Medical Forum / General / Vision / December 2006
Several dumb questions
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Joe Bernstein - 07 Nov 2006 05:52 GMT My questions are "dumb" in the sense that they're obvious, not, I hope, in the sense that they're stupid. Here's the deal. I'm trying to find out about variations in measurable qualities of the human senses. In general, I'm having little luck because neither clinical nor research purposes are particularly well served by observation of variations that are *better* than normal. (Witness, for example, the persistent tendency to treat 20/20 as "normal" acuity even while decrying that very tendency; and the fact that tetrachromatic vision has only come in for noticeable study in the past decade.)
Anyway, some specific questions:
1) Several references I've consulted seem convinced that there's a simple mathematical relationship between best corrected visual acuity, refraction error (as modified by accommodation where relevant), and perhaps things like pupil size, as variables, and uncorrected visual acuity, as the output. I've found so far two references to actual studies on this matter. One has the result that when there is no refraction error, uncorrected visual acuity is, surprise surprise, 20/20. (Argh. Smith 1991, IIRC.) The other is patented; I haven't looked up the hard copy yet, but the patent offers only graphs, not an actual equation. (Lead author, something like Holladay or Holliday.) Is the visual acuity equation a myth?
2) What's the deal with myopia, unaccommodated hyperopia, and near and distance vision? Naively, I'd always thought that unless myopia was insanely bad (as mine is), myopes had better near vision than normal; and similarly, that hyperopes had better distance vision than normal. I can't find a single hint of this in any reference I've consulted. So was I just wrong? Fine, wouldn't be the first time. But then why on Earth do researchers even bother to *measure* near vision? Supposedly, in the absence of a refraction error, it'll be the same as distance vision every time, and I've seen multiple studies that confirm this for fully corrected acuity. So what's the point with near vision, if it isn't improved by myopia and harmed by hyperopia?
3) Is there such a thing as a better-than-normal extent of the visual field? If not, then of the three sources I've now found that state the normal extent as 180 degrees, 190 degrees, and 200 degrees, is any telling anything like the truth? How could anyone come up with a 200 degree extent, if there's no such thing as a better-than-normal extent and the real normal extent is less? But if the real normal extent is 200 degrees, what's with the smaller numbers? So help me, I've now looked at something like *fifty* books and web sites about perimetry without finding *one* reference to better-than-normal adult visual field extents. The only thing I've found is a claim that an NBA basketball player had a better-than- normal visual field extent, in a book I cleverly didn't note and can no longer find. Is better-than-normal visual field extent tabu, perhaps? That Which Must Not Be Named? Is it impossible, as the 180-degree guy (online) argues? Or what?
4) Has anyone done any research at all into variations in human night vision since World War II ended? If so, did they come up with anything? I see that a library in Tacoma (I'm in Seattle) has a thick 1991 book on the subject of night vision, but my budget for bus fares is currently zero, so before I go there, I'm hoping someone can tell me whether this book is likely to do me any good.
Thanks. Please feel free to pass this on to other fora if they're likelier to produce answers.
Joe Bernstein
 Signature Joe Bernstein, writer joe@sfbooks.com <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh did - it was like having a kitten in the room, like a vote for unreason." <Glass Mountain>, Cynthia Voigt
doctor_my_eye@msn.com - 07 Nov 2006 19:58 GMT Here's my quick 2 cents worth.
> My questions are "dumb" in the sense that they're obvious, not, I hope, > in the sense that they're stupid. Here's the deal. I'm trying to find [quoted text clipped - 20 lines] > author, something like Holladay or Holliday.) Is the visual acuity > equation a myth? Yes, this equation is a myth. Refractive error is a very precise measurement, that is relatively easy to measure and is easily reproducable from trial to trial. Visual acuity is a rough estimate of a person's ability to see. Visual acuity is influenced by room illumination, distance to the target, skill of the examiner, blur interpretation skills of the patient, contrast of the chart, clarity of the cornea and human lens, quality of the phoropter or spectacle lens being used, etc, etc, etc. Considering variations in power and axis of astigmatism, you can have any one of thousands of unique refractive errors that yield exactly the same visual acuity.
> 2) What's the deal with myopia, unaccommodated hyperopia, and near > and distance vision? Naively, I'd always thought that unless myopia > was insanely bad (as mine is), myopes had better near vision than > normal; and similarly, that hyperopes had better distance vision > than normal. I can't find a single hint of this in any reference > I've consulted. So was I just wrong? Myopes have more magnification at near than an emmetrope does, so he is capable of better near acuity than an emmetrope, allowing for variables like retinal health and lens clarity, of course.
> Fine, wouldn't be the first time. But then why on Earth do > researchers even bother to *measure* near vision? Supposedly, in > the absence of a refraction error, it'll be the same as distance > vision every time, and I've seen multiple studies that confirm this > for fully corrected acuity. So what's the point with near vision, > if it isn't improved by myopia and harmed by hyperopia? See above answer. Myopes have more magnification, but very high myopes have stretching of the retina that creates a larger space between cells in the macula, which can degrade image quality. So, you are touching on one of the true paradoxes of myopia...it increases image size but can degrade the "speed of the film."
> 3) Is there such a thing as a better-than-normal extent of the > visual field? If not, then of the three sources I've now found [quoted text clipped - 4 lines] > if the real normal extent is 200 degrees, what's with the smaller > numbers? Visual fields have physical boundries like big noses and droopy eyelids that account for those variations. In contrast, some retinas are built like high speed film with superior peri-macular areas that create a very robust visual field.
> So help me, I've now looked at something like *fifty* books > and web sites about perimetry without finding *one* reference to [quoted text clipped - 5 lines] > That Which Must Not Be Named? Is it impossible, as the 180-degree > guy (online) argues? Or what? Once again, good anatomy and healthy retinas with great vascular health can open a field beyond average.
> 4) Has anyone done any research at all into variations in human > night vision since World War II ended? If so, did they come up > with anything? I see that a library in Tacoma (I'm in Seattle) > has a thick 1991 book on the subject of night vision, but my budget > for bus fares is currently zero, so before I go there, I'm hoping > someone can tell me whether this book is likely to do me any good. Human night vision is degraded by a number of factors, including the greying of the human lens and a slowing of the retinal electrical response during low light conditions. Taken in its simplest form, your retinal call responds to a light stimulus by "throwing a fisbee" to the other end of the rod or cone to stimulate an axxon to send an electrical impulse to the brain, which is interpreted by the visual cortex as an image. By age 50 your frisbee supply is depleted and your throw is weaker. The resulting image at the brain level is therefore reduced.
> Thanks. Please feel free to pass this on to other fora if they're > likelier to produce answers. [quoted text clipped - 6 lines] > did - it was like having a kitten in the room, like a vote for unreason." > <Glass Mountain>, Cynthia Voigt Joe Bernstein - 14 Nov 2006 08:10 GMT > Here's my quick 2 cents worth. This is a delayed portmanteau reply. I won't bore you with the sob story reasons for the delay, but the portmanteau is because in some cases the answers in the three reply posts I've seen differ markedly, and I want to address those differences clearly.
