Vol. 71, No. 11/November 1981/J. Opt. Soc. Am. Pokorny et al. 1327 Color matching in autosomal dominant tritan defect Joel Pokorny and Vivianne C.Smith Eye Research Laboratories, The University of Chicago, 939 East 57th Street, Chicago, Illinois 60637 Loe N. Went Department of Human Genetics, Leiden University, Wassenaarseweg 72, 2405 Leiden, The Netherlands Received April 1, 1981 We evaluated color matching in 39 observers with an autosomal dominant tritan defect. Eleven tritans were dichromats with a 10 field, and only two were dichromats with an 80 field. Twenty-one of the tritan observers had normal blue-green equations with an 80 field, indicating that autosomal dominant tritans have short-wavelengthsensitive cones. Some of the tritan observers showed a shifted blue-green equation, which was ascribed to rod activity. Observers with defective color vision confuse colors that to the color-normal observer may appear quite different. Tritan observers are characterized by color confusions, such as green with blue or yellow with violet. Kbnig' described the tritan defect as characteristic of the normal observer when a small field of view is used. Later, he2 described similar color-vision defects accompanying eye disease. Kbnig apparently did not consider that he had seen the tritan defect as a congenital color defect in persons without ophthalmoscopic abnormality. Waardenburg, 3 however, thought that at least one of Kbnig's patients was a congenital tritanope. Similar to protanopia and deuteranopia, tritanopia is usually considered a loss system, 4 affecting the short-wavelength-sensitive (SWS) cones. Tritan defects were reported 5 -7 rarely and without a hereditary basis until Wright 8 used a magazine article (Picture Post) to attract the attention of possible tritan observers. As a result, Wright 8 confirmed tritanopia in 17 persons and measured 1.20 color-matching characteristics for 7 of them. Kalmus 9 demonstrated an autosomal dominant inheritance in his study of the families of 22 tritans. The mechanism of tritanomaly, a trichromatic form of tritan defect, is puzzling. Tritanomaly is classified as an alteration system, 4 implying that one or more of the cone visual photopigments differ in their absorption spectra from that occurring in normal trichromats. Since tritans have normal Rayleigh matches (unless there is concomitant congenital or acquired red-green color defect), their middle- and longwavelength-sensitive (MWS and LWS) photopigments are normal. Tritanomaly is expected when photoreceptors other than normal SWS cones are active in blue-green matches. Parallel to the use of the Rayleigh equation for detection of protanomalous and deuteranomalous trichromacy, tritanomaly should be detected by a match of violet and green primaries to a blue-green test field; tritanomals should use an abnormally high proportion of blue primary in their matches. Blue-green equations are subject to large interobserver variation among color-normal observers; an equation for tritanomaly would, as Wright 8 cautioned, be sensitive to interobserver variation in density of macular pigmentation. 0030-3941/81/111327-08$00.50 The use of blue-green equations for recognition of tritanomaly is therefore not so certain as the use of the Rayleigh equation for recognition of congenital X-linked red-green color-vision defects. Engelking' 0 described the original published case of tritanomaly in his student Hartung. Hartung" found the defect in two of his maternal uncles, the more severely affected being described as almost tritanopic."11" 2 Although initial data'0' 2 suggested X-chromosomal-linked inheritance, subsequent 2 4 -' stressed phenotypic variation with autosomal pedigrees 9 "1 dominant inheritance in tritanomaly.' 3 -'8 Cole et al. 15 suggested that there was no evidence that tritanomaly was transmitted as a separate genetic entity, but they could not distinguish tritanomaly from incomplete tritanopia in their pedigree. We had the opportunity to study many individuals with an autosomal dominant tritan defect in The Netherlands by using a Moreland anomaloscope. We were interested in two issues. First, we wished to learn if the size of the field of view affected color-matching performance. One of the Wright 8 tritanopes showed dichromacy19' 20 for a 1.750 parafoveal field. However, larger field sizes were not presented. We thought it possible that phenotypic variation might be different for 10 and 80 fields. Second, we wished to evaluate all affected family members for tritanomaly. For this purpose we used the blue-green equation specifically designed for detection of tritanomaly.2 1-2 4 Screening and Criteria for Selection of Tritans In contrast with tests to screen for red-green defects, there are relatively few tests to screen tritan defects. The tritan