Ishihara test in 3- to 6-year-old children

Sang Yul Choi1, Jeong-Min Hwang

  • 1Department of Ophthalmology, Korea Cancer Center Hospital, Seoul, Korea.

Insights

A modified Ishihara color test effectively screens preschoolers for color vision deficiency. Most children aged 3-6 could complete the test, with a tracing method aiding comprehension.

Area of Science:

  • Ophthalmology
  • Pediatric Vision Screening

Background:

  • Early detection of color vision deficiency (CVD) is crucial for development.
  • Preschool-aged children present unique challenges for standard vision screening tests.

Purpose of the Study:

  • To evaluate the efficacy of a modified Ishihara color test for screening CVD in preschoolers.
  • To assess the usability and comprehension of the modified test in children aged 3 to 6 years.

Main Methods:

  • A modified Ishihara test was administered to 115 children aged 3-6 years.
  • A tracing method was introduced for children unable to read numbers.
  • Children's ability to understand and complete the test was assessed.

Main Results:

  • The modified Ishihara test was successfully completed by 96.5% of participants.
  • A tracing adaptation enabled 35% of 3-year-olds, who couldn't read numbers, to complete the test.
  • Color vision deficiency was identified in 3 boys, with no cases in girls.

Conclusions:

  • The modified Ishihara color test is a viable and effective tool for screening color vision deficiency in preschool-aged children.
  • The tracing modification enhances test accessibility for younger children or those with reading difficulties.
Abstract

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