Color vision assessment following cataract surgery using anomaloscope Original research study
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Published:
Dec 27, 2021
Keywords:
cataract, color vision deficits, anomaloscope, Moreland test, Rayleigh test
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Abstract
Aim: To evaluate the impact of cataract on color vision detection using an anomaloscope.
Methods: 12 patients aged 64–82 years with history of cataract surgery in one eye and mature cataracts in the other eye were examined for color vision using the Rayleigh and the Moreland anomaloscope tests.
Results: Different patterns of blue and green color vision deterioration have been observed in the eye with cataract as compared to the IOL eye. A decrease in M1 to approximately 1 (the minimum of the Moreland test scale) was observed in 5 out of 12 participants, whereas an increase in M2 to 99 (the maximum of the Moreland test scale) was observed in 6 out of 12 subjects. R1 found in the Rayleigh test was significantly lower in the cataract eyes as compared to the IOL eyes (38.9 ± 2.3 vs. 43.4 ± 1.6; p < 0.001).
Conclusions: It has been shown that cataract causes a decrease in color sensitivity, especially affecting green and blue colors. Following IOL implantation, the previously deteriorated vision of green and blue was clearly improved. The most valuable parameters of the anomaloscope test, which enable to determine cataract severity, were M1, M2 and R1.
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1.
Zabel J, Michalak KP, Olszewski J, Koszałkowski M, Przekoracka-Krawczyk A. Color vision assessment following cataract surgery using anomaloscope. Ophthatherapy [Internet]. 2021Dec.27 [cited 2024May8];8(4):265-73. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/1567
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Section
Surgery and laser therapy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright: © Medical Education sp. z o.o. License allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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32. Wissiak E, Ardjomand N, Steinwender G et al. Influence of light filters in intraocular lenses on color perception and contrast acuity. J Cataract Refract Surg. 2015; 41(6): 1217-23.
33. Wirtitsch MG, Schmidinger G, Prskavec M et al. Influence of blue-light-filtering intraocular lenses on color perception and contrast acuity. Ophthalmology. 2009; 116(1): 39-45.
34. Mantyjarvi M, Syrjakoski J, Tuppurainen K et al. Colour vision through intraocular lens. Acta Ophthalmol Scand. 1997; 75(2): 166-9.
35. Artigas JM, Felipe A, Navea A et al. Spectral transmission of the human crystalline lens in adult and elderly persons: color and total transmission of visible light. Invest Ophthalmol Vis Sci. 2012; 53(7): 4076-84.
36. Kitakawa T, Nakadomari S, Kuriki I et al. Evaluation of early state of cyanopsia with subjective color settings immediately after cataract removal surgery. J Opt Soc Am A Opt Image Sci Vis. 2009; 26(6): 1375-81.
2. Danilova MV, Mollon JD. Foveal color perception: minimal thresholds at a boundary between perceptual categories. Vision Res. 2012; 62: 162-72.
3. Conway BR. Color vision, cones, and color-coding in the cortex. Neuroscientist. 2009; 15(3): 274-90.
4. Xiao Y. Processing of the S-cone signals in the early visual cortex of primates. Vis Neurosci. 2014; 31(2): 189-95.
5. Smithson HE. S-cone psychophysics. Vis Neurosci. 2014; 31(2): 211-25.
6. Paramei GV, Oakley B. Variation of color discrimination across the life span. J Opt Soc Am A Opt Image Sci Vis. 2014; 31(4): A375-84.
7. Werner A, Bayer A, Schwarz G et al. Effects of ageing on postreceptoral short-wavelength gain control: transient tritanopia increases with age. Vision Res. 2010; 50(17): 1641-8.
8. Suzuki TA, Qiang Y, Sakuragawa S et al. Age-related changes of reaction time and p300 for low-contrast color stimuli: Effects of yellowing of the aging human lens. J Physiol Anthropol. 2006; 25(2): 179-87.
9. Shinomori K, Werner JS. Impulse response of an S-cone pathway in the aging visual system. J Opt Soc Am A Opt Image Sci Vis. 2006; 23(7): 1570-7.
10. Wuerger S. Colour constancy across the life span: evidence for compensatory mechanisms. PLoS One. 2013; 8(5): e63921.
11. Beirne RO, McIlreavy L, Zlatkova MB. The effect of age-related lens yellowing on Farnsworth-Munsell 100 hue error score. Ophthalmic Physiol Opt. 2008; 28(5): 448-56.
12. Foster DH. Color constancy. Vision Res. 2011; 51(7): 674-700.
13. Werner A. Spatial and temporal aspects of chromatic adaptation and their functional significance for colour constancy. Vision Res. 2014; 104: 80-9.
