Aim To validate the reference ranges proposed by the manufacturer of the Oculus HMC Anomaloscope MR for Rayleigh and Moreland tests in healthy young adults. Method The manual Rayleigh (red-green) and the Moreland (blue-green) anomaloscope tests were performed on 90 healthy subjects (54 female, 36 male, 178 eyes) residing in Poland, aged between 18–45 years, and without color vision disorders (assessed with HRR test). The analyzed parameters for both the Rayleigh and the Moreland tests were as follows: the lower (R1/M1) and the upper (R2/M2) limits; the center (RC/MC) and the width (RW/MW) of the matching ranges. Results The results of the Rayleigh test were similar to the values proposed in the anomaloscope user’s manual, however, with a small shift of RC and R2 towards the red color. The double-peak distribution of R2 with a small second peak (approximately at R2 = 52) was mainly due to the measurements in male subjects (nmale = 8, nfemale = 2), which suggests that this group might be diagnosed with subtle protanomaly. The results of the Moreland test showed a high MW which did not correspond to the reference range described in the anomaloscope user’s manual. The observed significant correlations between R1 and M1 suggest that the M1 parameter seems to be the best indicator of blue vision quality. Conclusions Oculus HMC Anomaloscope MR is a sensitive tool for detection of prot-deuteranomalies but the reference ranges for young adults require a certain adjustment towards the red color. The parameters obtained for the Moreland test varied significantly between the subjects and therefore the test should not be used as is to diagnose color vision deficits in the green-blue area (tritanomaly).

The effect of blue light filters on the anomaloscopic examination was analyzed. Thirty subjects (18–43 y, 20 female, 10 male) without color vision disorders were examined in 4 filter conditions: no filter (F-0), Blue Control Hoya (F-BC), Med-1 JZO (F-Med1) and 450 Eschenbach (F-450). Both Rayleigh test (red–green axis) and Moreland test (blue–green axis) were performed. Application of F-BC filter shows negligible effect on color vision perception in both tests. Contrary to this, the application of strong F-450 filter causes significant shift in Moreland test towards tritanopy and the decrease in correlations of Moreland parameters with Rayleigh test parameters. The application of medium strong F-Med1 filter causes the slight shift in Moreland test towards the center of the Moreland scale and increases the Spearman correlations between Moreland and Rayleigh test parameters. This observation suggests that the about 15–40% reduction of blue diode intensity in the Moreland test may be beneficial in detecting mild changes in color vision perception in the blue-green axis and may improve its usefulness in evaluating the color vision perception disorders accompanying different illnesses, such as diabetes, glaucoma, neuritis optica, or cataract. The discussion concerning the modifications of Moreland test construction is also presented.

Aim: To evaluate the impact of cataract on color vision detection using an anomaloscope. Methods: 12 patients aged 64–82 years with history of cataract surgery in one eye and mature cataracts in the other eye were examined for color vision using the Rayleigh and the Moreland anomaloscope tests. Results: Different patterns of blue and green color vision deterioration have been observed in the eye with cataract as compared to the IOL eye. A decrease in M1 to approximately 1 (the minimum of the Moreland test scale) was observed in 5 out of 12 participants, whereas an increase in M2 to 99 (the maximum of the Moreland test scale) was observed in 6 out of 12 subjects. R1 found in the Rayleigh test was significantly lower in the cataract eyes as compared to the IOL eyes (38.9 ± 2.3 vs. 43.4 ± 1.6; p < 0.001). Conclusions: It has been shown that cataract causes a decrease in color sensitivity, especially affecting green and blue colors. Following IOL implantation, the previously deteriorated vision of green and blue was clearly improved. The most valuable parameters of the anomaloscope test, which enable to determine cataract severity, were M1, M2 and R1.