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UNIVERSITI TEKNOLOGI MARA

EFFECT DIFFERENT LEVEL OF

ILLUMINATION ON COLOR VISION TESTING AMONG COLOUR VISION DEFICIENCY

PATIENT

NOR FATIMAWATI BINTI GHAZALI

BACHELOR OF OPTOMETRY (HONS.) FACULTY OF HEALTH SCIENCES

JULY 2015

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ii

AUTHOR’S DECLARATION

I declare that the work in this proposal is my own, and all any part that is not my own is been fully acknowledge in accordance with the standard referring practices of the discipline.

I, hereby, acknowledge that I have been supplied with the Academic Rules and Regulations for Post Graduate, Universiti Teknologi MARA regulating the conduct of my study and research.

Name of Student : Nor Fatimawati Binti Ghazali Student I.D. No. : 2011487756

Program : Bachelor of Optometry (Hons)

Faculty : Faculty of Health Science

Date : JULY 2015

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v

CONTENTS

TITLE PAGE

AUTHOR’S DECLARATION ii

APPROVAL iii

ACKNOWLEDGEMENT iv

CONTENTS v

LISTS OF TABLES viii

LIST OF FIGURES ix

LIST OF PLATES x

LIST OF ABBREVIATIONS xi

ABSTRACT xii

ABSTRAK xiii

CHAPTER 1 INTRODUCTION 1

1.1 Illumination 1

1.2 Farnsworth D-15 3

1.3 Colour Vision Defect 5

1.4 Problem Statement 8

1.5 Study Objectives

1.5.1 General Objectives 1.5.2 Specific Objectives

9 9 9

1.6 Study Hypothesis 9

CHAPTER 2 LITERATURE REVIEW 11

2.1 Illumination 11

2.2 Farnsworth D-15 12

2.3 Illumination and Farnsworth D-15 14

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vi

CHAPTER 3 METHODOLOGY 17

3.1 Study Design and Location 17

3.2 Subjects

3.2.1 Inclusion Criteria 3.2.2 Exclusion Criteria

17 17 18

3.3 Instrument

3.3.1 Ishihara Plates 3.3.2 Farnsworth D-15 3.3.3 Luxmeter

18 18 20 24

3.4 Procedure 26

3.5 Ethic Approval 27

3.6 Data Analysis 27

CHAPTER 4 RESULT 28

4.1 Demographic Data 28

4.2 Normality Test 28

4.3 Effect of Low Level of Illumination on Farnsworth D-15 Result

29

4.4 Effect of Moderate Level of Illumination on Farnsworth D-15 Result

29

4.5 Effect of High Level of Illumination on Farnsworth D-15 Result

30

4.6 Correlation of Low, Moderate, and and High Illumination

31

CHAPTER 5 DISCUSSION AND LIMITATION OF STUDY

32

5.1 Discussion 32

5.2 Study Limitation 36

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xii

EFFECT DIFFERENT LEVEL OF ILLUMINATION ON COLOR VISION TESTING AMONG COLOUR VISION DEFICIENCY PATIENT

ABSTRACT

Colour vision testing is one of the entrance test conducted by optometrists to differentiate between normal colour vision and colour vision anomalies. However different level of illumination can affect results of colour vision testing. The objective of this study is to identify the effect of different levels of illumination on Farnsworth D-15 colour vision test among subject with colour vision defect that came to Ui Vision Care Optometry Clinic UiTM Puncak Alam Campus. Thirty subjects were participates on this study. Each subject was been screened with Ishihara colour vision and VA test. However, seven subjects from the participants who had VA 6/6 and fail Ishihara were been tested using Farnsworth D-15 at range of 30 to 36 lux, 293 to 305 lux, 905 to 920 lux and 1893 to 1910 lux of illumination.

The used of low illumination which is range from 30 to 36 lux shows 28.6% of normal and deutan result respectively but 42.9% of the subject are scotopic. For moderate level of illuminations which are from 293 to 305 lux, 57.1% of subject shows normal result, 42.9% of subject shows deutan result and no result of scotopic.

Then, 57.1% of subject shows normal result, 42.9% of subject shows deutan result and no result of scotopic for range 905 to 920 lux and 1893 to 1910 lux indicated for high illumination. In conclusion, colour deficiency patient can be misclassified in low illumination whereas in moderate and high level of illumination, result of Farnsworth D-15 test is the same as the standard illumination.

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