✨ Medical testing procedures for colour vision
1468
THE NEW ZEALAND GAZETTE.
[No. 43
unerringly distinguish the confusion-colours, or else has given unmistakable proof of a difficulty in accomplishing it.
Diagnosis.—An examinee who places with the test-skein “confusion-colours” such as 1 to 5—that is to say, finds that they resemble the “test-colour”—is colour-blind, whilst if he evinces a manifest disposition to do so though he does not absolutely do so, he has a feeble chromatic sense or sense of colour.
Remark.—We might have taken more than five colours for “confusion”; but we must remember that we are not taking into consideration every kind of defective colour-sense.
TEST II.—The pink or light-purple skein, which is labelled No. IIα., is shown to the examinee. The colour is midway between the lightest and darkest. It only approaches that given as IIα. of the plate, as the colour of the wool is much more brilliant and saturated, and bluer.
Rule.—The trial must be continued until the examinee has placed all or the greater part of the skeins of the same colour near the test-skein, or else, together or separately, several skeins of the “confusion-colours,” such as 6–9. If he is colour-blind he will probably select either the light or deep shades of blue and violet, especially the deep (6 and 7), or the light or deep shades of one kind of green or grey inclining to blue (8 and 9).
TEST III.—The red skein labelled No. IIb. is presented to the examinee. It is necessary to have a vivid-red colour, like the red flag used as signals on railways. The colour should be that of IIb. of the plate, rather towards yellowish-red
Rule.—This test should be continued until the person examined has placed beside the test-skein the greater part of the skeins belonging to this hue, or else several “confusion-colours” (10–13).
Remark.—Every case of comparatively complete colour-blindness does not always give precisely the same mistakes. Instances occur of persons who are not completely colour-blind, or of completely colour-blind persons who have been practised in the colours of signals, and who endeavour not to be discovered. They usually confound at least green and brown, but even this does not always happen.
Monochromatic Vision.—The absence of every colour-sensation except one will be recognised by the confusion of all the hues, which will appear to be of the same intensity of light or brightness.
Dr. Joy Jeffries, in his book on colour-blindness, gives a translation of Holmgren’s special directions for conducting the examinations. The examinations to which Holmgren refers were for employees on the Swedish railways, but the remarks which follow are applicable to examinations for officers and seamen in the mercantile marine.
Special Directions for conducting the Test.
The method plays an important part in an examination of this kind, not only from the principles upon which it rests, but also from the manner in which it is used. The best plan for directing how to proceed is by oral instructions and de visu, but here we are obliged to accomplish this by description. Now, this is always defective in some respects, especially if we wish to be brief. What has been said would evidently suffice for an intelligent and experienced physician; but it may not be superfluous to enter still further into detail to provide against any possible difficulties and loss of time. The object of the examination is to discover the nature of a person’s chromatic sense, or sense of colour. Now, as the fate of the candidate
and that of others depend upon the correctness of the judgment pronounced by the Examiner, and as this judgment should be based upon the manner in which the candidate stands the trial, it is of importance that this trial should be truly what it ought to be, a trial of the nature of the chromatic sense, and nothing else—an end that will be gained if our directions are strictly followed. It is not only necessary that the Examiner should carefully observe them—which does not seem to us difficult—but that he should also take care that the individual examined does thoroughly what is required of him. This is not always as easy as one might suppose. If it were only required to examine people familiar with practical occupations, and especially with colours, and with no other interest connected with the issue of the examination than to know whether they are colour-blind or not, the examination would be uniform and mechanical; but it is required to examine people of various degrees of culture, all of whom, besides, have a personal interest in the issue of the examination. Different people act very differently during the examination for many reasons. Some submit to it without the least suspicion of their defect; others are convinced that they possess a normal sense. A few only have a consciousness, or, at least, some suspicion, of their defect. These last can often be recognised before examination. They will keep behind the others, and attentively follow the progress of the trial, and, if allowed, will willingly remain to the last. Some are quick, others slow. The former approach unconcernedly and boldly, the latter with over-anxiety and a certain dread. Some have been, perhaps, already tested, and have practised in preparation for the trial; others have never been familiar with colours. Among those already tested some may be colour-blind. Some of these latter are uncertain about their colour-vision, and act with great care; whilst others, again, having been practised in distinguishing signals, conclude that their colour-sense is perfect. They make the trial quickly and without thought, of course regularly making the mistakes characteristic of their special form of colour-blindness.
The majority, however, desire to perform their task as well as possible—that is, to do what the normal eye does. This, of course, assists in testing them, providing it does not lead to too great care, as then the testing is more difficult, the trouble being that much time is wasted.
Only a very small part have a contrary desire—namely, to pass for colour-blind, though normal-eyed. We will speak of these later, and now only concern ourselves with those who stand the test in good faith with the desire to appear normal, though, perhaps, they are colour-blind.
The trial generally goes on rapidly and regularly. We will only mention those hindrances and peculiarities which most frequently occur. The Examiner must watch that no mistake is made from not understanding. The name of the colour need never be used, except to ascertain if the name hides the subjective colour-sensation, or to find the relation between the name the colour-blind employs and his colour-perception.
The person examined who thinks more of names than the test itself (this being generally a sign of school-learning) selects not only the wools of the same hues—that is, those of the same colour to his eye, but all which generally have the name of this colour—for instance, in the first test, I., not only the green like the sample, but all that are green; and with the second test, not only the purple (and what are
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Sight Tests for Maritime Examinations
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🚂 Transport & CommunicationsMedical requirements, Eyesight tests, Snellen test, Dot test, Color blindness, Maritime examinations
- Joy Jeffries (Dr.), Authored book on colour-blindness
- Holmgren, Provided special directions for examinations
NZ Gazette 1906, No 43