tests are unvalidated, having been used on rather few tritan observers. A recently developed test that is a sensitive indi- cator of tritan defects is the TNO tritan test,2 5 ' 26 in which the observer is required to detect a 0.80, 456-nm rectangular stinulus that flickers at 0.5 Hz on a 140 6000-cd-m- 2 yellow-adapting field. A slide with four neutral filters is interposed before the blue test field. The filter densities are calculated so that after chromatic adaptation of 1-2 min to the © 1981 Optical Society of America 1328 Pokorny et al. J. Opt. Soc. Am./Vol. 71, No. 11/November 1981 Table 1. Summary of Color Matching for Autosomal Dominant Tritan Observers Family Observer Pedigree 1 II-1 11-5 11-6 11-8 11-9 11-10 II-15 Information siblings Dichromatic Coefficient" Red-Green Defect 20 40 Moreland Equationb 8° Age Sex 75 70 68 66 64 63 55 F M M M F M M X - X X X X X X - 47 39 38 M F M 23 21 20 F F F 33 31 20 M M M 10 80 1° S S S S S N? N - S S S - S - S? X - S X(RE) - LE:S;RE:N? U N LE:N?RE:N? N? S F F N N N F F F N W N LE:S;RE:W W S LE:N;RE:N N N F N F III-1 III-5 III-6 children of II-1 III-18 III-19 111-20 children of II-5 III-29 III-30 III-34 children of II-10 III-36 III-38 III-40 children of II-13 (deceased) 32 28 23 F M F X(OU) X X III-43 children of II-15 24 F V1 V IV-2 IV-16 child of III-1 child of 111-5 11 M F X U - - - S 9 U U U S N U siblings 47 46 35 32 F M M M V F F F W W W W N child of II-1 11 W N siblings F F F N W W F Pedigree 2 II-1 11-2 II-3 II-4 III-1 Pedigree 3 II-2 II-4 II-5 11-6 III-9 111-11 III-12 children of 11-4 child of 11-5 Pedigree 4 III-17 IV-15 IV-20 IV-22 Pedigree 5 11-1 a b children of III-17 U U U U V X X V V/ X X DA DA DA x X X VI x V D VA V M X X 54 49 47 45 M F F M x 22 17 11 M F M 55 DA X X DA V/ X V X x X X - W - F - F N N N X F N 'I X F F S N W N V/ VI F W x x X X X F X 29 25 20 F F F X x 39 F X X v/, accepts; X, refuses;-, not tested; U, untestable. N, normal; S, shift; W, wide; F, full; U, untestable. yellow field, detection of the test field should be mediated by SWS cones for slide positions 1 and 2 and by SWS, MWS, or LWS cones for slide positions 3 and 4. The observer with normal color vision or an X-linked red-green defect should detect the test field for all four slide positions. The observer with a functional reduction in SWS sensitivity may detect the test field only at slide position 3 or 4. It was anticipated that elderly observers or observers with acquired color-vision defects4 would also fail the TNO tritan test. We therefore adopted the following as minimal criteria for diagnosis of autosomal dominant tritan defects: (1) (2) The individual should fail the TNO tritan test. Positive family history. One parent should also fail Pokorny et al. the TNO tritan test, or family study should reveal an autosomal dominant mode of inheritance. (3) There should be no indication of optic atrophy or other ophthalmologic disease. We tested 39 observers with an autosomal dominant tritan defect who met these criteria. Observers The tritan observers came from five families (Table 1). Pedigree l This was a large pedigree in which we tested 22 tritan members. The index case (III-19) was found in a screening of 400 students25 by using the TNO tritan test. Subsequently, other family members representing three generations were tested. We evaluated by anomaloscope 22 of the 26 who failed the TNO tritan test as well as 7 other family members. Pedigree 2 The index case of this family was found in a screening at a medical instrument convention by using the TNO tritan test.26 A tritan defect was subsequently established in three siblings and a nephew of the index case, all of whom we tested. Pedigree 3 This family was described as family B by van de Merendonk and Went. 27 The index case (111-10), a deuteranomalous trichromat, was found in a school screening for red-green defects by using pseudoisochromatic plates as screening devices. 27 An autosomal dominant tritan defect was subsequently discovered in eight family members, of whom we tested seven. Pedigree 4 This family was described by Went et al.,28 who identified eleven tritan members, of whom we have tested four. Pedigree 5 The index case of Hungarian origin was found in the same screening as Pedigree 1.25 Subsequently, the mother was examined and found to have a tritan defect. Methods Vol. 71, No. 11/November 1981/J. Opt. Soc. Am. 1329 that of the Nagel anomaloscope. 