The Ishihara test is the most widely used color vision screening method in the world, and it has barely changed in over a century. Dr. Shinobu Ishihara published it in 1917 while working at the University of Tokyo, originally to screen military conscripts. The first edition used Japanese characters; Arabic numerals replaced them so the test could be used internationally, which is one reason it travelled so well — a plate that requires no shared language is unusually portable.
What "pseudoisochromatic" actually means
The term translates roughly as "falsely of the same color", and it describes the whole trick. Each plate is a field of dots in which the figure and the background are deliberately chosen to fall along a confusion line — a set of colors that a person with a specific deficiency perceives as equivalent. To someone with typical color vision the numeral separates cleanly from its surroundings. To someone whose red or green cone is missing or shifted, figure and ground become the same color, and the numeral simply isn't there.
The dots matter as much as the colors. Varying their size and brightness randomly prevents anyone from tracing the shape by lightness or edges instead of hue, which is what keeps the test measuring color vision rather than pattern recognition.
Why it only screens red-green
Every confusion line built into the standard plates lies on the red-green axis, because that is where inherited deficiency overwhelmingly sits. The consequence is a real blind spot: the Ishihara test does not reliably detect tritan (blue-yellow) deficiency, and it says nothing useful about achromatopsia. Blue-yellow loss needs a different instrument, which is why clinicians reach for arrangement tests such as the Farnsworth-Munsell family when they want to cover the whole hue circle.
Editions, and what this version is
The clinical test ships in several lengths — a full 38-plate edition, plus concise 24-plate and 14-plate versions used when time is short. The set here contains 37 educational plates. It is not the licensed clinical article, and it can't be: printed plates are manufactured to fixed ink reflectances and viewed under a standardized illuminant, whereas these are rendered by your own uncalibrated display in whatever light you happen to be sitting in.