In any event, it seems obvious that I'm not going to get references to published material here, yes? OK; I just thought asking here was better (at least, more polite) than buttonholing random optometrists or ophthalmologists at their offices. What I wanted was not so much references as indications of whether it was even still worth *looking* for certain categories of information. My thanks for those indications.
> > My questions are "dumb" in the sense that they're obvious, not, I hope, > > in the sense that they're stupid. Here's the deal. I'm trying to find > > out about variations in measurable qualities of the human senses. In > > general, I'm having little luck because neither clinical nor research > > purposes are particularly well served by observation of variations > > that are *better* than normal. Kept for reference some ways below.
> > Anyway, some specific questions: > > [quoted text clipped - 10 lines] > > author, something like Holladay or Holliday.) Is the visual acuity > > equation a myth?
> Yes, this equation is a myth. Refractive error is a very precise > measurement, that is relatively easy to measure and is easily [quoted text clipped - 6 lines] > of astigmatism, you can have any one of thousands of unique refractive > errors that yield exactly the same visual acuity. In article <1162947993.602611.191590@m73g2000cwd.googlegroups.com>, "Dr Judy" wrote similarly:
| Best corrected visual acuity is affected by all the variables you | list, but I doub t if there is an accurate mathematical equation. [quoted text clipped - 3 lines] | | Same comment applies to uncorrected visual acuity. "Smith (1991) pointed out that the relationship between spherical refractive error and visual acuity becomes highly variable when factors such as pupil size, illumination, target type, the threshold acuity, instructions to the patient, and the patient's background are not controlled. He reviewed a number of earlier studies and concluded that a better expression of the relationship was determined by the following equation:
VA = square root of [1 + (K * D * S)squared]
where VA = visual acuity in minutes of arc, or the minimum angle of resolution; K = a constant with mean of 0.83 or 0.85 [?]; D = diameter of the entrance pupil in millimeters; S = spherical refractive error in diopters. "Smith (1991) found a linear relationship between VA and S in high errors, for which the equation becomes VA = K * D * S. The relationship of visual acuity and refractive error is covered in more detail in Chapter 7." (Except that it isn't, actually.)
This is on p. 637 (bottom of first column and top of second) of <Borish's Clinical Refraction>, ed. William J. Benjamin, OD, MS, PhD; Philadelphia [et many cetera]: W. B. Saunders Company, c 1998. The context is a discussion of fogging, of all things, in the chapter "Monocular and Binocular Subjective Refraction" by Irvin M. Borish and William J. Benjamin, chapter 19, pages 629-723. Unfortunately, and oddly, this chapter's references were not printed in the copy accessible to me, though I think I can find Smith's article from other references.
Anyway, my point in all this is that Smith apparently did look at the physical variables you two listed, though he then came up with a simplistic outcome. I'll clearly have to look at the articles; I'd hoped y'all would just say "Oh, don't look at those outdated things, it's now well known in the field that Murgatroyd 2004 is the Gospel truth." Or, flipside, "Snerf 1999 clearly shows that these guys with equations were full of it."
The psychological variables are obviously trickier. But since the equation I'm looking for is one that takes *in* objective refraction and best corrected visual acuity, and then spits *out* uncorrected visual acuity for the *same* person, I would *hope* that the psychological variables would *usually*, more or less, on average, cancel out.
I recognise that "best corrected visual acuity" is, at best, a problematic concept with limited relationship to what a person can actually see. But on the other hand I also recognise that my own life experience is clear evidence that the relationship *exists*, no matter how limited. And unlike "good eyesight" or "bad eyesight", visual acuity can be quantified, however subjectively.
Separately, in article <vm6512t4o2i7g8k0s04fpqhr42ps48ilvn@4ax.com>, Mike Ruskai wrote some correct comments about patents (but I should note that I'd seen a legitimate source refer to the article the patent was based on, before I saw the patent refer to it, so this isn't completely kook material) as well as:
< Beyond that, you need to remember that 20/20 is *defined* as "normal" < vision. There's no coincidence if you end up at that value when you < eliminate refraction errors.
I don't wish to be rude, but this simply isn't true except in an unuseful sense. 20/20 is defined as normal in a sense similar to the sense in which orange is defined as the colour of an orange; it's good enough for lay use, but it's not what the pros mean. See on this the discussion of "visual acuity" in pretty much any book that devotes a chapter to it, for example the chapter by Ian L. Bailey, chapter 7 and pp. 179-202 of the book I already cited. 20/20 means you see at 20 feet what you should be able to see at 20 feet, where "should" is defined in terms of an angle. This angle is either "minimum angle of resolution", in which case it's 1 minute, or "minimum angle of recognition", in which case it's 5 minutes, depending who you ask. This is because the letters eye charts are built out of are built such that the entire letter occupies, at 20 feet, 5' or some multiple or fraction thereof, while the individual strokes that make up the letter are 1' wide.
Pretty much *any* set of statistics on how well people see will explicitly note that 20/20 is subnormal for healthy young people. The guy Snellen who came up with this system himself acknowledged this. In the 1960s, normal American men in their 20s or so could see, on average, about 20/15, and a few could see 20/10. See on this <http://www.cdc.gov/nchs/data/series/sr_11/sr11_003.pdf>, more or less passim. It's just one of many examples.
> > 2) What's the deal with myopia, unaccommodated hyperopia, and near > > and distance vision? Naively, I'd always thought that unless myopia > > was insanely bad (as mine is), myopes had better near vision than > > normal; and similarly, that hyperopes had better distance vision > > than normal. I can't find a single hint of this in any reference > > I've consulted. So was I just wrong?
> Myopes have more magnification at near than an emmetrope does, so he is > capable of better near acuity than an emmetrope, allowing for variables > like retinal health and lens clarity, of course. In contrast, Mike Ruskai answered:
< I think so, though I've certainly heard that position (and believed it < until I grew up and thought better of it). < < In a normal eye, the focal plane for an object at infinity falls on < the retina with relaxed focusing muscles. In myopes, the focal plane < with relaxed muscles falls in front of the retina. That means the < "infinity" focus is actually set for an object nearer than infinity. < < The stronger the myopia, the closer the relaxed focus position. < < That allows an uncorrected myope to see clearly without eye strain at, < say, a comfortable reading distance. But there's no more acuity, all < else being equal, versus a person who has to accomodate to reach focus < at that distance.
So which of you is right? The one who provides the explanation I already know for why my naive view was wrong, or the one who provides an explanation I hadn't thought of for why it could be right?
Fortunately, on this one, elementary optics should help. I didn't like optics in high school, and skipped the quarter of college physics that covered it. But I can probably relearn enough to pay attention to the more challenging parts of Brian Curtin's <The Myopias>. I just didn't want to bother if there was no reason to.