4 31 The spectral test field was variable in luminance; the primary mixture field was variable from instrument unit 0 at primary 1 to instrument unit 424 at primary 2. The field was freely viewed; each observer used his preferred eye. The observers adapted to the ambient field illumination. Observers were cautioned not to stare continuously at the field but rather to use a glance technique in which they looked away every 10-12 sec. This technique was used to minimize the changes in color appearance that occur with continuous viewing of blue-green test fields. Experiment 1: Evaluation of Dichromacy in 39 Observers with an Autosomal Dominant Tritan Defect We evaluated two equations. First, we checked each observer's Rayleigh equation to establish whether red-green vision was normal or showed evidence of X-chromosomelinked red-green color defect. We then presented a dichromatic match to evaluate the presence of tritanopia. Procedure 1. The Rayleigh Match. The test-field wavelength was 589 nm; the mixture field primaries were 545 and 670 nm. The field size was 2°; the field luminance was approximately 5 cd m_2 . For those observers over 16 years of age for whom preliminary screening indicated normal red-green vision, a self-adjustment technique was used. The observer controlled the test-field luminance knob and the primary ratio control. The observer who asked to adjust the test-field luminance and primary ratio to achieve a color match. The majority of observers were able to do this without difficulty. For younger observers and for those for whom we suspected a red-green color defect, the primary ratio adjustments were made by the experimenter; the observer reported whether the circular field appeared to be of uniform color. 4'3' 2. Dichromatic Coefficients. The test-field wavelength was 589 nm; the mixture-field primaries as used by Wright were 650 and 480 nm. The mixture-field luminancb varied with the primary ratio. At the characteristic tritanopic match, the field luminance was 15 cd m- 2 . The field size was 10, 20, 40, or 8°. A self-adjustment technique was used. For younger observers, matches characteristic of tritanopes were presented. A 10 or 20 field was presented initially; if a 10 match could not be made the procedure was discontinued. If 10 and 20 matches were accepted, the procedure was repeated for the 40 and 80 fields. Equipment A Moreland universal anomaloscope 29 was used. Modification of this interference-filter anomaloscope has been described. 30 The instrument permits a circular bipartite field of variable extent to be used, with the left half-field giving the test field and the right half-field giving the matching field. We used stops yielding field sizes between 10 and 8° visual angle. Three-cavity interference filters (Ditric) were used for this study. Wavelengths of peak transmission and half-height bandwidth were measured in the anomaloscope with a calibrated laboratory-constructed spectroradiometer. Halfheight bandwidths ranged from 7 to 14 nm. Procedure The majority of observers were tested in their homes. The anomaloscope was used in a manner essentially identical with Results The majority of the tritan observers had normal red-green color vision. X-chromosomal-linked defects occurred in three pedigrees. Protanomaly and deuteranomaly occurred in Pedigree 1, protanopia and deuteranomaly in Pedigree 2, and deuteranomaly in Pedigree 3. Five of the tritan observers, two in Pedigree 1 (I1-29, III-34), two in Pedigree 2 (II-2, II-4), and one in Pedigree 3 (III-9), showed a combination of a tritan defect with deuteranomaly. Segregation of X-chromosomal and autosomal dominant genes was observed in Pedigrees 1 and 3. We tested 37 tritans (20 in Pedigree 1 and all in Pedigrees 2-5): 25 refused the dichromatic match with a 10 field, 11 accepted the 10 match, and one who was not tested with the 10 field accepted the 20 field match (Table 1). Fewer tritans 1330 Pokorny et at. J. Opt. Soc. Am.NVol. 71, No. 11/November 1981 accepted the dichromatic match as the field size increased, and only two observers showed tritanopia for an 8° field. Among the five deuteranomalous tritans, two accepted a 1° dichromatic match and none accepted the 8° dichromatic match. Our data indicate that dichromacy is not typical in autosomal dominant tritan defect. The majority of the tritans were trichromats even with a 1° field. In our test families we note that observers with congenital deuteranomaly do not have a more severe tritan defect than observers with normal red-green vision. Experiment 2: The Moreland Equation The Moreland equation is a blue-green equation optimized by Moreland and Kerr2 1' 22 to minimize the effect of interobserver macular pigment variation. It is similar to the equation previously derived by Speranskaya. 2 3 The equation is affected by the age of the observer, but norms are available.24 We used 430 nm for the blue primary rather than the 440 nm used by Moreland and Kerr 21l22 because pilot data indicated that color-normal observers showed less match-midpoint variation when 10 and 80 matches were compared. Since 430 nm nearly coincides with the tritan confusion wavelength for 500 nm, we hoped to obtain good correlation between fullrange Moreland equations and acceptance of dichromatic coefficients. Procedure We used primaries of 500 and 430 nm in the mixture field and 480 nm with a small amount of 580-nm desaturation in the test field. 