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Colour vision testing in pre-school-aged children

M Mäntyjärvi1

  • 1Department of Ophthalmology, University of Kuopio, Finland.

Insights

This study evaluated color vision tests for children aged 2-6 years. The Lanthony Tritan Album and Ishihara test showed better performance in older children compared to the Velhagen test.

Area of Science:

  • Ophthalmology
  • Pediatric Vision
  • Color Vision Testing

Background:

  • Assessing color vision in young children is crucial for early detection of visual impairments.
  • Standardized color vision tests often present challenges in interpretation for pre-school aged children.
  • Evaluating the efficacy of different pseudo-isochromatic plate tests in pediatric populations is essential.

Purpose of the Study:

  • To compare the performance of three different pseudo-isochromatic plate tests in children aged 2 to 6 years.
  • To determine the age-appropriateness and interpretability of the Velhagen Pflügertrident test, Lanthony Tritan Album, and Ishihara test.
  • To identify potential difficulties encountered by young children when using these color vision tests.

Main Methods:

  • A cohort of 84 children aged 2 to 6 years participated in the study.
  • Children were administered three distinct pseudo-isochromatic plate tests: Velhagen Pflügertrident test, Lanthony Tritan Album, and Ishihara test.
  • Performance was evaluated based on correct interpretation rates for each test and age group.

Main Results:

  • None of the 2-year-old children could comprehend any of the tests.
  • The Velhagen test was correctly interpreted by 20% of 3-year-olds, increasing with age.
  • The Lanthony Tritan Album and Ishihara test demonstrated higher performance rates in 3- and 4-year-olds compared to the Velhagen test, with 6- and 5-year-olds performing well on all tests.

Conclusions:

  • Pseudo-isochromatic plate tests are not suitable for children under 3 years of age.
  • The Lanthony Tritan Album and Ishihara test are more appropriate for assessing color vision in children aged 3-6 years compared to the Velhagen test.
  • Specific plate designs, such as winding lines in Ishihara plates 30 and 32, may pose challenges for younger children and require adjusted interpretation criteria.

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