Skip to main content

Advertisement

Log in

Abstract

Background

The aim of this study was to evaluate if iris color is associated with differences in visual functions such as intraocular straylight (IOSL), contrast sensitivity (CS), or best-corrected visual acuity (BCVA).

Methods

In this retrospective cohort study, which is a subgroup analysis of a large prospective trial about visual impairments in European car drivers, we included 853 persons between 20 and 80 years of age and without a history of ocular surgery or any eye disease including cataract. Subjects participated in an ophthalmological examination, grading of lens opacity, and the measurement of visual functions such as IOSL, CS, and BCVA. Dependent on iris color, participants were divided into four groups: light-blue, blue-grey, green-hazel, and brown.

Results

Independent of age, IOSL was significantly (all p values < 0.0001, Fisher’s LSD test) higher in participants with light-blue colored iris (1.14 log(IOSL) [95 % CI: 1.11–1.17]) compared to participants with blue-grey (1.07 log(IOSL) [95 % CI: 1.05–1.09]), green-hazel (1.06 log(IOSL) [95 % CI: 1.04–1.08]) or brown (1.06 log(IOSL) [95 % CI: 1.04–1.08]) iris color. CS was also lower in participants with light-blue pigmented irises (1.60 log(CS) [95 % CI: 1.58–1.62]) than in the other groups, but statistically significant (p = 0.013, Fisher’s LSD test) only compared to brown iris color. For BCVA we could not found any difference between the four groups.

Conclusions

We could show in this study that iris color has a significant impact on IOSL and to a lower degree on CS, but not on BCVA. Persons with light-blue iris color who showed significantly higher IOSL values therefore may experience disability glare in daily situations such as driving at night more often than others.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Sturm RA, Teasdale RD, Box NF (2001) Human pigmentation genes: identification, structure and consequences of polymorphic variation. Gene 277:49–62

    Article  PubMed  CAS  Google Scholar 

  2. Hammond BR, Caruso-Avery M (2000) Macular pigment optical density in a Southwestern sample. Invest Ophthalmol Vis Sci 41:1492–1497

    PubMed  Google Scholar 

  3. Imesch PD, Wallow IHL, Albert DM (1997) The color of the human eye: a review of morphologic correlates and of some conditions that affect iridial pigmentation. Surv Ophthalmol 41:117–123

    Article  Google Scholar 

  4. Prota G, Hu DN, Vincensi MR, McCormick SA, Napolitano A (1998) Characterization of melanins in human irides and cultured uveal melanocytes from eyes of different colors. Exp Eye Res 67:293–299

    Article  PubMed  CAS  Google Scholar 

  5. Wielgus AR, Sarna T (2005) Melanin in human irides of different colour and age of donors. Pigment Cell Res 18:454–464

    PubMed  CAS  Google Scholar 

  6. Eagle RC (1994) Congenital, developmental and degenerative disorders of the iris and ciliar body. In: Albert DM, Jakobiec FA (eds) Principles and practice of ophthalmology. Saunders, Philadelphia, pp 370–371

    Google Scholar 

  7. Sturm RA, Larsson M (2009) Genetics of human iris colour and patterns. Pigment Cell Melanoma Res 22:544–562

    Article  PubMed  CAS  Google Scholar 

  8. Hu DN, McCormick S, Orlow SJ, Rosemblat S, Lin AY, Wo K (1995) Melanogenesis by human uveal melanocytes in vitro. Invest Ophthalmol Vis Sci 36:931–938

    PubMed  CAS  Google Scholar 

  9. Boulton ME (1998) Melanin and the retinal pigment epithelium. In: Marmor M, Wolfensberger T (eds) The retinal pigment epithelium. Oxford University Press, Oxford, pp 68–85

    Google Scholar 

  10. Feeney-Burns L, Hilderbrand ES, Eldridge S (1984) Aging human RPE: morphometric analysis of macular, equatorial and peripheral cells. Invest Ophthalmol Vis Sci 25:195–200

    PubMed  CAS  Google Scholar 

  11. Sarna T (1992) Properties and function of the ocular melanin—a photobiophysical view. J Photochem Photobiol B Biol 12:119–132

    Article  Google Scholar 

  12. Bergamin O, Schoetzau A, Sugimoto K, Zulauf M (1998) The influence of iris color on the pupillary light reflex. Graefe’s Arch Clin Exp Ophthalmol 236:567–570

    Article  CAS  Google Scholar 

  13. Loewenfeld IE (1993) The pupil: anatomy, physiology and clinical applications. Butterworth-Heinemann, Oxford

    Google Scholar 

  14. Winn B, Whitaker D, Elliott DB (1994) Factors affecting light-adapted pupil size in normal human subjects. Invest Ophthalmol Vis Sci 35:1132–1137

    PubMed  CAS  Google Scholar 

  15. Franssen L, Coppens JE, van den Berg TJTP (2008) Grading of iris colour with an extended photographic reference set. J Optom 1:36–40

