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Medical Forum / General / Vision / December 2006

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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

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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.
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- Mike

Ignore the Python in me to send e-mail.

 
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