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What Is Color Blindness?

Color blindness means your eye doesn't see color the way it should.

Your eyes see differences in the light that comes in. It's a bit like the way we hear sounds as being low or high. This is called pitch, and it corresponds to the frequency of the sound, or how many times it vibrates in a given time period.

The keys on the left side of a piano keyboard make low-frequency sounds. The frequency rises as you go to the right. There's a similar order to the colors we see.

The colors of every rainbow always appear in the same order: red, orange, yellow, green, blue, indigo, and violet. The different colors in each part of the rainbow correspond to a different wavelength of light. Reddish colors have a long wavelength. Bluish colors have a shorter one. Just as there are many notes on the piano, many wavelengths of light match the different colors.

How Does Your Eye See Colors?

Think of your eye as a camera. The front part has a lens. Its job is to focus images on the inside of the back of your eye. This area is called the retina. It's covered with special nerve cells that contain pigments that react to light:

Cones control your color vision. There are several kinds of pigments present in three types of cone cells. Some react to short-wavelength light, others react to medium wavelengths, and others react to higher wavelengths

Rods only have one kind of pigment. It reacts the same way to any light wavelength. Rods don't have anything to do with color vision. But they are very sensitive to light and allow us to see at night.

What Is Color Blindness?

When the cones have all the various pigments -- called photopigments -- your eye sees all possible colors. If there's a problem with the pigments, you won't see colors the way you should. This is called color deficiency or color blindness.

If just one pigment is missing, you might only have trouble with seeing certain colors.

If you don't have any pigments in your cones, you won't see color at all. This is known as achromatopsia, and it is rare.

Continued What Causes Color Blindness?

Usually, genes inherited from your parents cause faulty photopigments -- molecules that detect color in the cone-shaped cells, or "cones," in your retina.

But sometimes color blindness is not because of your genes, but rather because of:

  • Physical or chemical damage to the eye
  • Damage the optic nerve
  • Damage to parts of the brain that process color information
  • Cataract -- a clouding of the eye's lens
  • Age
  • What Are The Different Types Of Color Blindness?

    The most common types happen when genes you inherit from your parents that help make the photopigments in the cones of your eyes don't work properly. Sometimes this means you are less sensitive to some colors than others, and sometimes it means you can't see certain colors.

    Red-Green Color Blindness

    It's when photopigments in your eyes' red cones or green cones don't work properly -- or at all. There are several types:

  • Deuteranomaly: It's the most common form of color blindness and affects 5% of males, but is rare in females.
  • It happens when the green cone photopigment doesn't work as it should. Yellow and green look redder, and it's hard to tell blue from violet.
  • Protanomaly: Your red cone photopigment doesn't work as it should. Orange, red, and yellow look greener, and colors are less bright. It's usually mild and doesn't cause problems in daily life. It's rare in females and affects about 1% of males.
  • Protanopia: You have no working red cone cells. The color red simply looks dark gray. Some shades of orange, yellow, and green look yellow. It's rare in females and affects about 1% of males.
  • Deuteranopia: You have no working green cone cells. Reds may look brownish-yellow, and greens may look beige. It affects 1% of males and is rare in females.
  • Blue-Yellow Color Blindness

    This is when your blue cone photopigments are either missing or don't work correctly. It's the second most common type, and it affects males and females equally.

  • Tritanomaly: Your blue cone cells work in only a limited way. Blue looks greener, and it can be hard to tell pink from yellow and red. It's extremely rare.
  • Tritanopia: Also known as blue-yellow color blindness, you have no blue cone cells. Blue looks green, and yellow looks light gray or violet. It's extremely rare.
  • Continued

    Complete Color Blindness

    Also called monochromacy, you don't see any color at all and your vision may not be as clear.

