> > But I suppose an aging cataract plays havoc to the color test.
>
> I think sometimes it causes blue hair.
>
> -MT
> > > But I suppose an aging cataract plays havoc to the color test.>
> PS. Interesting to note that macular degeneration affects color
> vision (color acuity).
Macular degeneration destroys the colour detecting cones while sparing
the non colour detecting rods. So yes, it affects colour vision
Liz: here is a brand new review (summary of many papers) on blue
blocking IOLs that should put your concerns about colour to rest:
Surv Ophthalmol. 2009 Oct 27. [Epub ahead of print]
Blue-Blocking IOLs: A Complete Review of the Literature.
Henderson BA, Grimes KJ.
Ophthalmic Consultants of Boston, and Harvard Medical School, Boston,
Massachusetts, USA.
Intraocular lenses (IOLs) that block both ultraviolet and blue
wavelength light (<500 nm) were introduced in the 1990s. Since then,
the potential benefits and harm from blocking blue light has been
debated. We report the results of a complete review of all peer-
reviewed published studies regarding the impact of blocking the
transmission of blue light. Fifty-six published reports on subjects
related to blue-blocking lenses including sleep disturbance, visual
outcomes, cataract surgery, lens transmittance, sunlight exposure, and
macular disease were found in peer reviewed journals from 1962 to
2009. Eleven reports specifically compared visual outcomes between
blue-blocking IOLs and non-blue-locking IOLs. Of these, 10 independent
studies (10/11, 91%) concluded that there are no significant effects
of blue-blocking IOLs on various meters of visual performance
including visual acuity, contrast sensitivity, color perception, and
photopic, mesopic, and scotopic sensitivities. Only one group of
authors reported that the use of blue-blocking IOLs may have
detrimental effects on scotopic vision and circadian rhythms. However,
the actual clinical significance of these potential negative effects
on scotopic vision and on sleep patterns is uncertain. The benefits of
blocking the transmission of blue light to the macula and the
relationship between progression of age-related macular degeneration
remain unclear. However, the published studies clearly state that the
use of blue-blocking IOLs is not detrimental in visual acuity, color
perception, and contrast sensitivity. The reported potential negative
effects on scotopic vision and sleep disturbance appear to be minimal
and may not be clinically relevant.
PMID: 19875141 [PubMed - as supplied by publisher]
Judy
Jane - 22 Nov 2009 20:02 GMT
Thank you for posting this summary. I found that almost all the
research on this topic was sponsored by the lens manufacturers, with
findings consistent with the financial interests of the corporate
sponsor. I'll bet that the group who reported the "detrimental
effects on scotopic vision and circadian" (of uncertain clinical
significance) were paid consultants for AMO (Alcon's major competitor).
Don W - 23 Nov 2009 04:04 GMT
> Macular degeneration destroys the colour detecting cones while sparing
> the non colour detecting rods. So yes, it affects colour vision
Several references say, surprisingly enough, that the rods in MD
degenerate first.
Don W.
Liz - 03 Dec 2009 01:19 GMT
> Liz: here is a brand new review (summary of many papers) on blue
> blocking IOLs that should put your concerns about colour to rest:
>
> Surv Ophthalmol. 2009 Oct 27. [Epub ahead of print]
> Blue-Blocking IOLs: A Complete Review of the Literature.
> Henderson BA, Grimes KJ.
Ah, thank you. I have read a number of the studies, but no reviews.
I would like to pull up that reference on the circadian rhythm,
wherever it is; I've had trouble finding much on that issue (other
than shouting matches).
I still hate yellow (been talking to graphic designers who had their
eyes done). Hope to find an untinted acrylic that blocks UV to 400
nm. AMO is testing a "violet-blocking", but it's not out yet. :-(
thanks,
Liz
Indy