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Discriminating colors through a red filter by protanopes and colour normals.

Ophthalmic Physiol Opt

January 2010

School of Optometry, University of Montreal, succursale Centre-Ville, Montreal, Quebec, Canada.

Individuals with color vision deficiency have difficulties in differentiating colour in their daily activities. Through certain coloured filters, dichromats may report an improvement of their capacity to differentiate colors, but it is not known if this is achieved by means of a chromatic mechanism. The present study attempts to explain the mechanism by which a coloured filter can produce a beneficial effect in dichromatic visual perception and what is the nature of this improvement.

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Four color-deficient observers and one normal trichromatic subject were evaluated with color vision and stereoacuity tests during 1 month of X-Chrom lens wear. For all color tests, performance of the normal subject was unaltered by X-Chrom lens wear. Color-deficient subjects demonstrated improved performance on the Ishihara pseudoisochromatic color plates, but either degraded performance or no change on the Farnsworth-Munsell 100-hue or Pickford-Nicolson red-green anomaloscope test.

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A broadband red filter placed over one eye will have the effect of improving the ability of certain color vision defectives to name colors correctly. A red-tinted contact lens will have the same effect; such a device is marketed under the name, the X-Chrom lens. In this article, the author examines the basic properties of color vision defects, explains the optical effect of the red filter, and reviews several studies which evaluate the effect of the X-Chrom lens.

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