Color changes in cyanosis and the significance of congenital dichromasy and lighting

There are anecdotal reports of color vision deficient medical practitioners (particularly deuteranopes) having difficulty in recognizing cyanosis. An understanding of the color changes in oxygenated blood has led to a better understanding of the lighting needs for hospitals. Using the same database, this article investigates the propensity for color vision deficient observers to make mistakes with cyanotic patients. The possibilities for helping the observer with appropriate color of lighting are considered. The spectral reflectances of blood at varying oxygenation levels previously reported were used 7 ; 8 to calculate chromaticity and lightness. The direction of the chromaticity change was compared with the protanopic and deuteranopic confusion lines. An attempt was made to identify sources that enhanced color changes for the color deficient. The color change of blood oxygenation is closely aligned with the confusion lines of congenital dichromats (particularly protanopia) showing the potential for difficulty in making this decision. No source could be demonstrated to solve the problem or even reduce it significantly. © 2007 Wiley Periodicals, Inc. Col Res Appl, 32, 428–432, 2007