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For me, the Waggoner Computerized Color Vision Test (Waggoner CCVT) has shown to be sensitive and reinforces the diagnosis (and level of severity).  For example, when we look at an AMD patient, and even OCT this patient, all we have is an idea of structure. It doesn’t really tell me what is the function.  

The Diopsys (also functional assessment) so far is running consistent with Waggoner Diagnostics’ color vision test. A patient may “look like” they have a fair amount of AMD in their OD but the Diopsys says the eye is functioning better than I would expect. Lo and behold, when I look at the color vision test, the tritan deficiency is less (or not even deficient) on the OD. 

I had a Plaquenil patient this week. When you see the “flying saucer” on the OCT, we now know that’s a little later than desired. Ideally would like to pick up IS/OS separation, but to me that’s a challenge. I really like having the color vision to say - “all good”.  I’m adding the multifocal ERG soon and that will help a lot with Plaquenil. We now know the deposits do NOT occur first under the fovea. So, getting some parafoveal info from color and MF ERG will be nice. 

The same principle applies to glaucoma (optic neuropathy) and amblyopia. When doing color test monocularly, the results quickly validate the severity of the disease.  

If user has Administrator rights on the Windows operating system, then he/she is able to install the Waggoner CCVT for all users. By default it will install in the following location, "C:\Program Files (x86)\Waggoner\Waggoner CCVT." The Waggoner CCVT will be available for each Windows user registered in system. 

IMPORTANT NOTE: Each Windows user will have their own patient database created for them. This means that User A will only be able to see tests results for tests administered under User A and User B will only be able to see results for the tests that were administered under User B.

Storing approximately 100 test results is equal to approximately 1 megabyte. This means that 100,000 test results can be saved on 1 gigabyte.

1. Check that other applications on your computer have an internet connection. Check at least 3 different programs. Here are some suggestions:

• Open your internet browser (Ex. Google Chrome, Safari, Mozilla Firefox) and navigate to www.WaggonerDiagnostics.com
  
• Open default Windows email client and send test email to support@waggonerdiagnostics.com. Ensure that email sent without errors. Such way you will be sure email gateway works correctly in your system.
  
• Download any well known 3rd party program and check your internet connection with it. If the 3rd party program can connect to the internet, your computer's operating system policies does not allow Internet connections for unknown/new programs.
  

2. Disable Windows Defender Firewall. (https://support.microsoft.com/en-ae/help/4028544/windows-10-turn-windows-defender-firewall-on-or-off)

• Please restart the Waggoner CCVT and check internet connection.
  
• Otherwise, Check Windows Defender Firewall. Details in this article https://www.technipages.com/blockunblock-programs-in-windows-firewall. Make sure that Waggoner WCCVT application is not blocked. If it is, please unblock it. If there is still no connection after unblocking the Waggoner CCVT , please move onto step 3.
  

3. Check proxy settings and troubleshoot internet connection as described here https://answers.microsoft.com/en-us/windows/forum/windows_7-networking/programs-cant-connect-to-the-internet/0ce72c11-58ae-4a15-9a01-b45af758eefd

4. Turn off your third-party Antivirus and/or Firewall and then check the  internet connection on the Waggoner CCVT.

• If a third-party Antivirus is a reason then google "unblock program <your antivirus name>" for instructions of how to unblock Waggoner WCCVT in your Antivirus. For example "unblock program avast"
  

5. If possible, create new user in the Windows operating system and install Waggoner WCCVT for new user.

• If possible, switch to administrator account and install/run Waggoner WCCVT from that account. (https://www.google.com/search?q=how+to+create+new+user+in+windows&ie=utf-8&oe=utf-8&aq=t) 
  
• Run Waggoner WCCVT with admin rights by right click on icon and choose 'Run as Administrator' from popup menu.  
  

6. If none of the above worked, please contact your system administrator if you have one available and ask for assistance.