14. Webster MA, Juricevic I, McDermott KC. Simulations of adaptation and color appearance in observers with varying spectral sensitivity. Ophthalmic Physiol Opt. 2010; 30(5): 602-10.
15. Miyata K, Yokishawa T, Mine M et al. Cataract Surgery and Visual Acuity in Elderly Japanese: Results of Fujiwara-kyo Eye Study. Biores Open Access. 2017; 6(1): 28-34.
16. Zuo L, Zou H, Xu W et al. The impact of unilateral or bilateral cataract surgery on visual acuity and life quality of elderly patients. J Ophthalmol. 2015; 2015: 509049.
17. Langina-Jansone Z, Truksa R, Ozolinsh M. Visual acuity and color discrimination in patients with cataracts. J Opt Soc Am A Opt Image Sci Vis. 2020; 37(4): A212-A216.
18. Tengroth BM. Visual experience of the cataract patient after surgery. J Cataract Refract Surg. 2014; 40(7): 1250-1.
19. Kara-Junior N, Espindola RF, Gomes B et al. Effects of blue light-filtering intraocular lenses on the macula, contrast sensitivity, and color vision after a long-term follow-up. J Cataract Refract Surg. 2011; 37(12): 2115-9.
20. Ventruba J. [The influence of IOL implantation on visual acuity, contrast sensitivity and colour vision 2 and 4 months after cataract surgery]. Cesk Slov Oftalmol. 2006; 62(2): 133-43.
21. Rodriguez-Galietero A, Montes-Mico R, Munoz G et al. Comparison of contrast sensitivity and color discrimination after clear and yellow intraocular lens implantation. J Cataract Refract Surg. 2005; 31(9): 1736-40.
22. Fristrom B, Lundh BL. Colour contrast sensitivity with different intraocular lens materials in the right and left eyes in same day surgery. Acta Ophthalmol Scand. 2005; 83(4): 443-7.
23. Ao M, Li X, Qiu W et al. The impact of age-related cataracts on colour perception, postoperative recovery and related spectra derived from test of hue perception. BMC Ophthalmol. 2019; 19(1): 56.
24. Mehta U, Diep A, Nyguyen K et al. Quantifying Color Vision Changes Associated With Cataracts Using Cone Contrast Thresholds. Transl Vis Sci Technol. 2020; 9(12): 11.
25. Fanlo Zarazaga A, Gutierrez Vasquez J, Pueyo Royo V. Review of the main colour vision clinical assessment tests. Arch Soc Esp Oftalmol (Engl Ed). 2019; 94(1): 25-32.
26. Zabel J, Przekoracka-Krawczyk A, Olszewski J et al. Variability of Rayleigh and Moreland test results using anomaloscope in young adults without color vision disorders. PLoS One. 2021; 16(5): e0251903.
27. Michalak KP, Zabel J, Wojtyła-Buciora P et al. Application of Blue Filters Increases the Usefulness of Moreland Test in Anomaloscopic Color Vision Assessment for Blue-Green Color Range. Int J Environ Res Public Health. 2021; 18(14): 7654.
28. Nguyen-Tri D, Overbury O, Faubert J. The role of lenticular senescence in age-related color vision changes. Invest Ophthalmol Vis Sci. 2003; 44(8): 3698-704.
29. Schneck ME, Haegerstrom-Portnoy G, Lott LA et al. Comparison of panel D-15 tests in a large older population. Optom Vis Sci. 2014; 91(3): 284-90.
30. Chylack LT Jr., Wolfe JK, Singer DM et al. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol. 1993; 111(6): 831-6.
31. OO G. HMS Anomaloskop MR-Instruction Manual. GmbH OO: Berlin, Germany, 2011: 1-31.
32. Wissiak E, Ardjomand N, Steinwender G et al. Influence of light filters in intraocular lenses on color perception and contrast acuity. J Cataract Refract Surg. 2015; 41(6): 1217-23.
33. Wirtitsch MG, Schmidinger G, Prskavec M et al. Influence of blue-light-filtering intraocular lenses on color perception and contrast acuity. Ophthalmology. 2009; 116(1): 39-45.
34. Mantyjarvi M, Syrjakoski J, Tuppurainen K et al. Colour vision through intraocular lens. Acta Ophthalmol Scand. 1997; 75(2): 166-9.
35. Artigas JM, Felipe A, Navea A et al. Spectral transmission of the human crystalline lens in adult and elderly persons: color and total transmission of visible light. Invest Ophthalmol Vis Sci. 2012; 53(7): 4076-84.
36. Kitakawa T, Nakadomari S, Kuriki I et al. Evaluation of early state of cyanopsia with subjective color settings immediately after cataract removal surgery. J Opt Soc Am A Opt Image Sci Vis. 2009; 26(6): 1375-81.