I wasn't able to parse the reply to this by Dr Judy at all. What I'm concerned with is "Does myopia improve near vision in any way other than bringing the near point closer? Does hyperopia improve distance vision in any way at all?" Definining "normal" is part of my inquiry, in a sense, but isn't really relevant to this particular question. Even if I used the *word* "normal" in stating it.
> > 3) Is there such a thing as a better-than-normal extent of the > > visual field? If not, then of the three sources I've now found [quoted text clipped - 4 lines] > > if the real normal extent is 200 degrees, what's with the smaller > > numbers?
> Visual fields have physical boundries like big noses and droopy eyelids > that account for those variations. In contrast, some retinas are built > like high speed film with superior peri-macular areas that create a > very robust visual field. OK, all of this makes sense to me... So then the question is whether any studies of this variation exist.
My impression that none do is somewhat strengthened by something I came across in a detailed guide to perimetric techniques on the Web. Apparently one kind of perimetry - ?Goldmann perimetry - is best suited for extent determinations (<http://www.eyetec.net/group3/M12S1.htm>); and I can imagine that not everyone has Goldmann perimeters, or some such.
But it still mystifies me. Decades, indeed over a century, of studies of variation in visual acuity. A single study way back in 1922 of variation other than age-related in accommodation. And no studies at all of variation in visual field extent, except as caused by disease.
Unless I'm just not looking in the right place. Volume 5 of <Vision and Visual Dysfunction>, general editor Prof. John Cronly-Dillon, Boca Raton [et alii]: CRC Press, probably c 1991, has the intriguing title <Limits of vision>. For all I know, this contains a detailed discussion of the topic; volume 5 is the one volume the library I'm now typing from doesn't own.
Mike Ruskai answered:
< Were any of those figures justified by testing?
Of course not. None was even footnoted. Snarl.
Dr Judy's reply included:
| See comments above about "normal". In clinical perimetry, a given | individual field is compared to a standard collection of fields from [quoted text clipped - 6 lines] | This would be an individual measure not a group finding; try looking at | case reports. Well, for starters, I'm researching "normal". In this case, is it 180, 190 or 200 degrees?
In general, I'm researching the range and curve of variation. I get the impression that in things medical, or at least things sensory, bell curves are vanishingly rare. The only kind of curve most of the books I've consulted seem to acknowledge is one where the maximum and the mode are identical, and then there's a tail leading off to the minimum: Trichromatism is the norm, dichromatism happens, and monochromatism is rare; 20/20 is the norm (or 20/15, or whatever), and worse acuity happens; in hearing, back in the 1960s they didn't even *test* for hearing significantly better than the standards they went in with, even though it turned out that those standards were wrong, and they were jettisoned a few years later.
Repeatedly, I'm finding evidence that this "Normal and bad are the only options" thing is *wrong*. Tetrachromats exist. 20/20 is not the norm, and anyway you can (perhaps) decompose visual acuity into "best corrected visual acuity", which is bell curve-ish, "spherical refraction error", which is bell curve-ish, and "cylindrical refraction error", which I don't know about. And, well, that standard was jettisoned, but it's *still* routine for studies of hearing to begin "My group hears *much* better/worse than the [current] standards suggest..."
I'm aware that there *are* reasons to expect "normal or bad, but not good" to happen in human biology. Presumably lots of potential bell curves get throttled by evolution or some such. It's just that I'm becoming decreasingly convinced that there are as *few* bell curves as I'm finding discussed.
The fact that the only datum I have on super-normal visual field extent is an anecdote presumably drawn from some sort of individual case report is, from my POV, a *bad* thing.
> > 4) Has anyone done any research at all into variations in human > > night vision since World War II ended? If so, did they come up > > with anything? I see that a library in Tacoma (I'm in Seattle) > > has a thick 1991 book on the subject of night vision, but my budget > > for bus fares is currently zero, so before I go there, I'm hoping > > someone can tell me whether this book is likely to do me any good.
> Human night vision is degraded by a number of factors, including the > greying of the human lens and a slowing of the retinal electrical [quoted text clipped - 5 lines] > supply is depleted and your throw is weaker. The resulting image at > the brain level is therefore reduced. Um, I don't understand. You're saying rods and cones slow down as we age? Why would this be more of an issue at night? (I'd think anything that was more an issue at night than by day would be something that differentially affected rods more than cones, no?)
Anyway, though, I'm interested in variation due to aging, but not only in such variation. During WWII, the US Navy and Air Force put a lot of effort into finding out stuff about variation in human (healthy young male, in fact) night vision, and AIUI what they learned was that no two variables correlate: for example, night visual acuity is unrelated to all of day visual acuity, dark adaptation time, and, oh, night visual field. This is obviously not much of an explanation of what variation is found in, well, any of these variables. So what I was asking was, do any of y'all know whether any more order has been brought into the subject since then?
If what you're saying is "Yes, and that order is that all the other changes depend on slow photoreceptor response times", OK, but I'm confused; in that case I'd expect more of them to correlate.
Anyway, thanks for your replies. Sorry it's taken me so long to say so.
Joe Bernstein
 Signature Joe Bernstein, writer joe@sfbooks.com <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh did - it was like having a kitten in the room, like a vote for unreason." <Glass Mountain>, Cynthia Voigt
Dr Judy - 15 Nov 2006 04:49 GMT > In article <1162929527.808535.87950@k70g2000cwa.googlegroups.com>, .
> In any event, it seems obvious that I'm not going to get references to > published material here, yes? . You might get references if it were clearer what you are looking for.
> "Smith (1991) pointed out that the relationship between spherical > But since the equation I'm looking for is one that takes *in* objective refraction > and best corrected visual acuity, and then spits *out* uncorrected > visual acuity for the *same* person You are not going to find a lot of work published on this for several reasons. First of all, uncorrected acuity is not a clinically relevant or interesting measure. Second, if you have the someone in the room so as to collect refraction, pupil size, corrected acuity etc, why not just simply measure the uncorrected acuity while you're at it instead of plugging in a bunch of numbers into a formula to calculate it?
> I recognise that "best corrected visual acuity" is, at best, a > problematic concept with limited relationship to what a person [quoted text clipped - 3 lines] > "bad eyesight", visual acuity can be quantified, however > subjectively. If you are interested in defining "good eyesight", visual acuity is not the measure. There is a world of work done and published on measuring the quality of vision. Measures include acuity (but with more accurate charts than Snellen), contrast sensitivity and higher order abberations as well as others.
Check out PubMed for "eye abberations" and "contrast sensitivity", enough reading to keep you busy all winter.
