color vision anomalies Flashcards

1
Q

dichromat

A

2 color pigments

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2
Q

anomalous trichromat

A

abnormally shifted 3 color pigments

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3
Q

principle of univariance

A

once a photoreceptor absorbs a wavelength of light, all information about the wavelength is lost

a single PR cannot determine a color, color discrimination is based on the relative response of all 3 cone photoreceptors

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4
Q

protanamalous trichromat

A

the L cone (red) spectrum is shifted towards shorter wavelengths, meaning the eye is less sensitive to longer wavelengths (red). As a result, red, orange, and green all look similar and appear greener than how they appear to a normal trichromat. Reds will appear dimmer (similar to a protanope), but the effect is less pronounced. Protanomalous trichrtomats are described as “red weak”

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5
Q

deuteranomalous trichromat

A

the M cone (chlorolabe) spectrum is shifted towards longer wavelengths, meaning the eye is less sensitive to shorter wavelengths (green). As a result, red, orange, and green all look similar and will appear more red than how they appear to a normal trichromat. Deuteranomalous trichromats are described as being green weak

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6
Q

tritanomaly

A

the s cone spectrum is shifted towards longer wavelengths, meaning one eye is less sensitive to shorter wavelengths. This condition is very rare compared to red/green deficiencies

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7
Q

protanopes

A

missing the erythrolabe photopigment (L). They will confuse red, orange, yellow, and green because there is no overlap between the absorption spectra of the remaining S and M cones for those wavelengths of light. Reddish hues are also seen as very dim (almost gray) because of the poor sensitivity of the M cones to longer wavelengths of light. Colors that contain a mixture of red and another color (purple=red + blue), will be indistinguishable from the other color (purple will look like pure blue)

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8
Q

deuteranopes

A

missing the chlorolabe photopigment (M). similar to protanopes, they will confuse red, orange, yellow, and green because there is minimal overlap between the absorption spectra of the remaining S and L cones for those wavelengths of light (only L cones respond to longer wavelengths). In contrast to protanopes, deuteranopes do NOT have a noticeable dimming of red hues because the L cones are more sensitive to longer wavelengths of light

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9
Q

tritanopes

A

missing the cyanolabe photopigment (S). They tend to confuse blues and yellows because there is minimal overlap between the absorption spectra of the remaining M and L cones for those wavelengths of light (only M cones respond to shorter wavelengths of light

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10
Q

monochromatism

A

rare condition characterized by only one cone type or only rod photoreceptors. These patients cannot distinguish colors

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11
Q

normal on the Nagel Anomaloscope

A

17 brightness

45 mixture

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12
Q

protanopes and Nagel Anomaloscope

A

darken test brightness with pure red d/t dimming effect at pure 0
test field: 0-73

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13
Q

deuteranomaly and nagel anomaloscope

A

adds 546nm-closer to 0 d/t green weak

test field <45

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14
Q

protanomaly and nagel anomaloscope

A

adds more 670nm; closer to 73 d/t red weak

test field>45

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15
Q

deuteranopes

A

test field: 0-73

test brightness: 17

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16
Q

congenital R/G defects

A

more common in males
bilateral
stable

17
Q

acquired RG defects

A

due to disease of the inner retina, optic nerve, or visual pathway and are often unilateral or asymmetric and bilateral, as well as progressive

18
Q

acquired B/Y defects

A

due to outer retinal disease

19
Q

what color tests can be used to determine RG and BY defects

A

HRR
Farnsworth D-15
Farnsworth Munsell 100 hue test

20
Q

Ishihara plates

A

R/G, cannot dx BY

21
Q

what is the only test that can distinguish between dichromats and trichromats

A

Nagel anomaloscope

22
Q

how should color testing be performed

A

monocularly