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Updated: Apr 30, 2026

Author Spotlight: An Automated Method for Assessing Visual Acuity in Infants and Toddlers Using an Eye-Tracking System
Published on: March 17, 2023
A pseudoisochromatic test of color vision for human infants
Michele E Mercer1, Suzanne C Drodge2, Mary L Courage3
1Department of Psychology, Faculty of Science, Memorial University of Newfoundland, St John's, NL A1B 3X9, Canada.
Insights
This study adapted a color vision test for infants, finding that while babies and adults detect blue-yellow colors, younger infants struggle with red-green tests. This new method shows promise for diagnosing early color vision deficiencies.
Area of Science:
- Developmental psychology
- Ophthalmology
- Visual neuroscience
Background:
- Diagnosing congenital and acquired color vision anomalies in infants is challenging due to a lack of suitable testing methods.
- Existing experimental methods for early human color vision measurement are not comparable to clinical diagnostic tools for older individuals.
Purpose of the Study:
- To modify a pseudoisochromatic test for assessing color vision in young infants (3-23 months).
- To evaluate the efficacy of the modified test in detecting red-green and blue-yellow color vision deficiencies in infants and adults.
Main Methods:
- A modified pseudoisochromatic test was administered to 216 infants (3-23 months) using a forced-choice preferential looking procedure.
- Infants were tested with targets on red/green and blue/yellow dichromatic confusion axes.
- A control group of 220 color-normal and 22 color-deficient adults were also tested for comparison.
Main Results:
- All infants and adults successfully passed the blue-yellow target test.
- Younger infants (under 17 months) frequently failed the red-green target, potentially due to visual system immaturity and target characteristics.
- Older infants (17-23 months), color-normal adults, and color-deficient adults performed as expected.
- Female infants showed a higher success rate on the red-green test than expected based on genetic dimorphism.
Conclusions:
- The modified pseudoisochromatic test is a promising tool for detecting early color vision anomalies in human infants.
- Further modifications may be needed to optimize the test's sensitivity, particularly for the red-green axis in very young infants.
- The findings suggest potential sex-based differences in early color vision perception or testing performance.
Abstract:
Despite the development of experimental methods capable of measuring early human color vision, we still lack a procedure comparable to those used to diagnose the well-identified congenital and acquired color vision anomalies in older children, adults, and clinical patients. In this study, we modified a pseudoisochromatic test to make it more suitable for young infants. Using a forced choice preferential looking procedure, 216 3-to-23-mo-old babies were tested with pseudoisochromatic targets that fell on either a red/green or a blue/yellow dichromatic confusion axis. For comparison, 220 color-normal adults and 22 color-deficient adults were also tested. Results showed that all babies and adults passed the blue/yellow target but many of the younger infants failed the red/green target, likely due to the interaction of the lingering immaturities within the visual system and the small CIE vector distance within the red/green plate. However, older (17-23 mo) infants, color- normal adults and color-defective adults all performed according to expectation. Interestingly, performance on the red/green plate was better among female infants, well exceeding the expected rate of genetic dimorphism between genders. Overall, with some further modification, the test serves as a promising tool for the detection of early color vision anomalies in early human life.
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