Clinical Assessment Tool

Farnsworth–Munsell 100-Hue Test

Colour Vision Deficiency Evaluation · Racks I–IV · 85 Caps

Overview About This Test

The Farnsworth–Munsell 100-Hue Test (FM100) is a sensitive assessment of colour discrimination ability and colour deficiency classification. Despite its name, it uses 85 movable caps across four racks, arranged to represent a complete hue circle. Each of the three forms of dichromatism (protan, deutan, tritan) produces a characteristic failure axis on the polar plot.

Used for: Congenital and acquired colour deficiency · Optic nerve disease monitoring · Macular disease assessment · Occupational colour aptitude testing

Setup Pre-Test Conditions

  1. Test under standard illuminant D65 daylight (6500 K), ideally a colour-matching booth. Avoid incandescent or fluorescent sources.
  2. Corrected vision must be adequate — the test is primarily chromatic, not acuity-dependent. Ensure spectacles/contacts are worn.
  3. Allow 2–3 minutes light adaptation before commencing.
  4. Present one rack at a time with the lid closed on remaining racks to prevent memorisation.
  5. The two anchor caps at each rack end are fixed and labelled — do NOT move them. Only the intermediate caps are rearranged by the patient.

Procedure How to Administer

  1. Remove the intermediate caps from Rack I and scramble them in front of the patient.
  2. Ask the patient: "Please arrange these coloured caps in order, so that the colours form a smooth gradual sequence between the two end caps."
  3. Time each rack — normal completion is 2–4 minutes per rack; excessive time may indicate colour confusion.
  4. Repeat for Racks II, III, and IV.
  5. Record the cap sequence exactly as placed. Enter the position numbers into this tool.
  6. Test each eye separately (right eye first by convention).
⚠ Remind the patient: "There is no right or wrong — just arrange what looks most natural to you." Avoid prompting or correction during the task.

Scoring Error Score Calculation

For each cap, the error score is: |Positionleft − Correct| + |Positionright − Correct|. Scores range from 0 (perfect) to 4 (maximum error). Total Error Score (TES) is the sum of all individual scores.

  • TES < 16: Superior colour discrimination
  • TES 16–100: Normal range (age-dependent)
  • TES > 100: Colour deficiency likely
  • TES > 200: Severe deficiency or acquired pathology
The polar plot reveals the axis of confusion: protan = red-purple axis (~0°/180°); deutan = red-green axis; tritan = blue-yellow axis (~90°/270°).

Patient Information

Visual Conditions

👁 Right Eye (OD)
Left Eye (OS) 👁
↔ Drag caps to reorder · Anchor caps (▲) are fixed · Numbers show arrangement position

Complete the test entry and click "Calculate Results"