> Pretty much *any* set of statistics on how well people see will > explicitly note that 20/20 is subnormal for healthy young people. [quoted text clipped - 3 lines] > <http://www.cdc.gov/nchs/data/series/sr_11/sr11_003.pdf>, more or less > passim. It's just one of many examples. "Normal" is a range. For human eyes with no disease, best corrected Snellen will vary from about 20/10 to about 20/30, averaging 20/20. Yes, some subsets (like young adult emmetropes) will average 20/15 and some (like seniors) may average 20/25. If you want to know the normal distribution of BCVA for a population, look in the epidemolgy literature and specify the subgroup.
> > > 2) What's the deal with myopia, unaccommodated hyperopia, and near > > > and distance vision? Naively, I'd always thought that unless myopia > > > was insanely bad (as mine is), myopes had better near vision than > > > normal; and similarly, that hyperopes had better distance vision > > > than normal. I can't find a single hint of this in any reference > > > I've consulted. So was I just wrong? What I'm
> concerned with is "Does myopia improve near vision in any way other > than bringing the near point closer? Does hyperopia improve distance > vision in any way at all?" Definining "normal" is part of my inquiry, > in a sense, but isn't really relevant to this particular question. > Even if I used the *word* "normal" in stating it. If you say "improve" or "provide better" then the next question is "compared to what?" You will have to look at the literature about higher order abberations to see if any have measured and compared myopes to hyperopes.
> > > 3) Is there such a thing as a better-than-normal extent of the > > > visual field?
> My impression that none do is somewhat strengthened by something I came > across in a detailed guide to perimetric techniques on the Web. > Apparently one kind of perimetry - ?Goldmann perimetry - is best suited > for extent determinations (<http://www.eyetec.net/group3/M12S1.htm>); > and I can imagine that not everyone has Goldmann perimeters, or some > such. Most perimeters don't check for the furthest extent of the binocular field, which seems to be your interest. They are diagnostic instruments for quantifying subtle vision loss from disease, primarily in the central 120 degrees.
> But it still mystifies me. Decades, indeed over a century, of studies > of variation in visual acuity. A single study way back in 1922 of > variation other than age-related in accommodation. And no studies at > all of variation in visual field extent, except as caused by disease. Fields are only interesting to clinical researchers in the context of how they are affected by disease. Find someone willing to fund a study of the variation in extent of the field in normals and a researcher will be happy to measure it.
The military may have done some of the work you are interested in but they don't always publish.
> Unless I'm just not looking in the right place. Checked PubMed?
> In general, I'm researching the range and curve of variation. I get > the impression that in things medical, or at least things sensory, > bell curves are vanishingly rare. Not the curves I have seen, most things biological have bell curves. You should try looking at the long term population data, like the Framingham study data. Or search PubMed using term like "population AND visual field AND variation". Some researchers do publish characteristics of a population.
If you are restricting your research to textbooks and articles about disease, you will find the information is about disease. You will need to check out public health journals, epidemology journals and public health policy journals to find published papers about variation in normal populations.
Dr Judy
Joe Bernstein - 03 Dec 2006 03:16 GMT > > I recognise that "best corrected visual acuity" is, at best, a > > problematic concept with limited relationship to what a person [quoted text clipped - 3 lines] > > "bad eyesight", visual acuity can be quantified, however > > subjectively.
> If you are interested in defining "good eyesight", visual acuity is not > the measure. There is a world of work done and published on measuring [quoted text clipped - 4 lines] > Check out PubMed for "eye abberations" and "contrast sensitivity", > enough reading to keep you busy all winter. Um, actually, the textbooks that you've criticised me for relying on also talk a lot about things like contrast sensitivity and so forth.
There's a recent study for the Canadian equivalent of the Air Force which looked at a whole bunch of possible measures of quality of vision in the context of whether these would be useful things to test pilots on. Time and again they concluded that the tests weren't ready for prime time, so while they *wanted* to be able to evaluate pilots' abilities in these areas, they didn't think the existing standards were meaningful. See if you wish: <http://pubs.drdc-rddc.gc.ca/inbasket/smcfadden.050720_1451.Final%20CR%202005-142.pdf> which is bibliographically speaking <Vision Standards for Aircrews: Visual Acuity for Pilots> by Jason K. Kumagai, Sheri Williams and Donald Kline ([Toronto]: Defence Research and Development Canada, 2005). As the title suggests, while their remit was primarily the topic of visual acuity, this is also the one area they felt they could confidently go forward with, in terms of implementing tests.
I was particularly unimpressed by contrast sensitivity, which is frustrating because it seems perfectly clear that the research showing it to be a better measure than visual acuity is on the money. But near as I can tell, a measure of contrast sensitivity should be a *function* of some sort, not a neat number. The report I just cited mentioned a website of a prominent supporter of the CS measure; I found that he offered a self-test according to which my right eye is crippled (an artifact of my taking some time to grasp how the test worked), a variety of articles each of which cited mainly his own writings, and various ways for him to make money off interest in the concept of contrast sensitivity. Snarl. Reminds me of the personality testers, yuck. Anyway, the bogus measures I was offered for my eyes amounted to *nine* numbers, based on 27 total questions. I'm tolerably confident that this does not lead to a simple measurement.
So sure, I could read all winter. But in the meantime...
> > What I'm > > concerned with is "Does myopia improve near vision in any way other > > than bringing the near point closer? Does hyperopia improve distance > > vision in any way at all?" Definining "normal" is part of my inquiry, > > in a sense, but isn't really relevant to this particular question. > > Even if I used the *word* "normal" in stating it.
> If you say "improve" or "provide better" then the next question is > "compared to what?" > You will have to look at the literature about higher order abberations > to see if any have measured and compared myopes to hyperopes. Sigh. We could keep this up forever, couldn't we? "Does increasing myopia correlate with any desirable trait for vision, other than a closer near point? Does increasing hyperopia correlate with any desirable trait for vision at all?"
I think your next move is to demand that I define "desirable", right? And since your focus is on how I have failed to define "normal", presumably you'll find some way to link my non-definition of "desirable" with my non-definition of "normal", though I'm too hungry right this minute to figure out how.
So let me just concede the game right there. Already in high school I learned that arguments over definitions cannot be won. If you want to attack my definitions or lack of them, you're not going to get answers. If you have a substantive point here, though, I'm unable to see it, and this has consistently applied in the days since you posted, not being an artifact of my current hunger. So could you please re-frame it?
I'll anticipate in one way though. Please note that *throughout* I've been trying, and generally failing, to define "normal" in some partly numerical and partly qualitative way. I'm happy to define "normal" refraction as emmetropia, because that Makes Sense. I'm not happy to define "normal" best corrected acuity as 20/20, because that *doesn't* Make Sense; there's no obvious intrinsic reason everyone should hit a limit at 1 minarc, and in fact lots of people don't. So I don't claim to *have* a definition for "normal" acuity; I need to download some statistics and analyse them first, and I haven't gotten to that yet.
Similarly, since my ongoing efforts to define "normal" extent of visual field are continuing to fail (see below), I don't have a definition there; but this is not some kind of methodological failure in my research, this is simply a failure to find data.