    Article  Google Scholar 

  16. Ijspeert JK, de Waard PW, van den Berg TJ, de Jong PT (1990) The intraocular straylight function in 129 healthy volunteers; dependence on angel, age and pigmentation. Vision Res 30:699–707

    Article  PubMed  CAS  Google Scholar 

  17. Van den Berg TJTP, Ijspeert JK, Waard PWT (1991) Dependence of intraocular straylight on pigmentation and light transmission through the ocular wall. Vision Res 31:1361–1367

    Article  PubMed  Google Scholar 

  18. Chylack LT Jr, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY (1993) The lens opacities classification system III. The longitudinal study of cataract study group. Arch Ophthalmol 111:831–836

    Article  PubMed  Google Scholar 

  19. Collman GW, Shore DL, Shy CM, Checkoway H, Luria AS (1988) Sunlight and other risk factors for cataracts, an epidemiologic study. Am J Public Health 78:1459–1462

    Article  PubMed  CAS  Google Scholar 

  20. Cumming RG, Mitchell P, Lim R (2000) Iris color and cataract: The Blue Mountains Eye Study. Am J Ophthalmol 130:237–238

    Article  PubMed  CAS  Google Scholar 

  21. Hammond BR, Nanez JE, Fair C, Snodderly DM (2000) Iris color and age-related changes in lens optical density. Ophthal Physiol Opt 20:381–386

    Article  Google Scholar 

  22. Italian-American Cataract Study Group (1991) Risk factors for age-related cortical, nuclear, and posterior subcapsular cataracts. Am J Epidemiol 133:541–553

    Google Scholar 

  23. Taylor HR, West SK, Rosenthal FS, Munoz B, Newland HS, Abbey H, Emmett EA (1988) Effect of ultraviolet radiation on cataract formation. N Engl J Med 319:1429–1433

    Article  PubMed  CAS  Google Scholar 

  24. Younan C, Mitchell P, Cumming RG, Rochtchina E, Wang JJ (2002) Iris color and incident cataract and cataract surgery: The Blue Mountains Eye Study. Am J Ophthalmol 134:273–274

    Article  PubMed  Google Scholar 

  25. Ferris FL, Kassoff A, Bresnick GH, Bailey IL (1982) New visual acuity charts for clinical research. Am J Ophthalmol 94:91–96

    PubMed  Google Scholar 

  26. Pelli DG, Robson JG, Wilkins AJ (1988) The design of a new letter chart for measuring contrast sensitivity. Clin Vision Sci 2:187–199

    Google Scholar 

  27. Van den Berg TJTP (1986) Importance of pathological intraocular light scatter for visual disability. Doc Ophthalmol 61:327–333

    Article  PubMed  Google Scholar 

  28. Van den Berg TJTP (1995) Analysis of intraocular straylight, especially in relation to age. Opt Vis Sci 72:52–59

    Article  Google Scholar 

  29. Ijspeert JK, van den Berg TJTP (1992) Design of a portable straylight meter. Proc Annual Confer IEEE Eng Med Biol Soc 14:1592–1594

    Article  Google Scholar 

  30. Van den Berg TJTP, IJspeert JK (1991) The straylightmeter. In: Technical Digest on noninvasive Assessment of the Visual System. OSA, Washington, DC, pp 256–259

  31. Van den Berg TJTP, IJspeert JK (1992) Clinical assessment of intraocular straylight. Appl Optics 31:3694–3696

    Article  Google Scholar 

  32. Franssen L, Coppens JC, van den Berg TJTP (2006) Compensation comparison method for assessment of retinal straylight. Invest Ophthalmol Vis Sci 47:768–776

    Article  PubMed  Google Scholar 

  33. Guber I, Bachmann LM, Guber J, Bochmann F, Lange AP, Thiel MA (2011) Reproducibility of straylight measurement by C-Quant for assessment of retinal straylight using the compensation comparison method. Graefes Arch Clin Exp Ophthalmol. doi:10.1007/s00417-011-1704-y

  34. Cervino A, Montes-Mico R, Hosking SL (2008) Performance of the compensation comparison method for retinal straylight measurement: effect of patient’s age on repeatability. Br J Ophthalmol 92:788–791

    Article  PubMed  CAS  Google Scholar 

  35. StatSoft (1999) In: STATISTICA for Windows [Computer program manual]. StatSoft, Inc, Tulsa, OK

  36. Jonas JB, Budde WM, Stroux A, Oberacher-Velten IM (2006) Iris colour, optic disc dimensions, degree and progression of glaucomatous optic nerve damage. Clin Exp Ophthalmol 34:654–660

    Article  Google Scholar 

  37. Mitchell R, Rochtchina E, Lee A, Wang JJ, Mitchell P (2003) Iris color and intraocular pressure: The Blue Mountains Eye Study. Am J Ophthalmol 135:384–386

    Article  PubMed  Google Scholar 

  38. Kliman GH, Augsburger JJ, Shields JA (1985) Association between iris color and iris melanocytic lesions. Am J Ophthalmol 100:547–547

