[Color vision defects in chronic open angle glaucoma].
Glaucomatous optic nerve atrophy is associated with morphological and psychophysical changes. Using Roth's Besancon anomalometer, the Farnsworth 100 hue test and Nagel's anomaloscope, we examined color vision in 86 eyes of 51 patients suffering from chronic open-angle glaucoma and 57 eyes of 41 normal subjects. In the normal control group, blue und green sensitivity decreased and, accordingly, the anomaly quotient tested with Nagel's anomaloscope increased significantly (p less than 0.00001) with age. If the glaucoma and control groups were matched for age, refractive error and central visual acuity, decreasing blue sensitivity significantly (p less than 0.05) correlated with diminished visibility of the retinal nerve fiber bundles, a higher morphological glaucoma stage and larger perimetric defects. The presence and depth of localized defects of the retinal nerve fiber layer were not significantly different in glaucoma subgroups with lower and higher blue sensitivity, respectively, when the subgroups were matched for age, refractive error and visual acuity. No papillomorphologic marker for the cyanodyschromatopsia was detected. Red-green color vision was not significantly different between the normal and glaucoma eyes. Testing of blue color vision as an additional method is useful in the differential diagnosis of beginning glaucomatous optic nerve damage in patients with clear optic media and lack of macular changes.
Jonas
J B
JB
Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg.
Zäch
F M
FM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003119:Color Perception Tests; D003117:Color Vision Defects / Q000209:etiology*; D005260:Female; D005902:Glaucoma, Open-Angle / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009896:Optic Atrophy / Q000209:etiology
Farbsehstörungen bei chronischem Offenwinkelglaukom.