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The Ishihara Test (IT) is arguably the most sensitive and commonly used color vision test within aviation and other occupational environments, but when no errors are allowed -20% of normal trichromats fail the test. The number of allowed errors varies in different occupations and sometimes within the same environment (such as aviation) in order to reflect the difficulties of the color-related tasks. The implicit assumption is that the plates can be ranked in order of difficulty. The principal aim of this study was to investigate whether appropriate "weights" can be attached to each IT plate to reflect the likelihood of producing a correct response. A second aim was to justify the use of color thresholds for quantifying the loss of red-green (RG) and yellow-blue (YB) chromatic sensitivity.

Assessing the Severity of Color Vision Loss with Implications for Aviation and Other Occupational Environments