present w/ reduced visual ___ and visual ____ - more likely to be what type of defect? - preference b/w males and females?
reduced visual acuity and visual field - usually TRITAN defect - equal prevalence males/females
40
According to Kollner's rule, are B/Y or R/G more likely to change first? Based on the principle that what part of the eye is affected first?
B/Y FIRST (inner retina) R/G LATER (optic nerve) -Note: important: R/G actually noticed MORE
41
all of the following can produce an acquired CVD:
DM, Gl, AMD, MS, CSR (central serous), alcoholism (competitive inhibition in liver for conversion to 11-cis retinal), leukemia, sickle cell, dominant optic atrophy
42
Name 4 drugs that can cause a CVD: -which test becomes IMPORTANT when you have a pt taking these drugs?
- Digoxin, Ethambutol (both deutan) - Chloroquine/thioridazine (blue) - Viagra, Vitamin A deficiency (blue) FM-100 Hue test (score would keep increasing above 100 if defect is present)
43
# Define: - color agnosia: - color anomia: - cerebral achromatopsia:
agnosia: can't assc color w/ object anomia: can't NAME color (can see them no prob) achromatopsia: V4 lesion
44
What's the main factor in color vision alteration produced by aging changes?
increased LENS density (absorption of short wavelengths)
45
Name a few occupations with ESSENTIAL trichromatic CV:
military, aviation, electricians, cops, navigation (fishermen, pilots), color matchers (textile workers)