Low levels of refractive blur increase the risk of colour misperception of red train signals.

Purpose: Red signals signify danger in a range of situations, including train operations. Importantly, misperception of a red signal as yellow can have serious safety implications. This study investigated the effects of lens blur on incorrect colour perception of red signals, which has been implicated in previous train crashes. Methods: Participants included 15 young (26.6 ± 4.6 years) and 15 older (55.8 ± 3.1 years) visually normal adults. Red and yellow wayside train signals were simulated for two brightness levels (dim, bright) using a custom‐built projection system. The effect of blur (best‐corrected refraction [No Blur], +0.25 DS, +0.50 DS, +0.75 DS, +1.00 DS, +1.25 DS) on the number of incorrect colour perception responses of the signals was recorded. The order of conditions was randomised between participants. Results: For incorrect responses to the red signal, there were significant main effects of blur (p < 0.001) and signal brightness (p < 0.001) and a significant interaction between blur and brightness (p < 0.001). The effects of blur were greater for the dim compared to the bright signals, with significantly higher colour misperceptions for the dim signal for +0.50 DS blur and higher, compared with No Blur. Colour misperceptions of the yellow signals were low compared with that of the red signals, with only +1.25 DS blur resulting in a significantly higher number of incorrect responses than No Blur (p < 0.001). There were no effects of age for the red or yellow colour misperceptions (p > 0.19). Conclusions: Low levels of blur (+0.50 DS to +1.25 DS) resulted in a significant misperception of the red signals as orange‐yellow, particularly for dim signals. The findings have implications for vision testing and refractive correction of train drivers to minimise the possibility of colour misperception of red train signals. [ABSTRACT FROM AUTHOR]