7. If none of the above worked, please contact your Internet Service Provider support

8. If none of the above worked, there's a possibility your system was infected with malware that prevents connection to the internet for other programs. We recommend doing a full system scan with your installed Antivirus.

• We recommend downloading and use Malwarebytes anti-malware and Super AntiSpyware and let the application scan your operating system.
  

• Microsoft Windows 7 SP1 or above operating system.
  
• 1 gigahertz of processing speed
  
• 512 MB of RAM
  
• 4.5 GB of disk space
  

1. Select on "Download Trial" in the upper-right hand corner of this page and complete the form and select submit. If that doesn't work, go to the following URL: www.WaggonerDiagnostics.com/pages/download-trial. The download should begin automatically. If it does not, please email us immediately at sales@waggonerdiagnsotics.com or call (949) 396-1694 ext. 2.

2. Double click on the file with the name Waggoner_CCVT_Setup_V.#.##.exe. The # symbols will be numbers signifying the version of the software you have just downloaded. Where the file can be located will depend on the browser you used to download the Waggoner CCVT. Often times it can be found in a downloads folder that most all download have been added too.

3. This is where Windows Installation Setup will begin. Please follow the instructions that Windows provides to install the Waggoner CCVT.

4. After the installation is complete, you will have a popup allow you to run the application immediately. Also, there will be a Waggoner CCVT icon placed onto your desktop. We recommend opening up the Waggoner CCVT and completing the registration and licensing process at this time.

5. To begin, you will need register the application. This is a Class I medical device that is both listed with the FDA and CE Marked. This requires us to know who is using the application for our audits.

6. The Waggoner CCVT will walk you through the rest of the setup process. If you are simply trying the 30-day trial, choose that option on the licensing screen. If you have a license, which was either provided to you via email or a distributor, please enter the license key. Although we do have the option to activate the Waggoner CCVT offline, we highly recommend connecting to the internet for this to make it as simple as possible.

Here is a resource to help you try and fix the keyboard issue. 

https://windowsreport.com/on-screen-keyboard-not-working-windows-10/

I always like to ask doctors if they are currently giving their color vision tests under a 6500k light, which I know 99% of them are not. In a clinical study performed by two academic institutions, they said that the Waggoner CCVT on a calibrated monitor had slightly better agreement with the anomaloscope compared to the Waggoner CCVT that was uncalibrated. In another study conducted by the Naval Aerospace Medical Institute, the uncalibrated Surface Pro 3 Tablet and calibrated PC had similar high sensitivity and specificity (98%-100%) for detecting red/green CVD as compared to Nagel Anomaloscope. The U.S. Air Force said that calibration is not as critical due to the technology we employ when making our test plates. All in all, the sensitivity and specificity on an uncalibrated monitor are better than traditional books under a 6500k light.

There are several monitors and tablets that have a perfect rendition of the color spectrum right out of the box and these include Surface Tablets, Samsung Galaxies, and iPads. 

D6500, gamma 2.2 would be a nice target to shoot for with the calibration. (sRGB would no longer apply for a calibrated screen. It just ends up a calibrated Windows color profile). The calibration should target a 100 cd\m2 brightness, which can be obtained by adjusting the brightness to approximately 50%. You may or may not have to toggle around with the brightness a bit. Make sure to ensure night mode is off, and no change in brightness is on when in battery mode, per the Windows power setting.

Color vision testing is performed by eye care professionals to identify both genetic and acquired color vision deficiencies within their patients. Genetic deficiencies affect 8% of men and .5% of women. Acquired deficiencies affect up to 15% of the general population and help in identifying diseases such as glaucoma, multiple sclerosis, diabetes, macular degeneration, and optic neuropathies. Acquired deficiencies can also be caused by 300+ substances at toxic levels such as Plaquenil.

Waggoner Diagnostics asked its doctors this exact question. I think the best answer we received was from Dr. Lee Ford in Mississippi. Dr. Ford says he screens every single person, every visit because "if you aren't looking, you won't find anything."

