There are many advantages to the computerization of colour vision test
s. However, previous computerized colour vision tests have involved eq
uipment and methods not commonly used in clinical practice. We created
computer emulations of the City University Colour Vision Test (CUT),
Ishihara plates and American Optical Hardy-Rand-Rittler (AO-HRR) plate
s using a commonly available 24-bit colour Macintosh computer. Our col
our monitor was calibrated to standard display white (D65), and colour
plates were imaged with a colour scanner. The computerized colour ima
ges were compared with the standard test plates in a sample of 21 subj
ects with normal colour vision, 10 patients with congenital red-green
defect and I patient with an acquired mixed colour defect. The compute
r images of the three tests correlated well with their conventional co
unterparts on kappa statistic analysis (p < 0.001), for both the colou
r normal and colour defective groups. We conclude that our computer em
ulations of the CUT, Ishihara and AO-HRR tests screen subjects with no
rmal colour vision with high specificity and delineate congenital colo
ur defects with a sensitivity comparable to that of their conventional
counterparts.