Patient’s Name/ Pat Code: __________________________________________ Date: ______________

Person with
Number of Normal Person with Red-Green Total Color
Answer Blindness and
Plate Person Deficiencies
Weakness
1 12 12 12
2 8 3 X
3 6 5 X
4 29 70 X
5 57 35 X
6 5 2 X
7 3 5 X
8 15 17 X
9 74 21 X
10 2 X X
11 6 X X
12 97 X X
13 45 X X
14 5 X X
15 7 X X
16 16 X X
17 73 X X
18 X 5 X
19 X 2 X
20 X 45 X
21 X 73 X
Protan Deutan
Strong Mild Strong Mild
22 26 6 (2)6 2 2(6)
23 42 2 (4)2 4 4(2)
24 35 5 (3)5 3 3(5)
25 96 6 (9)6 9 9(6)
The letter “X” shows that the plate cannot be read. The numerals in parenthesis show that they can be read but
they are comparatively unclear.
 Red green blindness Answer

Protan Deutan

Plate Normal Absolute Partial Absolute Partial

Number Person (Protanopia) (Protanomalia) (Deuteranopia) (Deuteranomalia)
A (along A (both lines but A (both lines are
A (only purple A (only red line is
26 & 27 purple & red
line)
purple line is
traced)
traced but red is
lines) easier to follow) easier to follow)
Plate Normal Person with Red Green Person with Total Color Blindness
Number Person Deficiencies and weakness

28 & 29 X A X

A (Bluish-
30 & 31 Green line)
X X

A (Orange
32 & 33 Line)
X X

A (Bluish-
Green
34 & 35 & Yellowish-
A (Bluish-Green & Purple) X
Green line)
A (Purple &
36 & 37 A (Purple & Bluish-Green) X
Orange)

38 A A A

A: Able to trace the winding lines between 2 X’s

X: Unable to trace the line connecting the two X’s or follow the line
( ): Along the color mentioned