RT Journal Article
SR Electronic
T1 A new colour vision arrangement test to detect functional changes in diabetic macular oedema
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 47
OP 51
DO 10.1136/bjo.85.1.47
VO 85
IS 1
A1 N Maár
A1 M Tittl
A1 M Stur
A1 B Zajic
A1 A Reitner
YR 2001
UL http://bjo.bmj.com/content/85/1/47.abstract
AB AIM A study was undertaken to investigate the correlation between colour discrimination tests and the presence of macular oedema in patients with type I diabetes to find a sensitive diagnostic tool for the detection of early functional changes. METHODS The study was performed in 39 type I diabetic patients, 10 with and 29 without macular oedema. The examination included biomicroscopy, fundus photography of the macula, videofluorescein angiography, the LogMAR visual acuity chart, Farnsworth-Lanthony desaturated D-15 test, and the new Mollon-Reffin “Minimalist” test for colour vision deficiencies version 6.0. RESULTS A highly significant correlation was found between the tritan value of the Mollon test and the presence of clinically significant macular oedema (p<0.0015), with a high sensitivity (88.9%) and specificity (93.3%). The DD-15 test was not significant (p=0.345) and showed low sensitivity for the presence of macular oedema (36%). All variables concerning the grading of macular oedema showed a highly significant association with the tritan values of the Mollon test (p<0.0001). CONCLUSION The results suggest that the Mollon-Reffin “Minimalist” test version 6.0 is the best colour discrimination test for detecting macular oedema, with higher specificity and sensitivity than the other methods used in the study.