Evaluation of a significantly shorter version of the Farnsworth-Munsell 100-hue test in patients with three different optic neuropathies

B E Nichols; H S Thompson; E M Stone

doi:10.1097/00041327-199703000-00001

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Evaluation of a significantly shorter version of the Farnsworth-Munsell 100-hue test in patients with three different optic neuropathies

Journal article

Peer reviewed

Evaluation of a significantly shorter version of the Farnsworth-Munsell 100-hue test in patients with three different optic neuropathies

B E Nichols, H S Thompson and E M Stone

Journal of neuro-ophthalmology, Vol.17(1), pp.1-6

03/1997

DOI: 10.1097/00041327-199703000-00001

PMID: 9093953

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Abstract

We tested the hypothesis that a subset of the Farnsworth-Munsell 100-hue test (FM-100) would be a sensitive, specific, and practical means of monitoring color vision in patients with chronic optic nerve disorders. We retrospectively analyzed the records of 1,113 patients affected with optic neuritis (ON), Graves' ophthalmopathy with suspected optic neuropathy, or idiopathic intracranial hypertension with suspected optic neuropathy (IIH). One hundred six records of patients showed that an FM-100 had been performed (23 ON, 46 Graves', 37 IIH). Forty additional patients were studied prospectively (11 ON, 17 Graves', 12 IIH). The sensitivity and specificity of all possible 21 chip subtests were compared against the same statistics for the entire test. We found that for these three optic nerve disorders, a test consisting of chips 22-42 had nearly the same sensitivity and specificity as the entire test when compared with the clinical diagnosis. At 90% specificity, the ratio of sensitivities of the short version to the original version of the test were IIH, 53%/45%; optic neuritis, 85%/79%; and Graves', 67%/70%. The majority of the clinical value of the test can be achieved in one fourth of the original examination time.

Graves Disease - diagnosis

Optic Nerve - pathology

Prospective Studies

Humans

Middle Aged

Optic Nerve Diseases - diagnosis

Pseudotumor Cerebri - diagnosis

Optic Neuritis - diagnosis

Color Vision Defects - physiopathology

Optic Nerve Diseases - complications

Color Vision Defects - etiology

Sensitivity and Specificity

Pseudotumor Cerebri - complications

Adult

Retrospective Studies

Optic Nerve - physiopathology

Optic Neuritis - complications

Color Perception Tests - methods

Optic Nerve Diseases - physiopathology

Optic Neuritis - physiopathology

Graves Disease - complications

Color Vision Defects - diagnosis

Chronic Disease

Evaluation Studies as Topic

Color Perception - physiology

Details

Title: Subtitle: Evaluation of a significantly shorter version of the Farnsworth-Munsell 100-hue test in patients with three different optic neuropathies
Creators: B E Nichols - Department of Ophthalmology, University of Iowa College of Medicine, Iowa City 52242, USA
H S Thompson
E M Stone
Resource Type: Journal article
Publication Details: Journal of neuro-ophthalmology, Vol.17(1), pp.1-6
DOI: 10.1097/00041327-199703000-00001
PMID: 9093953
NLM abbreviation: J Neuroophthalmol
ISSN: 1070-8022
eISSN: 1536-5166
Publisher: United States
Grant note: EY 10564 / NEI NIH HHS EY 10539 / NEI NIH HHS
Language: English
Date published: 03/1997
Academic Unit: Iowa Neuroscience Institute; Ophthalmology and Visual Sciences
Record Identifier: 9983979905702771

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