[Do studies of visual field extent exist?]
> > My impression that none do is somewhat strengthened by something I came > > across in a detailed guide to perimetric techniques on the Web. > > Apparently one kind of perimetry - ?Goldmann perimetry - is best suited > > for extent determinations (<http://www.eyetec.net/group3/M12S1.htm>); > > and I can imagine that not everyone has Goldmann perimeters, or some > > such.
> Most perimeters don't check for the furthest extent of the binocular > field, which seems to be your interest. They are diagnostic > instruments for quantifying subtle vision loss from disease, primarily > in the central 120 degrees. Understood.
I'm well aware that medical research is driven by Problems. But it continually astonishes me that there's so *little* attempt to do what you're criticising me for not doing: define "normal". I've now found several studies of the development of visual field extent in children, that included assessment of adults' visual field extents precisely because there are no existing standards. Or at least so I read them. See below.
> > But it still mystifies me. Decades, indeed over a century, of studies > > of variation in visual acuity. A single study way back in 1922 of > > variation other than age-related in accommodation. This, I'm happy to report, is false. Again, see below.
> > And no studies at > > all of variation in visual field extent, except as caused by disease. False to a considerably lesser extent.
> Fields are only interesting to clinical researchers in the context of > how they are affected by disease. Find someone willing to fund a study [quoted text clipped - 3 lines] > The military may have done some of the work you are interested in but > they don't always publish. Well, at least the Canadian military doesn't seem to have found it; visual field extent is one of the areas they considered and provisionally rejected. (The other areas I'm tilting at windmills on are colour vision and night vision. For colour vision, I'm done, except for parts that involve number-crunching I don't currently have computing capacity for, to try to reconstruct gene frequencies from phenotypes. I haven't really started night vision yet, and Kumagai + co. actually offered useful citations on that topic, as on many others.)
> > Unless I'm just not looking in the right place.
> Checked PubMed? Too many times.
> > In general, I'm researching the range and curve of variation. I get > > the impression that in things medical, or at least things sensory, > > bell curves are vanishingly rare.
> Not the curves I have seen, most things biological have bell curves. Well, so I'd assumed until I started reading about the senses!
I think what I'm running into, time and again, is the clinical thing: "If you're not normal, you're diseased." I've been complaining partly because this hides super-normal ability, but also partly because of times *normal* ability is poorly defined, as with visual field extent.
> You should try looking at the long term population data, like the > Framingham study data. ? I know of the Beaver Dam study. Isn't Framingham the nurses' study? You're saying they measure things like visual field extent?
> Or search PubMed using term like "population > AND visual field AND variation". Some researchers do publish > characteristics of a population. Thank you. In fact, "population AND variation" was something that hadn't occurred to me, though it seems obvious now.
Doing that with "visual field extent" as the third term got me the chain of articles I'm trying to follow now, with steadily decreasing confidence; the chain starts with the only relevant PubMed cite, "Normative Values for Visual Fields in 4- to 12-Year-Old Children Using Kinetic Perimetry" by Martin Wilson, Graham Quinn, Velma Dobson, and Michael Breton (<Journal of Pediatric Ophthalmology and Strabismus> 28: 151-153, 1991). That paper also included tests of 21 adults. I'd be happier if they had tested what I'm actually interested in (extent of binocular field, left to right and top to bottom), but if I have to work with what they provide instead (extent of monocular fields, upper left to lower right and lower left to upper right), I'll settle for that. Anyway, there were a bunch of cites in a comment on page 154 that noted radical disagreements over when kids reach adult visual field extent basically depending on the form of perimetry used; so I went and looked at those. So far I've seen two, the later of which pointed me to studies on the reproducibility of visual field extent measures in adults; I've now looked at two of *those* studies without finding anything resembling even *monocular* left to right and up to down, though they do give me additional data on the oblique angles the JPOS study offered.
Meanwhile, it also occurred to me to try the same thing with "accommodation" as the third term, and this led me to a couple of studies from the <Indian Journal of Ophthalmology>, the earlier of which also cites studies from various other parts of the world. The later study turned up a statistically significant correlation between amplitude of accommodation and refraction error in nascent presbyopes, something Kumagai et alii also note, from a different source which I haven't consulted directly yet; I did, today, find a different study that found that amplitude of accommodation does *not* significantly correlate with refraction error in young children, but, well, I can't say I'm surprised. Anyway, the picture for accommodation is clearly much less bleak than I'd thought.
> If you are restricting your research to textbooks and articles about > disease, you will find the information is about disease. You will need > to check out public health journals, epidemology journals and public > health policy journals to find published papers about variation in > normal populations. Are such journals indexed in PubMed, or do I need to look elsewhere?
In the interest of full disclosure, I also have found (doing a keyword search in the Web of Science, of all things) a study of about a hundred people done by a physical anthropologist in Colorado some decades ago. Only the abstract is known to the Web of Science, and I can't locate the author to find out whether the full paper was published in some obscure journal or not; I've written to the physical anthropology association, which has just written back saying they can't give me any clues, and to the guy's old department, which has not written back. The abstract, at least, has never been cited in anything the Web of Science indexes.
Joe Bernstein
 Signature Joe Bernstein, writer and clerk joe@sfbooks.com <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh did - it was like having a kitten in the room, like a vote for unreason." <Glass Mountain>, Cynthia Voigt
Dr Judy - 08 Nov 2006 01:06 GMT > Anyway, some specific questions: > [quoted text clipped - 4 lines] > uncorrected visual acuity, as the output. Is the visual acuity > equation a myth? Best corrected visual acuity is affected by all the variables you list, but I doubt if there is an accurate mathematical equation. It is a very individual thing influenced by very individual psychological and perceptual factors as well such as propensity to guess.
Same comment applies to uncorrected visual acuity.
> 2) What's the deal with myopia, unaccommodated hyperopia, and near > and distance vision? Naively, I'd always thought that unless myopia > was insanely bad (as mine is), myopes had better near vision than > normal; and similarly, that hyperopes had better distance vision > than normal. I can't find a single hint of this in any reference > I've consulted. So was I just wrong? Well, what is "normal". In biology and the measurement of living things, "normal" is usually defined as a range. After plotting the variation in the measured population, "normal" is the range of values included between the standard deviation from the mean on either side of the mean. Some would include the measure from two standard deviations on either side.
In a classic normal variation curve from 0 to 100, mean of 50, the "normal" group would be those measuring from 40 to 60 or from 25 to 75.
> Fine, wouldn't be the first time. But then why on Earth do > researchers even bother to *measure* near vision? Presumably, their study protocol identified it as either a variable, an input measure or an outcome measure, ie they needed it.
> 3) Is there such a thing as a better-than-normal extent of the > visual field? See comments above about "normal". In clinical perimetry, a given individual field is compared to a standard collection of fields from similar age subjects with no eye disease and no field defect and statistically compared to see if "normal" .