    There are two types:

  • Cone monochromacy: It happens when 2 of your 3 cone cell photopigments -- red, green, or blue -- don't work. When only one type of cone works, it's hard to tell one color from another. And if one of your faulty cones is blue, your vision may not be as sharp, you may be nearsighted, and you may have uncontrollable eye movements -- a condition known as nystagmus.
  • Rod monochromacy: Also known as achromatopsia, it's the most severe form of color blindness. None of your cone cells have photopigments that work. As a result, the world appears to you in black, white, and gray. Bright light may hurt your eyes, and you may have uncontrollable eye movement (nystagmus).
  • Does Color Blindness Cause Other Health Problems?

    The kind that's present at birth doesn't. Most people who are colorblind lead normal and complete lives. The condition might keep you from a job -- like a pilot -- that requires a certain level of color vision.

    If you think you have a problem with color vision, talk to your eye doctor right away. They can tell you if you're seeing colors properly and what to do if you aren't.

    WebMD Medical Reference

    Sources

    SOURCES:

    American Association for Pediatric Ophthalmology and Strabismus: "Color Blindness."

    American Academy of Ophthalmology, geteyesmart.Org: "What is Color Blindness?"

    NIH National Eye Institute: "Facts About Color Blindness."

    NDT Resource Center: "Frequency and Pitch."

    © 2023 WebMD, LLC. All rights reserved.

    Colour Blindness

    Colour blindness is a condition where a person cannot figure out the difference between certain colours. This happens because he/she may be born without certain colour sensitive pigments in their eyes. These pigments are usually present in the cones of the eye, which are present at the back of the eyeball.

    The eye has a number of components, and one of the most important parts of the eye is the retina. The retina is placed at the back of the eyeball and is packed with nerve endings that carry impulses to the brain along with two types of photoreceptor cells, called the rods and cones.

    The rods are mainly responsible for perceiving the presence of light and are placed on the outer edge of the retina. The central part is filled with cones. Cones have a number of pigments that help them perform their main function of helping us see colours. These pigments have a different wavelength which, when activated, helps us perceive colour. The three main colours that these pigments are sensitive to are– green, blue and red.

    In the case of colour-blind people, because of the deficiency of certain pigments, they are unable to see these colours. For example, what we may see as red, they may see as light green or grey, depending on the type of colour blindness they are suffering from.

    The prevalence of colour blindness is more in boys compared to girls. It has been reported that 8% of men are colour blind in this world, while only 0.5% of women suffer from this disorder.

    Girls are mainly the carriers of this disorder and pass it to their offsprings. A girl child will be affected with colour blindness only if her father is colour blind and her mother is a carrier.

    Types

    There are mainly three types of colour blindness, the most common type is red-green colour- blindness. People who suffer from this can most often not see green, red and blue.

    1. Monochromatism: In this condition, the person can only perceive one type of colour. This means that only one type of cone is present in the eye. It is also known as achromatopsia, and this condition is uncommon. People with this condition can only see various shades of grey.

    2. Dichromatism: Here the person can see only two colours. Therefore he would have only two types of cones, the third variant would be completely missing.

    3. Anomalous trichromatism: In this condition where the person has all three types of cones but they either malfunctioning or are less in number. People with this kind of colour blindness usually can see a smaller spectrum of colours. People with this vision are usually known as anomalous trichromats. Namely, there are three different types of anomalous conditions; protanomaly, deuteranomaly and tritanomaly. People with protanomaly have decreased sensitivity to red light. In deuteranomaly, which is the most common type of colour blindness, there is reduced sensitivity to green light. Reduced sensitivity to blue light is known as tritanomaly, and it is very rare.

    Causes And Risk Factors

    Causes

    Colour-blindness is a hereditary condition that affects mostly the male population. The gene that causes colour-blindness is present on the X chromosome. Since women have two X chromosomes and men have only one, they are more likely to suffer from the condition.

    Although colour-blindness is usually an inherited disease, there are certain conditions of the eye that could lead to colour-blindness. Conditions such as cataract can lead to 'acquired colour-blindness'. Usually, a person's vision comes back to normal once the condition has been reversed with surgery.

    Damage to the brain or eye can also cause colour blindness. Medications that harm the eye can also lead to this eye disorder.

