CAD-7000 colour vision analyzer displaying a rainbow grid of color swatches for colour-vision testing on a lab desk.

CAD Color Vision Test: Complete Guide to the Colour Assessment & Diagnosis Test (2026)

If you’re pursuing an aviation career or a color-critical role, you may encounter the CAD (Colour Assessment and Diagnosis) test — a modern, highly sensitive color vision assessment that’s becoming the new gold standard in aviation and occupational testing.

Here’s the direct answer: The CAD (Colour Assessment and Diagnosis) test is a computerized color vision test that measures your sensitivity along the red-green and blue-yellow color axes with exceptional precision. It’s increasingly adopted by aviation authorities (including the UK CAA) and occupational health providers because it provides reliable, quantitative results that classify color vision deficiency more accurately than the Ishihara.

This guide covers how the CAD test works, who uses it, how it compares to other tests, and what your results mean.

Key Takeaways:

  • The CAD test is a computerized assessment that measures color vision along two specific axes
  • It provides a quantitative “CAD score” rather than a simple pass/fail
  • The UK CAA and increasingly international aviation authorities accept the CAD test
  • It’s more sensitive than Ishihara for detecting mild color vision deficiencies
  • The test takes approximately 10-15 minutes to complete
  • Results classify color vision as normal, mild, moderate, or deficient


What Is the CAD Test?

CAD test scoring scale from normal to severe color deficiency

The Colour Assessment and Diagnosis (CAD) test was developed at City, University of London. It represents a significant advancement over traditional color vision tests because it measures your color discrimination ability along two independent axes and provides a quantitative score rather than a simple pass/fail.

How It Works

The CAD test presents colored stimuli moving in a specific direction against a background of randomly moving, luminance-matched dots. Your task is to identify the direction of the colored stimulus. The test gradually reduces the color saturation until you can no longer reliably identify the direction — this is your threshold.

Component Description
Format Computer-based with calibrated display
Task Identify the direction of moving colored stimuli against a random dot background
Duration 10-15 minutes
Results Quantitative CAD score for RG (red-green) and BY (blue-yellow) axes
Calibration Requires specific monitor and controlled lighting conditions

What It Measures

The CAD test measures your sensitivity along two independent color axes:

Color Axis What It Tests
RG (red-green) Protan and deutan sensitivity — measured in CAD units
BY (blue-yellow) Tritan sensitivity — measured in CAD units

Why It’s More Sensitive Than the Ishihara

The Ishihara test uses fixed plates — you either see the number or you don’t. This creates a binary pass/fail result that doesn’t distinguish between mild and severe deficiency. The CAD test, by contrast, uses an adaptive staircase method that finds your exact threshold. This means it can detect:

  • Mild deficiencies that the Ishihara might miss entirely
  • The specific severity level — mild, moderate, or severe
  • Both color axes independently — red-green and blue-yellow
  • Subtle changes in color vision over time (useful for monitoring progressive conditions)

This higher sensitivity is why the CAD test is increasingly preferred for aviation medical assessments where knowing the exact degree of deficiency matters more than a simple pass/fail.


CAD Test Scoring: Understanding Your Results

The CAD test reports your color vision ability as a numerical score measured in CAD units. The score represents the minimum color contrast you need to reliably detect the moving stimulus.

How to Read CAD Scores

Score Range Classification What It Means
Below threshold Normal color vision Your color discrimination is within the normal range for both axes
Mild elevation Mild deficiency Slightly reduced sensitivity on one or both axes — may still pass occupational standards
Moderate elevation Moderate deficiency Clearly reduced sensitivity — will likely affect occupational test performance
High elevation Severe deficiency Significantly reduced sensitivity — consistent with dichromacy

Lower scores indicate better color vision. The specific passing threshold depends on the aviation authority or occupational standard being applied.


Who Uses the CAD Test

The CAD test is gaining adoption across multiple sectors:

Aviation (Primary Use Case)

The UK Civil Aviation Authority (CAA) actively uses the CAD test for pilot medical certification. It’s one of the most advanced color vision assessments accepted for aviation purposes. International aviation authorities are increasingly evaluating the CAD test as a replacement or supplement to traditional Ishihara screening.

Why Aviation Authorities Prefer the CAD Test

Reason Explanation
Quantitative results Provides a precise score rather than pass/fail — useful for borderline cases
Objective measurement Computer-administered with no examiner subjectivity
Tritan detection Unlike Ishihara, can detect blue-yellow deficiency
Reproducible Results are consistent across testing sessions
Sensitive Can detect mild deficiencies that Ishihara misses

Occupational Health

Corporate and government occupational health providers are also adopting the CAD test for color-critical roles beyond aviation — including rail, maritime, and electrical utilities.


CAD Test vs. Other Color Vision Tests

Comparison of modern CAD computerized test versus traditional Ishihara color plate test

The CAD test differs from traditional tests in several important ways:

Feature CAD Test Ishihara Farnsworth D-15 Anomaloscope
Quantitative score Yes — CAD units No — pass/fail Semi-quantitative Yes — matching range
Sensitivity Very high Moderate Moderate High
Tritan detection Yes No Yes No
Time 10-15 min 2-5 min 5-10 min 10-15 min
UK CAA accepted Yes Yes (initial) Previously Yes

Key Advantage: Quantitative Measurement

The biggest difference between the CAD test and the Ishihara is that the CAD test gives you a number. If you score just below the pass threshold, you know exactly how close you are. With the Ishihara, you simply fail — with no indication of whether you missed by one plate or ten plates.

This quantitative nature also means the CAD test can track changes in your color vision over time, which is useful for both medical monitoring and evaluating the effectiveness of color vision correction tools.


How to Prepare for the CAD Test

Unlike the Ishihara, the CAD test cannot be “practiced” by memorizing plates. However, you can prepare effectively:

Preparation Step Why It Helps
Get adequate sleep Fatigue reduces color discrimination ability
Take the test at the right time of day Color perception is sharpest in mid-morning
Ensure proper lighting The test requires controlled lighting conditions
Bring your normal vision correction Wear glasses or contacts if you need them
Be honest The adaptive methodology detects guessing
Use Colorkinds contacts for training Off-duty practice can help build color recognition habits

FAQ: CAD Test

The CAD (Colour Assessment and Diagnosis) test is a computerized color vision test that measures your sensitivity along red-green and blue-yellow color axes. It provides a quantitative CAD score rather than a simple pass/fail, making it more precise than traditional screening tests.

The CAD test is more sensitive than the Ishihara, meaning it can detect milder deficiencies that the Ishihara might miss. However, because it provides a graded score rather than a binary pass/fail, it also offers more pathways to demonstrate adequate color vision.

The CAD test is increasingly accepted internationally, but FAA acceptance is limited as of 2026. The UK CAA actively uses the CAD test. Check with your specific aviation authority for current accepted test lists.

The CAD test typically takes 10-15 minutes to complete. The test involves identifying the direction of colored stimuli moving against a background of random dots, with the test adjusting to find your sensitivity threshold.

CAD scores are measured in CAD units. Lower scores indicate better color vision. The specific passing threshold depends on the authority administering the test. Your examiner will explain your results in the context of the specific occupational standard being applied.


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