So what are you researching? Looking for something like the Guiness Book Record for visual acuity, night vision and field extent?
This would be an individual measure not a group finding; try looking at case reports.
Dr Judy
> -- > Joe Bernstein, writer joe@sfbooks.com > <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh > did - it was like having a kitten in the room, like a vote for unreason." > <Glass Mountain>, Cynthia Voigt Mike Ruskai - 09 Nov 2006 03:52 GMT >My questions are "dumb" in the sense that they're obvious, not, I hope, >in the sense that they're stupid. Here's the deal. I'm trying to find [snip]
>1) Several references I've consulted seem convinced that there's a >simple mathematical relationship between best corrected visual [quoted text clipped - 8 lines] >author, something like Holladay or Holliday.) Is the visual acuity >equation a myth? Can't say I've heard of anything like that, but I should point out that a crustless peanut butter and jelly sandwich was patented. So was the process of pulling the ropes/chains on a swing to move side-to-side. Patents mean nothing outside of patent litigation.
Beyond that, you need to remember that 20/20 is *defined* as "normal" vision. There's no coincidence if you end up at that value when you eliminate refraction errors.
>2) What's the deal with myopia, unaccommodated hyperopia, and near >and distance vision? Naively, I'd always thought that unless myopia >was insanely bad (as mine is), myopes had better near vision than >normal; and similarly, that hyperopes had better distance vision >than normal. I can't find a single hint of this in any reference >I've consulted. So was I just wrong? I think so, though I've certainly heard that position (and believed it until I grew up and thought better of it).
In a normal eye, the focal plane for an object at infinity falls on the retina with relaxed focusing muscles. In myopes, the focal plane with relaxed muscles falls in front of the retina. That means the "infinity" focus is actually set for an object nearer than infinity.
The stronger the myopia, the closer the relaxed focus position.
That allows an uncorrected myope to see clearly without eye strain at, say, a comfortable reading distance. But there's no more acuity, all else being equal, versus a person who has to accomodate to reach focus at that distance.
For example, I can focus with both eyes (not without a bit of difficulty) on an object about 3.5 inches from my eyes without correction, but have to go out to 5 inches with my contacts in. My "infinity" focus without correction is somewhere around 12 inches, which means without contacts or glasses, I could read comfortably all day without any eye strain, while someone with normal vision would have much difficulty over that period of time. The only real disadvantage I'm finding with contacts over glasses is that I can't whip them out and back in as needed for easy reading, or other close work (magnifying glasses are optional for us myopes).
The only sense in which hyperopes can be said to see better at distance is that they definitely can reach optimum focus for infinity, while even a "normal" person may be ever so slightly myopic for very far objects. Or at night, when a larger pupillary aperture reveals that the person is slightly myopic after all, despite being able to see clearly in bright lighting, where the larger focal ratio provides greater depth of field.
> Fine, wouldn't be the first time. But then why on Earth do >researchers even bother to *measure* near vision? Supposedly, in >the absence of a refraction error, it'll be the same as distance >vision every time, and I've seen multiple studies that confirm this >for fully corrected acuity. So what's the point with near vision, >if it isn't improved by myopia and harmed by hyperopia? I don't know to what kind of measurements you're alluding.
>3) Is there such a thing as a better-than-normal extent of the >visual field? If not, then of the three sources I've now found [quoted text clipped - 13 lines] >That Which Must Not Be Named? Is it impossible, as the 180-degree >guy (online) argues? Or what? Were any of those figures justified by testing? I don't suppose it would be too difficult to rig a test where an object was attached to a ring around the test subject, and moved until it was detected. You could even use a computer with a camera to track eye movements, and make sure the measured angle is correct.
One easy way in which it can vary in individuals is in the simple fact that the shape of the cornea is not uniform. Some people have flatter corneas than others.
 Signature - Mike
Ignore the Python in me to send e-mail.
ruskai@senzor.sk - 24 Nov 2006 08:03 GMT Hello MIKE.
Title my grandfather was too MICHAL/MIKE/ RUSKAI
---------------------------- Milan Ruskai ruskai@senzor.sk Ved?ci TPV SENZOR, s.r.o. Zajacia 30 04 012, KO?ICE SLOVAKIA
Tel.: +421 55 6 747 622 Tel.: +421 55 6 747 623 Fax.: +421 55 7 291 801 Mob.: +421 905 404 628
Mike Ruskai - 26 Nov 2006 09:34 GMT >Hello MIKE. > > Title my grandfather was too MICHAL/MIKE/ RUSKAI
>SLOVAKIA That makes him the first person I've known about to share my name.
With *my* grandfather, who was born in Hungary, it was spelled Ruszkai.
Is 'Ruskai' a common last name over there?
 Signature - Mike
Ignore the Python in me to send e-mail.
ruskai@senzor.sk - 24 Nov 2006 08:03 GMT Mike Ruskai nap?sal(a):
> >My questions are "dumb" in the sense that they're obvious, not, I hope, > >in the sense that they're stupid. Here's the deal. I'm trying to find [quoted text clipped - 98 lines] > that the shape of the cornea is not uniform. Some people have flatter > corneas than others. Liz Day - 14 Nov 2006 20:11 GMT >the fact that tetrachromatic vision has only come > in for noticeable study in the past decade.) Wait a sec. Do humans have tetrachromatic vision? I thought that was limited to reptiles, fish, and birds (ie, animals with a 4th cone). Help please.
thanks, L D Indianapolis
Joe Bernstein - 15 Nov 2006 00:23 GMT > >the fact that tetrachromatic vision has only come > > in for noticeable study in the past decade.)
> Wait a sec. Do humans have tetrachromatic vision? I thought that was > limited to reptiles, fish, and birds (ie, animals with a 4th cone). > Help please. Do a Google search something like...
tetrachromatism OR tetrachromat OR tetrachromacy OR ...
well, you get the idea, and, so to speak, you'll find it eye-opening.
Basically, it appears that I wasn't entirely right about the timing; the websites claim that tetrachromatic vision in humans had been postulated (but not actually found) as early as 1948. In the early 1990s, the topic was massively revived by an announcement of an Actual Tetrachromat Found in England, and although further real reports seem to be less than numerous, the topic remains mildly hot. This is probably because it fits in well with that aspect of the Zeitgeist that emphasises women's health issues (an aspect that, by the way, I approve of). 'Cause, you see, tetrachromatism in men would require some rather improbable mutations, but in women it's not that big a deal. The only question is how uncommon it actually is for a woman to jump through all the relevant hoops.
