Dvorine test

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Dvorine test
PurposeScreening for red–green color vision deficiency

The Dvorine test is a set of pseudoisochromatic plates used to screen for color vision deficiency, devised by American optometrist Israel Dvorine during the 1940s. Early wartime editions appeared as Dvorine Color Perception Testing Charts (1944), followed by ring-bound booklets titled Dvorine Pseudo-Isochromatic Plates (second edition 1953; later printings in 1963). [1] [2] [3]

Contents

History

During the Second World War, U.S. demand for color vision screening outstripped supplies of imported tests. Dvorine developed an American alternative using pseudoisochromatic designs, first published as the Color Perception Testing Charts (two volumes: testing and training). [1] [2] Later editions were issued as Dvorine Pseudo-Isochromatic Plates and widely used in industrial, educational, military and aviation settings in the United States. [4] [5]

Test design and editions

Dvorine’s plates are arranged into demonstration, screening, diagnostic, and non-numerical (“illiterates”) sub-sets. A commonly cited configuration describes a 24-plate edition in which plate 1 is a demonstration plate; plates 2–15 are used for screening; plates 16–17 differentiate protan versus deutan defects; and plates 18–24 employ shapes for examinees who cannot read numerals. A 16-plate edition has also been described with plates 2–9 for screening, plate 10 for protan/deutan differentiation, and plates 11–16 for illiterates. [6] An NCBI Bookshelf entry lists a 1963 fourth printing by Harcourt, Brace and World containing 23 plates. [6]

Administration and scoring

Like other pseudoisochromatic tests, performance depends on standardized viewing conditions (illumination, distance, exposure time). Experimental work has shown that the Dvorine and AOC plate tests are more sensitive than the Ishihara test to changes in viewing distance, duration, and illuminance, underscoring the need for strict test conditions. [4]

Historically, U.S. aeromedical guidance has treated the Dvorine second edition as a 15-plate screening book for certain occupational contexts: for Air traffic controllers, FAA documentation lists failure as “more than 2 errors on plates 1–15.” [7] FAA aeromedical research reports and protocols also refer to the “literate plates (1–15)” subset when using Dvorine in experimental settings. [8] [9]

Validity and comparisons

Comparative studies from the mid-20th century evaluated several pseudoisochromatic tests—including Dvorine—against each other and against other modalities. [10] In an FAA field study relating clinical tests to performance with the aviation signal light gun, the Dvorine plates ranked among the better predictors of practical signaling performance. [11] More recent military screening research reported that certain pseudoisochromatic plate tests (including Dvorine) performed comparably to an anomaloscope for sensitivity/specificity, while modern computerized tests (e.g., CCT, CAD) also showed high diagnostic performance. [12]

Current regulatory status

For pilot medical certification in the United States, the Federal Aviation Administration requires approved computer-based color vision screening tests for exams performed on and after 1 January 2025 (with specified carve-outs for certain returning pilots). [13] The FAA’s 2025 ATCS guidance continues to list legacy plate-based instruments (including Dvorine 2nd Edition) as acceptable for controller screening, alongside newer computerized options, with explicit pass/fail criteria stated for each test family. [7]

See also

References

  1. 1 2 "Israel Dvorine: Pioneer in Color Vision Testing". OH&S (Occupational Health & Safety). 1105 Media, Inc. 1 June 2011. Retrieved 5 October 2025.
  2. 1 2 "Dvorine color perception testing charts (Volume 1)". Optometry Museum & Archive. Carlton, Victoria: Australian College of Optometry. 1944. Retrieved 5 October 2025.
  3. "Dvorine Pseudo-Isochromatic Plates (Second Edition) by Israel Dvorine". AbeBooks. Harcourt, Brace & World, Inc. 1963. Retrieved 5 October 2025.
  4. 1 2 Long, Gerald M.; Lyman, Brian J.; Monaghan, Edward P.; Penn, David L. (1984). "Further investigation of viewing conditions on standard pseudoisochromatic tests" (PDF). Bulletin of the Psychonomic Society. 22 (6): 525–528. doi:10.3758/BF03333897 . Retrieved 5 October 2025.
  5. Crawford, A. (1955). "THE DVORINE PSEUDO-ISOCHROMATIC PLATES1". British Journal of Psychology. 46 (2): 139–143. doi:10.1111/j.2044-8295.1955.tb00532.x. PMID   14378539 . Retrieved 5 October 2025.
  6. 1 2 "COLOR VISION TESTS - Procedures for Testing Color Vision". NCBI Bookshelf. National Center for Biotechnology Information (US). 1981. Retrieved 5 October 2025.
  7. 1 2 "ACCEPTABLE TEST INSTRUMENTS FOR COLOR VISION SCREENING OF ATCS (Updated 08/27/2025)" (PDF). Federal Aviation Administration. 27 August 2025. Retrieved 5 October 2025.
  8. "Validation of an Inexpensive Illuminant for Aeromedical Color Vision Screening" (PDF). Federal Aviation Administration. Office of Aviation Medicine. 1993. Retrieved 5 October 2025.
  9. "Validation of an Inexpensive Illuminant for Aeromedical Color Vision Screening" (PDF). Embry-Riddle Aeronautical University Digital Library. Federal Aviation Administration. 1993. Retrieved 5 October 2025.
  10. Sloan, Louise L.; Habel, Adelaide (February 1956). "Tests for Color Deficiency Based the Pseudoisochromatic Principle: A Comparative Study of Several New Tests". AMA Archives of Ophthalmology. 55 (2): 229–239. doi:10.1001/archopht.1956.00930030233009. PMID   13282548 . Retrieved 5 October 2025.
  11. Steen, Jo Ann (December 1973). "UTILITY OF SEVERAL CLINICAL TESTS OF COLOR DEFECTIVE VISION IN PREDICTING DAYTIME AND NIGHTTIME PERFORMANCE WITH THE AVIATION SIGNAL LIGHT GUN" (PDF). Federal Aviation Administration. Office of Aviation Medicine. Retrieved 5 October 2025.
  12. Walsh, David V; Robinson, James; Jurek, Gina M; Capó-Aponte, José E; Riggs, Daniel W; Temme, Leonard A (April 2016). "A Performance Comparison of Color Vision Tests for Military Screening". Aerospace Medicine and Human Performance. 87 (4): 382–387. doi:10.3357/AMHP.4391.2016. PMID   27026122.
  13. "Guide for Aviation Medical Examiners – AME Information - Color Vision Screening Steps". Federal Aviation Administration. 27 August 2025. Retrieved 5 October 2025.