2 1'22 The mixture-field luminance varied with the mixture ratio and was 5 cd m-2 at the normal match for a young observer. A fixed mixture ratio was presented, and the observer was instructed to adjust the luminance of the test field and report if an exact color match occurred. After each setting, the mixture ratio was reset and the full matching range for the equation was established. For the majority of observers the desaturant was fixed. 21'22 If an observer refused the normal match, we varied the desaturant to check that the normal blue-green ratio was refused at all desaturant levels. Field sizes of 10, 20, 40, and 80 were used; in some observers, all four were evaluted; in others, only the 10 and 83 fields were evaluated. We tested the preferred eye; if time (and patience) permitted we checked the fellow eye. Normal data were obtained from 10 observers who worked in the laboratories. All were under 45 years of age; six had normal color vision; four had congenital X-linked deutan defects. The Moreland equation does not distinguish between normal and deutan observers. We also noted that rod intrusion does not affect 83 Moreland matches. All observers could make acceptable 80 matches without reporting annoying desaturant effects. The 80 matches were if anything easier to make than the 10 matches. In addition, we tested seven members of Pedigree 1 who passed the TNO tritan test to verify the Moreland equation in the field-testing situation. These observers included one deuteranomalous trichromat. All gave normal Moreland equations. Results We classified the data according to four groups (Table 1): (1) Normal: A normal match showed normal midmatching position for age and a narrow matching range (fewer than 20 instrument units). (2) Shifted: A shifted match showed a 600- I-0. LL 0 A 0.6 N N b. 3 0 0 -LJ N U 0 0.2 0.4 0.6 0.8 tO0 MIXTURE RATIO Fig. 1. Comparison of 10 (open symbols) and 80 (filled symbols) color matches for the Moreland equation (480 nm + 580 nm - 500 nm + 430 nm). The flux in the 480-nm + 580-nm test field is shown as a function of the proportion of 430-nm primary. The solid line shows 10 brightness matches made by a 10 tritanope; the dashed line shows 80 matches made by a complete achromat. Observer symbols: inverted triangles, 1,III-1; squares, 1, III-18; triangles, 1, 1II-40; diamonds, 1, IV-2; circles, 4, IV-22. midmatching position and range that did not fall within the normal position for age. Matching ranges of shifted matches were usually narrow. In no case did variation of the desaturant change the match location. (3) Wide: A wide match included the normal match and showed a matching range that was 6-18 times wider than normal (i.e., 120-350 instrument units). (4) Full: a full matching range including either primary (425 instrument units) or an extremely wide matching range excluding only one or another primary (over 400 instrument units). With a 11 field, 19 observers showed a full range match, 2 showed a widened matching range, and 11 showed a shifted match. We could not establish a match for two observers (Pedigree 1, II-8 and III-6). One observer (Pedigree 1, III-5) had a shifted match with one eye while the other eye matched approximately normally; yet another observer (Pedigree 1, III-36) showed a shifted match in one eye and a wide match in the other. For the 80 field, twenty-four observers gave a normal match; eight gave a wide match; one gave a full match; five gave shifted matches. One (Pedigree 1, IV-15) was impossible to test. For the 1° field, a shifted match was seen in five persons over 64 years of age and in six observers (excluding III-5) ranging in age between 9 and 47 years. For the 83 field, the shifted match occurred only in the five observers aged over 64 years of age. Five younger observers who had a shifted match for the 10 field had a normal match for the 80 field. The brightness matches for the various ratios in the matching range were plotted for the five tritans with shifted 10 and normal 80 matches (Fig. 1). The figure shows 83 matches in filled symbols and 10 matches in open symbols. The arrows show average midmatching points and flux settings of our 10 control observers. The heavy solid line shows the 10 brightness matches of one of the 10 tritanopes (Pedigree 1, III-20). This line intersects the normal matches and agrees with the 83 matches of the five tritans. Pokorny et al. Vol. 71, No. 11/November 1981/J. Opt. Soc. Am. The 10 shifted matches require a high proportion of 430-nm primary and are made with low 480-nm flux. The matches do lie on the 10 dichromat's