It's difficult for us to provide a one size fits all answer for this because each practice is different. However, many doctors that we talk with suggest giving the Waggoner CCVT in the pre-screening room with under their technicians supervision. This then allows the doctor to come and and immediately look at whether the patient has a genetic or acquired color vision deficiency. 

We would not recommend giving it at the end of the exam because the Waggoner CCVT raises the red flag for the eye care professional regarding disease and toxic levels of substances. 

For the initial visit, we recommend using the Adult/Senior/Older Children Diagnostic to provide an in-depth look at both genetic and acquired deficiencies. We recommend testing each patient, every visit using the acquired test (12-plate Tritan) after the initial visit to help with identifying diseases such as glaucoma, multiple sclerosis, macular degeneration, and optic neuropathies. 

This exact value of reimbursement fluctuates from state to state and town to town. Here is our FAQ regarding CPT 92283 and a list of ICD-10 codes. As it currently stands as of January 29th, 2019, the national average for reimbursement under CPT 92283 is $55 national average.

CPT 92283 is used for extended color vision testing. Please find a CPT 92283 FAQ here.

You can find a list of ICD-10 codes here. 

Due to the restraints that Apple puts on its developers, there are a few differences between the iPad and the Windows version of the Waggoner CCVT. To begin, from a screening and diagnostic perspective, the Waggoner CCVT on iPad receives the same results as our Windows version. All differences explained below are in regards to functionality and NOT validity and reliability of the Waggoner CCVT results. Here are the current differences but it may not be exhaustive list:

• Can't save results as PDF. The results are saved to the camera roll of the iPad and can be viewed at any time for your convenience. Several doctors have implemented the iPad into their practice and are able to get the results from their iPad to their EMR. Due to every doctor's office IT being setup differently, we recommend contacting your IT team on the best way to integrate saving the results from your iPad to your EMR.

• There are no color or luminance calibration screens because iPads have an excellent rendition of color according to research completed by the U.S. Navy. With that said, we recommend going into the settings section and placing the iPad's luminance (brightness) to 50% of its maximum ability (approximately 100 candela/m2). In addition, you will want to disable "True Tone." Here are instructions from Apple.

• Printing from an iPad requires a AirPrint capable printer. Plus, when printed, the results screen does not take up the entire page like the Windows version. It is scaled down for some reason. We do believe that this can be fixed and will explore this when updating to new versions.

• Unfortunately, at this time, we do not have the ability to have a 30-day trial with the iPad version of the Waggoner CCVT. We also plan on changing this during the next update.

Apple uses a technology called AirPrint and you must have a printer that is AirPrint compatible. The Waggoner CCVT for iPad works well with AirPrint but you must ensure that your printer is setup with your iPad. Here is a video from Apple to help better understand AirPrint: https://www.youtube.com/watch?v=UxJrQJmB6UA

- iPad 3 (released march 2012) and any model released afterward.
- iOS 8 or later.

The Family Share plan functionality only works when the application has been purchased through the App Store and not an in-app purchase. More information on this can be found here on Apple's Website.

We've never been a fan of the "you must cancel your free 30-day trial or you'll be charged" game but Apple doesn't give us any other choice. We have to play within the rules that we are given. Here are instructions on how to cancel your Waggoner CCVT subscription:

https://support.apple.com/en-us/HT202039#subscriptions

1. On your iPhone, iPad, or iPod touch, open the App Store app.
2. Tap Today, then tap  or your photo in the upper-right corner.
3. Tap "Redeem Gift Card or Code," then sign in with your Apple ID. Learn what to do if you forgot your Apple ID. 
4. To enter the card manually: Tap "You can also enter your code manually," then follow the prompts.
   • If you have a promo or content code, enter the code from the back of the card.
5. Tap Done.
   

We suggest using the most up-to-date versions of either Google Chrome, Mozilla Firefox, and/or Apple Safari. We have noticed that issues arise when using Internet Explorer, IE, so we advise NOT using this particular browser.