In a nutshell, here's the deal. The statistics for men are often distorted; it's not unusual to run into offhand claims that 10% of men are colourblind, which is bullshit, and relevantly so. About 2% of European men have either protanopia or deuteranopia, which are the two forms of what's known as red-green colour blindness. There are various extremely rare phenomena that lead to blue-yellow colour blindness or full colour blindness; most of these are equal opportunity as to which sex they hit. But most of the BS 10% figure comes from two things that aren't colour *blindness* at all, just anomalies: protanomaly and deuteranomaly. (The equivalent on the blue-yellow spectrum would be tritanomaly if it were demonstrated to exist, but it hasn't been; the going theory is that it's a weak form of tritanopia, which is the name for full-blown blue-yellow colour blindness.)
Anyway. Protanomaly and deuteranomaly both involve mutations to the genes that code for the pigments in cone cells, which in most people are the only cells that deal with colour. (A few true colour-blind people seem to have made their rods deal with colour too, which is evidence of how negotiable our neural wiring is; I'll get back to that.) Anyway, the deal is that most mammals have only two kinds of cones, one of which lives on a regular chromosome (trouble with that causes tritanopia), the other on the X chromosome. Twice in the primate order, the X chromosome one has been duplicated in mutated form to produce a third kind; hence Old World monkeys and apes, including us, have on kind of trichromacy, and howler monkeys from South America have a different kind. Well, the part of the X chromosome in question seems to be remarkably unstable. For starters, the majority of people actually have more than one *copy* of the new gene on the X chromosome, though only one per X chromosome actually functions. Furthermore, about 4-5% of men (in Europe, anyhow) have mutated forms of the new gene (which codes M cones' pigments), forms which react more or less differently to colours. And another 1% or so have mutated forms of the *old* X chromosome gene (coding L cones' pigments), which do the same thing.
Most of these mutations don't do very much, though. You get people with an L cone gene that's like 1% deflected from normal, or an M cone gene that basically is 1% different from L cones. The former person just sees a few colours slightly differently from the rest of us, while the latter is only a smidgen short of being red-green colour blind.
But - hypotheses coming! - *sometimes* the mutated gene lands smack in the middle, and can be considered by the eye as a whole different colour. In men, this leads to disagreements on complicated colour matching tests, but otherwise no big deal: the guy still has three colours, they just aren't the same as everyone else's three.
But... In women, who have *two* X chromosomes, if one and only one of those has one of those smack-in-the-middle mutations, then that woman suddenly has *four* functioning pigment colours: S cones', M cones', L cones', and what's being called H cones'. So! This suggests that something like 8% or more of women could conceivably be tetrachromats, which makes it astonishing that it took decades to find even one, right?
But the plot thickens. Not only do the odds get greatly reduced by the tendency for the mutations to be fairly conservative and not do the H thing, but there's also the fact that the woman with four functioning *cone* colours doesn't necessarily *see* with them. She has to somehow get her neural circuitry wired to expect, instead of the three contrasts most of us rely on, four. (I think.) Now, as noted way back there, there are people out there whose rods have learned to contribute to colour vision, so it's hardly rocket science for an H cone to find a way to do so; it's just a question of how often it actually happens.
So there you have it: women with colour vision that puts the rest of us to shame. Somewhere between .00001% and 10% of the female population. Probably.
Oh, and it gets even better. A logical implication of all this is that *pentachromatic* women are also possible: just find *two* pigments that are enough-different from the norm, and give her one of each, along with the normal three. This is, however, at least an order of magnitude less likely than tetrachromatism, and so far, nobody's reported any.
As I said, there's a lot out there. If you're not interested in the Google search, you could also try the Wikipedia article on "tetrachromat", which has half a dozen of the most significant links listed at the end.
Hope this helps.
Joe Bernstein
 Signature Joe Bernstein, writer joe@sfbooks.com <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh did - it was like having a kitten in the room, like a vote for unreason." <Glass Mountain>, Cynthia Voigt
Dr Judy - 15 Nov 2006 04:09 GMT > In article <1163535093.025288.109220@e3g2000cwe.googlegroups.com>, snip
The statistics for men are often
> distorted; it's not unusual to run into offhand claims that 10% of > men are colourblind, which is bullshit, and relevantly so. About [quoted text clipped - 5 lines] > comes from two things that aren't colour *blindness* at all, just > anomalies: protanomaly and deuteranomaly. Colour "blindness" is a lay term, the correct term is colour vision defect which encompasses 'anopia and 'anomolay as well as anomolous tricromats. Those protanomaly and deuteranomaly guys will fail standard colour vision tests.
True colour blindness would be rod monocromats; they have no or few functioning cones and thus no colour vision.
dr Judy
Scott Seidman - 15 Nov 2006 13:10 GMT "Dr Judy" <mpace99@rogers.com> wrote in news:1163563757.304370.176810 @h54g2000cwb.googlegroups.com:
> True colour blindness would be rod monocromats; they have no or few > functioning cones and thus no colour vision. It's a definition thing. The term is semi-accurate. The truely color blind you describe would be really blind in daylight, as rods are bleached under such conditions.
 Signature Scott Reverse name to reply
William Stacy - 15 Nov 2006 18:37 GMT Albinos have no cones, are monochromats, and are generally legally blind, although they can see in daylight (not completely blind). w.stacy, o.d.
>It's a definition thing. The term is semi-accurate. The truely color >blind you describe would be really blind in daylight, as rods are bleached >under such conditions. > > Dr Judy - 15 Nov 2006 20:26 GMT > "Dr Judy" <mpace99@rogers.com> wrote in news:1163563757.304370.176810 > @h54g2000cwb.googlegroups.com: [quoted text clipped - 5 lines] > blind you describe would be really blind in daylight, as rods are bleached > under such conditions. And they are. Best corrected acuity in a rod monocromat will be in the 20/100 to 20/200 range with light sensitivity meaning they need sunglasses.
For detail about colour vision see: http://en.wikipedia.org/wiki/Color_blindness
Dr Judy
Joe Bernstein - 20 Nov 2006 05:41 GMT > > In article <1163535093.025288.109220@e3g2000cwe.googlegroups.com>,
> > The statistics for men are often > > distorted; it's not unusual to run into offhand claims that 10% of [quoted text clipped - 6 lines] > > comes from two things that aren't colour *blindness* at all, just > > anomalies: protanomaly and deuteranomaly.
> Colour "blindness" is a lay term, the correct term is colour vision > defect which encompasses 'anopia and 'anomolay as well as anomolous > tricromats. Sure, and I'm not arguing with that, though 10% is still too high for any population known to me outside of small islands. (A bit more than 8% is the highest I tend to see.) It's just that "10% of men are color blind" is understood by the same lay people who say it as *meaning* "One man in ten can't see any colours". Which is Wrong.
> Those protanomaly and deuteranomaly guys will fail > standard colour vision tests. Depends on the meaning of "fail", and on which anomaly they have. L4M5 ser180 or M4L5 anomalies ought, by and large, to produce full trichromatic vision in men. But sure, if the definition of "fail" is "not the same as everyone else", then they fail. On the other hand, L2M3 or M2L3 ala180 anomalies, those might as well be red-green colour blindness, as I said.