match, i.e., the 1° dichromat is a reduction system of both 10 and 80 tritan matches. A shifted match may be indicative either of an alteration system, 4 which could occur if a photopigment other than SWS cones mediated the match, or of an absorption system, which could occur if an abnormal spectrally selective filter attenuated light before the retina. The acceptance of the shifted 10 matches by I' dichromats suggests an alteration rather than an absorption system. In a study of incomplete achromatopsia, 2 we found an incomplete achromat who had a similarly shifted 80 Moreland equation. This suggested that rods might be the receptor system mediating the shifted 10 matches. The dashed line in Fig. 1 shows 8° matches made by a complete achromat3 2 The 10-shifted matches occur near the intersection of the achromatic and tritanopic matches. It is, therefore, possible that the matches are rod mediated. In order to investigate this possibility, we decided to test other wavelengths. I; 111-18 0 -0.41 -0.8I 1331 -I - L- --- -1.2 -1.6 1 I; M-40 -J 0 I -l.2 o -1.6 Experiment 3: Extended Match Series for the Moreland Equation According to von Kries, 33 an alteration system can be differentiated from an absorption system when a series of test wavelengths is used. In an absorption system the normal and abnormal matches remain in constant proportion, i.e., the amount of shift is independent of test wavelength. 4 The algebraic basis is shown by Alpern et al.34 In contrast, in an alteration system the normal and abnormal matches change in proportion, i.e., the amount of shift varies with test wavelength. Procedure Following the example of the extended Rayleigh series, we used the same primaries, 500 and 430 nm, and desaturant, 580 nm, as for the Moreland equation. We used test wavelengths 440, 450, 460, 470, and 490 nm. For each of these test wavelengths, two of the authors (JP and VS) made a large-field (80) match, varying the amount of desaturant for a best color match. The desaturant was then fixed at that level. A 10 tritanope (Pedigree 1, 111-20) made 10 brightness matches, and a complete achromat made 80 brightness matches for the five test wavelengths. Two of the tritans with shifted 10 matches (Pedigree 1, III-18 and Pedigree 4, IV-22) performed the full series of 10 and 80 matches. A third tritan (Pedigree 1, III-40) was available only for a limited time and was tested at 460,470, and 490 nm. The procedure was as before. The test wavelength with fixed desaturant was chosen. For various ratios of primary ratio, the tritans adjusted the flux of the test field and reported whenr a color match was obtained. Results The logarithm of the midmatching point and range was calculated; the data for a test wavelength of 480 nm were included in the calculation. The logarithmic differences between 80 and 10 as a function of test wavelength (Fig. 2) are shown. In this plot, an absorption system should give data that show no dependence on wavelength. Despite rather large error bounds, data for the three observers show a systematic decrease as test wavelength increases. The solid line is an es- 0n 4; IV-22 0 -J -0.4 -0.8 -1.2 -1.6 I 44 0 I I 460 I I 480 TEST WAVELENGTH (nm) Fig. 2. The results of the extended-wavelength series (X + 580 nm 500 nm + 430 nm). The difference between logarithms of the blue-green ratio (B/G) for 10 and 80 matches is plotted as a function of test wavelength. The solid line is theoretical (see text). - timation of the differences expected if rods were active in the 10 matches and SWS cones were active in the 80 matches. For the analysis, the CIE 1964 100 observer Tx was taken as representing the SWS cone spectral sensitivity, and the CIE 1951 Vx' represented the rod spectral sensitivity. These data are consistent with an alteration system. Using the same data format as for Fig. 1, the mixture ratios and brightness settings were plotted (Fig. 3). The normal matches and tritan matches fall on the tritanope's brightness matches. The 80 matches of the tritans fall near the 80 matches of the normal observers. The 10 matches are shifted toward the 430-nm primary and occur near the complete achromat's brightness matches. The two independent analyses of the data are consistent with the hypothesis that the shifted 10 matches are mediated by activity of a rhodopsin photopigment with peak sensitivity near 490-500 nm and that 80 matches are mediated by SWS cones. Discussion All the tritans had an abnormal Moreland equation with a 10 field. The 10 Moreland match therefore agreed with the TNO 1332 Pokorny et at. J. Opt. Soc. Am.NVol. 71, No. 11/November 1981 I gm J 90( N I I X I I 470 nm 09O0 -J LI U- IL I- 440 w I nm en e) LI I.