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Proper testing technique is to give only three seconds per plate for an answer, and not allow coaching, touching or tracing of the numbers by the subject. The test is best given in random sequence, if possible, to reduce the effectiveness of prior memorization of the answers by subjects. Some pseudo-isochromatic plate books have the pages in binders, so the plates may be rearranged periodically to give a random order to the test.
Since its creation, the Ishihara Color Blindness Test has become commonly used worldwide because of its easy use and high accuracy. In recent years, the Ishihara test has become available online in addition to its original paper version. {{citation needed|date=January 2023}} Though both media use the same plates, they require different methods for an accurate diagnosis.
==Occupational screening==
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