Evidence map›Paper›PMID 41284660›Full record

ArticlePloS one2025

Effect of congenital color vision deficiency on the ability of optometrists to correctly identify lesions in ocular fundus photographs.

Richard C Trevino, Anna A Tichenor, Susan Kovacich, Hin Cheung

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Richard C TrevinoSchool of Optometry, Indiana University, Bloomington, Indiana, United States of America.ORCID https://orcid.org/0000-0003-0382-9693
Anna A TichenorSchool of Optometry, Indiana University, Bloomington, Indiana, United States of America.
Susan KovacichSchool of Optometry, Indiana University, Bloomington, Indiana, United States of America.
Hin CheungSchool of Optometry, Indiana University, Bloomington, Indiana, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the influence of color vision deficiency (CVD) on the ability of practicing optometrists to correctly identify lesions in digital color fundus photographs with and without the aid of a commercially available color vision remediation device.

methodsThis study was conducted at the 2024 annual meeting of the American Academy of Optometry in Indianapolis, IN, USA. The color vision of each subject was assessed using the Konan ColorDx CCT-HD®. Individuals with a score <90 for any cone type were classified as having CVD. Each subject then attempted to correctly identify lesions in a series of 12 digital color fundus photographs. Subjects identified as having CVD repeated the photograph task while wearing EnChroma® indoor lenses. The quality of life (QoL) of each subject was evaluated using a modified version of the Color Blindness QoL survey.

resultsFifty-five optometrists completed the study. Forty had normal color vision (CVN) and 15 had CVD. Four of 15 (27%) CVD optometrists were previously unaware of their CVD. Both age and CVD influenced the ability of optometrists to correctly identify lesions. Among CVN subjects, younger clinicians (<39 years) outperformed older ones (p = 0.001). However, among subjects with CVD, age did not significantly affect performance (p = 0.84). Compared across CVD status, younger clinicians with CVD performed worse than their normally sighted peers (p = 0.002) while CVD had little effect among older clinicians (p = 0.23). Performance did not improve with use of the EnChroma lenses. Approximately half (47%) of optometrists with CVD reported difficulties in their daily activities attributed to poor color perception.

conclusionsCVD and older age decreased the ability of optometrists to correctly identify lesions in fundus photographs. Performance did not improve with use of the EnChroma lenses. Our findings suggest that CVD may pose a disability to eye care providers. We endorse the recommendation that individuals entering medical practice undergo color vision testing and counseling if a deficiency is found.

Indexed as

Color Vision DefectsOptometristsAdultAgedColor VisionFemaleFundus OculiHumansMaleMiddle AgedPhotographyQuality of LifeYoung Adult

Identifiers

PMID41284660
PMCPMC12643291

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.