- i- 6 0 0 Li. 0 0 -+N X x -J IL. W w30C 30 0 -J -J Ix w 0 g 0.2 04 0.6 0 0.8 0i 'Di 0.6 0.8 I MIXTURE RATIO (d) MIXTURE RATIO (a) .J I\ 'C -J 9 0 0 45o nm IU) 60C 0 'C U. X -J LL w300 -J ii: I I D I 0.2 Ip I 0.4 I 0.6 I I 0.8 I t. 1.0 MIXTURE RATIO (b) MIXTURE RATIO (c) tritan test in establishing functional SWS cone abnormality. The color matches showed interfamilial and intrafamilial variation, just as has been reported previously for screening and discrimination tests. The dichromatic coefficients and Moreland equations showed some variability: not all dichromats had full-range Moreland matches; conversely, many tritans with full-range 1° Moreland matches were not 10 dichromats. There was also some indication of intereye variability. Observer III-36 gave a shifted 10 Moreland match in one eye but a wide match in the other. Unfortunately, time constraints and general difficulties of field testing made it impossible for us to obtain full data on both eyes from all observers. Observer II1-5 showed a shifted match in one eye and a normal match in the other eye. There was a mild vi- MIXTURE RATIO (0) Fig. 3. Comparison of 80 (filled symbols) and 10 (open symbols) matches for five test wavelengths on the extended-wavelength series (X + 580 nm =_500 nx + 430 m). The flux in the test field is plotted as a function of the proportion of 430-nm primary. The solid line shows 1° brightness matches of a I1 txitanope; the dashed line shows 8° brightness matches of a complete achromat. Test wavelengths were 440 nm [panel (a)], 450 nm [panel (b)], 460 nm [panel (c)], 470 nm [panel (d)], and 490 nm [panel (e)]. Observer symbols: squares, 1, III-18; triangles, 1, II-40; circles, 4, IV-22. sual-acuity deficit in the color-normnal eye, but ophthalmoscopic examination was not revealing. We thought that eccentric fixation in that eye might explain the normal color match since the majority of tritan observers made normal matches with 80 fields; we have no other explanation of the result. The data from the 22 observers of Pedigree 1 showed some differences from the data of the 17 observers from Pedigrees 2-5. Some of these differences may be ascribed to age. Six of the seven Generation II members in Pedigree I were 19-20 years older than any of the tritans in Pedigrees 2-5. If these Generation II members were omitted, the differences between Pedigree 1 and Pedigrees 2-5 for the 80 test field would be reduced. Nevertheless, we found only four I dichromats of 16 Generation III-IV tritans in Pedigree 1, compared with eight 10 dichromats of 17 tritans in Pedigrees 2-5, Pokorny et al. whereas we noted a shifted 10 Moreland match in six young members of Pedigree 1 and in only one member of Pedigrees 2-5. Finally, we did find evidence of an alteration system 4 in some of the observers. We suggested that the shifted matches reflect rod activity. We have previously noted that rods may be active in color matching of color-defective observers. 3 4-3 6 Of note in this study was rod activity in a 10 colorimetric field. We suppose that certain observers have small or nonexistent rod-free zones or are able to use stray light in making 10 discriminations. Provided that rods are active, their signals may give information to those observers whose color vision has been compromised by hereditary or acquired defects. Among tritan observers over 64 years of age, a shifted blue-green equation was seen even with an 8° field. The shift was larger than would be expected on the basis of age-related changes in ocular media transmission21 ' 22 and may reflect a variation of a normal retinal aging phenomenon. We hypothesize that if SWS function diminishes, rods may become an active color receptor. Some clinical Moreland equation data may be interpreted in this way: Moreland et al.38 noted a shifted blue-green equation in one eye of a 55-year-old patient with maculopathy (visiual acuity, 0.7) similar to the shifted bluegreen matches that we observed in young and old tritan observers. Further, Moreland 39 has reported shifted small-field matches in some diabetic patients. We found that most tritans made a completely normal blue-green color match using an 80 field. Some continue to show chromatic discrimination loss, but only 2 of 39 tritans showed 8° dichromacy. We infer that the normal 80 Moreland equations indicate that the majority of tritans have SWS cones in their retinas. Our studies do not indicate the cause of the tritan defect. The tritan defect might reflect an abnormal number or distribution pattern of SWS cones or a neural defect. ACKNOWLEDGMENTS Noor van Heel, Lida Spruyt, and Inge van Leeuwen assisted in the field studies and in color screening of the tritan families. This research was performed during 1979-1980 in the Department of Human Genetics, Leiden University, and was presented at the Optical Society of America Annual Meeting, October 1980. 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