    PubMed  CAS  Google Scholar 

  39. Rootman J, Gallagher RP (1984) Color as a risk factor in iris melanoma. Am J Ophthalmol 98:558–561

    PubMed  CAS  Google Scholar 

  40. Tucker MA, Shields JA, Hartge P, Augsburger J, Hoover RN, Fraumeni JF Jr (1985) Sunlight exposure as risk factor for intraocular malignant melanoma. N Engl J Med 313:789–792

    Article  PubMed  CAS  Google Scholar 

  41. Fraser-Bell S, Choudhury F, Klein R, Azen S, Varma R (2010) Ocular risk factors for age-related macular degeneration: The Los Angeles Latino Eye Study (LALES). Am J Ophthalmol 149:735–740

    Article  PubMed  Google Scholar 

  42. Tomany SC, Klein R, Klein BEK (2003) The relationship between iris color, hair color, and skin sun sensitivity and the 10-year incidence of age-related maculopathy – The Beaver Dam Eye Study. Ophthalmol 110:1526–1533

    Article  Google Scholar 

  43. Wang JJ, Jakobsen K, Smith W, Mitchell P (2003) Five-year incidence of age-related maculopathy in relation to iris, skin or hair colour, and skin sun sensitivity: The Blue Mountains Eye Study. Clin Exp Ophthalmol 31:317–321

    Article  CAS  Google Scholar 

  44. Van den Berg TJTP, Van Rijn LJ, Michael R, Heine C, Coeckelbergh T, Nischler C, Wilhelm H, Grabner G, Emesz M, Barraquer RI, Coppens JE, Franssen L (2007) Straylight effects with age and lens extraction. Am J Ophthalmol 144:358–363

    Article  Google Scholar 

  45. Van den Berg TJTP, Franssen L, Coppens JE (2009) Straylight in the human eye: testing objectivity and optical character of the psychophysical measurement. Ophthal Physiol Opt 29:345–350

    Article  Google Scholar 

  46. Franssen L, Tabernero J, Coppens JE, van den Berg TJTP (2007) Pupil size and retinal straylight in the normal eye. Invest Ophthalmol Vis Sci 48:2375–2382

    Article  PubMed  Google Scholar 

  47. Garcia-Lazaro S, Ferrer-Blasco T, Orti-Navarro S, Cervino A, Montes-Mico R (2010) Relevance of pupil size in the clinical determination of retinal straylight on young healthy human eyes. Graefes Arch Clin Exp Ophthalmol 248:395–399

    Article  PubMed  Google Scholar 

  48. Carlin MF, McCroskey RL (1980) Is eye color a predictor of noise-induced hearing loss? Ear Hear 1:191–196

    Article  PubMed  CAS  Google Scholar 

  49. Frank RN, Puklin JE, Stock C, Canter LA (2000) Race, iris color, and age-related macular degeneration. Trans Am Ophthalmol Soc 98:109–115

    PubMed  CAS  Google Scholar 

  50. Holz FG, Piguet B, Minassian DC, Bird AC, Weale RA (1994) Decreasing stromal iris pigmentation as a risk factor for age-related macular degeneration. Am J Ophthalmol 117:19–23

    PubMed  CAS  Google Scholar 

  51. Seddon JM, Sahagian CR, Glynn RJ, Sperduto RD, Gragoudas ES (1990) Evaluation of an iris color classification system. Invest Ophthalmol Vis Sci 31:1592–1598

    PubMed  CAS  Google Scholar 

  52. Hammond CJ, Snieder H, Spector TD, Gilbert CE (2000) Factors affecting pupil size after dilatation: the Twin Eye Study. Br J Ophthalmol 84:1173–1176

    Article  PubMed  CAS  Google Scholar 

  53. Larsson M, Pedersen NL (2004) Genetic correlations among texture characteristics in the human iris. Mol Vis 10:821–831

    PubMed  Google Scholar 

Download references

Acknowledgments

We thank Dr. Wolfgang Hitzl for his support in statistical analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christian Nischler.

Additional information

Statements

The authors have full control of all primary data and they agree to allow Graefes Archive for Clinical and Experimental Ophthalmology to review their data upon request.

The content of this manuscript has not been published or submitted for publication elsewhere.

The clinical trial is registered at: www.ANZCTR.org.au with the clinical trial number: ACTRN12612000195853.

The study was approved by the local ethics committees of all participating clinics and conforms to the provisions of the Declaration of Helsinki in 1995 (revised in Tokyo 2004). Every participant gave written informed consent and anonymity was preserved.

Financial support

This study was supported by the grant SUB-B27020B-E3-GLARE-2002-S07.18091 from the European Commission. The Salzburg part was supported by the Ernst Fuchs Foundation.

Proprietary interests

The Royal Academy has a proprietary interest in the straylight meter. None of the authors has any proprietary or financial interest in any of the tests that were used or in any of the results that were obtained in this study.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nischler, C., Michael, R., Wintersteller, C. et al. Iris color and visual functions. Graefes Arch Clin Exp Ophthalmol 251, 195–202 (2013). https://doi.org/10.1007/s00417-012-2006-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-012-2006-8

Keywords

Navigation