In, um, "Genetics of Inherited Colour Vision Deficiencies" by Tom Piantanida, pp. 88-114, which is chapter 7 of <Inherited and Acquired Colour Vision Deficiencies: Fundamental Aspects and Clinical Studies>, edited by David H. Foster, which in turn is volume 7 of <Vision and Visual Dysfunction>, general editor John Cronly-Dillon, Boca Raton [et alii]: CRC Press, c 1991... on p. 93, Piantanida offers the frequency of "pa" and "pae" alleles, which result in male phenotypes of protanomaly and "extreme" protanomaly respectively; the extreme kind is about twice as common as the milder kind, which is also somewhat rarer than protanopia. Similarly milder deuteranomaly turns out to be somewhat less common than extreme deuteranomaly, with deuteranopia *much* less common. (Per him; I know there's less difference in other studies.)
Seems to me that while the exact assignment of pseudo-alleles such as M4L5 or such to these categories will vary according to whether the non-anomalous cone they're being contrasted with is ala180 or ser180 (6% of M cones and 62% of L cones are ser180, apparently), *some* protanomalies result in full trichromatism, some in impaired trichromatism, and some are functionally equivalent to protanopia. And in fact, what happens when phenotypic protanopes are studied is that more than half of them turn out to have functioning L cones, they're just carrying effectively M pigments in them. Anyway, all of the same goes for deuteranomalies too, except that the milder deuteranomalies are *much* more contrastive with normal L cones than the milder protanomalies are, so a woman who's heterozygous deuteranomalous is, imnsho, much likelier to end up a true tetrachromat than a woman who's heterozygous protanomalous. (There's only one protanomaly that I see as likely to produce tetrachromatism, but something like four or five deuteranomalies. I ignored M cones ser180 in my analysis, but adding them just makes heterozygous protanomalous tetrachromatism even *less* likely.)
I'm not a geneticist, any more than I am an opt*ist. But my mother taught me a certain amount of genetics, which she learnt from working in the labs of, and doing degrees under, a whole passel of Nobel Prize- winning geneticists; and I did just fine in a genetics course at the University of Chicago, too. So while my optical assertions above may be shaky, I'm quite confident in my reading of the genetics involved.
> True colour blindness would be rod monocromats; they have no or few > functioning cones and thus no colour vision. Well, that depends on who's doing the defining. Blue cone monochromats, and for that matter red and green cone monochromats if you believe in their existence, do have minimal colour vision thanks to rod-cone contrasts, as I mentioned in my previous post. But the Achromatopsia Network still explicitly opens its doors to blue cone monochromats at its home page (<http://www.achromat.org/>); I don't know if it leaves out red and green cone monochromats because their putative symptoms are so much less severe (little visual acuity loss, no nystagmus or photophobia ...) or because it, like others, considers red and green cone monochromatism mythical. Anyway, I figure the actual achromats at the Achromatopsia Network have more right to define "achromatism" than I do, since I'm just a layman myself, after all. Note that rod monochromats easily outnumber blue cone monochromats, so this isn't a simple case of the larger swallowing the smaller.
Several sites devoted to achromatopsia link to, or cite, or etc. one Sebastian Bonhag of Germany, who's a blue cone monochromat, and who is inter alia credited with having done the (moderately bad) scan of Knut Nordby's account of his rod monochromatism which can still be found at <http://bpeyes.com/achromat.htm> while Bonhag's own site (at <http://www.bonhag.de/>) appears to be down temporarily or otherwise. So the regard rod monochromats apparently have for blue cone monochromats also appears to be mutual.
Joe Bernstein
 Signature Joe Bernstein, writer joe@sfbooks.com <http://www.panix.com/~josephb/> "She suited my mood, Sarah Mondleigh did - it was like having a kitten in the room, like a vote for unreason." <Glass Mountain>, Cynthia Voigt
Dr Judy - 23 Nov 2006 19:18 GMT > Sure, and I'm not arguing with that, though 10% is still too high for > any population known to me outside of small islands. (A bit more than > 8% is the highest I tend to see.) It's just that "10% of men are > color blind" is understood by the same lay people who say it as *meaning* > "One man in ten can't see any colours". Which is Wrong. Most texts say the prevalance is 8% to 10% of males. Lay people think lots of wrong things including that wearig glasses makes your eyes get worse, cataract surgery is done with laser, cataracts are on the outside of the eye, a stigma is some kind of eye growth and that eye transplants can be done. Our job is to correct their misunderstanding not change our definition. I tell people who ask or whose child has just been discovered to have a colour defect that "the colour defective see hundreds of different colours, the colour normal see thousands."
> > Those protanomaly and deuteranomaly guys will fail > > standard colour vision tests. [quoted text clipped - 5 lines] > L2M3 or M2L3 ala180 anomalies, those might as well be red-green colour > blindness, as I said. (major snip of description of various types of colour vision defect)
There are, as you point out, many variations of colour vision defect. For clinical purposes, the differences are of little value. None has a treatment. To my mind, the only reason to check colour vision is so that children know if they will fail a standard screening test as that has career implications.
For those jobs with a colour vision requirement, some employers will allow for alternate, task based testing, some only will look at the plate tests results, some will look at D-15 or similar matching tests. The bulk of those with anomaly including many anomolous tricromats, will fail the Ishihara plate test; they need to know that when choosing a career.
Dr Judy
Mike Ruskai - 16 Nov 2006 07:36 GMT >>the fact that tetrachromatic vision has only come >> in for noticeable study in the past decade.) > >Wait a sec. Do humans have tetrachromatic vision? I thought that was >limited to reptiles, fish, and birds (ie, animals with a 4th cone). >Help please. Only some women, and only maybe.
The genes that encode for red and green pigments are both on the X chromosome. Females, of course, get two copies of this chromosome, and through a strange bunch of hoops may end up with some cells expressing one copy, while others express the remaining copy.
The upshot is that these women have four different photoreceptors in their eyes, with the spare being a slight variation of red or green. They are also more likely to give birth to colorblind sons (because the chromosome that provides the extra receptor is defective, in that only one gene - red or green - actually works, and the son has a 50% chance of getting that defective copy).
I don't believe it has been definitively demonstrated yet whether or not this actually results in tetrachromatism. It's not enough to have receptors sensitive to slightly different wavelengths of light. The brain has to be wired up to make use of that information. So the green and greenish (or red and reddish) receptors could trigger the same response in the brain.
By comparison, we have on the one hand some South American primates, where all males are dichromatic (i.e. what we would call color blind), and females trichromatic. The females can definitely see in trichromatic color, so having only one sex to work with is clearly not an impediment to natural selection wiring up the brain appropriately.
In humans, however, it's only a small percentage of the one sex.
Naturally, it's not an easy thing to determine experimentally, though there are probably some that try to answer the question that I haven't read about.
 Signature - Mike
Ignore the Python in me to send e-mail.
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