    Risk Factors

    The following are some of the risk factors for colour blindness:

  • People with a family history of colour blindness are at a higher risk for developing this disorder.
  • Males are more prone to develop colour blindness than females.
  • Certain medications can increase the risk of colour blindness, such as hydroxychloroquine.
  • White people are at a higher risk.
  • Age-related eye disorders such as cataract and glaucoma also increase the risk for colour blindness.
  • Co-morbidities such as diabetes, multiple sclerosis (MS) or Alzheimer's disease.
  • Symptoms

    The common symptoms of colour-blindness are -

    The most glaring symptom of colour-blindness is the inability to see certain colours. For instance, you might be able to see red and green but might not be able to see colours like blue and yellow.

  • You might be able to see only a few shades of colour, while most people can see a large variety of colours.
  • In rare cases you might be able to see only black, white and grey.
  • Difficulty in perceiving the brightness of colours
  • Diagnosis

    Since colour-blindness affects a person from childhood, they usually don't know that they suffer from the condition. In children, it is particularly more difficult to diagnose the condition because they learn the colors of objects and apply the same technique when they are given a test for colour-blindness. There are variations to the two main tests used to diagnose the condition.

    Ishihara Test: This is the most common test used to diagnose color-blindness. It involves using a set of cards that have circles of various colours on them. Each circle is made up of a number of coloured dots. A colour-blind person would not be able to figure out the number in the center. A pediatric version of this test has also been made, mainly for children who cannot read numbers. Children can be tested for colour blindness when they reach four years of age as, by then, they will be mature enough to answer questions about what they can or cannot see.

    Lantern Test: This is a test used for people who are either working with or seeking a job in sectors where they have to drive or operate heavy machinery etc. It is usually prescribed to those people who will require the ability to accurately identify colours of lights etc for safety reasons.

    Treatment

    There is currently no treatment available for colour-blindness, but there are measures that can help people with the condition.

    One innovation in this field is the production of 'light filtering lenses'. These lenses are made so that a person suffering from the condition is able to see all colours. The lenses help filter the colour of light they cannot see, thereby helping them see all colours. Although in the preliminary stages, this is not widely available.

    Other aids that can help a person with colour blindness, such as:

  • Visual Aids: Various apps and devices can help to distinguish between different colours.
  • Memory Aids: Memory aids can help a colour blind person carry out everyday tasks such as driving.
  • Colour Buddy: Having a friend with full-colour vision can make life easier for a colour blind person. They can help with tasks such as buying clothes or paints.
  • In the case of acquired colour blindness, identifying the cause can help treat the condition. If the colour blindness has occurred as a side effect of any medication, the doctor may suggest replacing the drug with some other alternatives or discontinuing it. This step may help in reversing the condition.

    Complications

    Driving for someone who is colour-blind could be downright dangerous. As a driver, it is not only important that you are able to differentiate between the different colours in a traffic light, you also have to be able to see the colours of the lights of the vehicle in front of you.

    For example, a vehicle that is stopping will flash a red light and if the driver is reversing, he will flash a yellow light. Not being able to differentiate colours could be life-threatening.

    Prognosis

    Colour blindness is a life long disorder, and so far, there is no cure for it. However, it is not a severe condition, and the affected person can carry on daily activities without many difficulties.

    Colour blindness can pose a problem when choosing careers that require a normal vision, such as a career as a pilot, fashion designer, painter, electrician etc.

    More From Colour blindness

    Could My Son Be Colour-blind?

    Colour blindness is an inaccurate term for a lack of visual sensitivity to certain colours. There are three types of colour receptors in our eyes, red, green and blue.

    We also have black and white receptors. These are more sensitive than the colour receptors which is which we find it hard to see colours in the dark.

    Colour blindness results from a lack of one or more of the types of colour receptors. Most colour vision defects are for red or green or both. About ten per cent of males have a colour vision defect, usually red green colour blindness as a result of a lack of red receptors.

    Another form of colour blindness, yellow-blue, exists but is extremely rare. It is also possible to have no colour receptors in which case you would only be able to see in black and white.

    It is too early to formally test your son's colour vision and his behaviour does not necessarily suggest there is anything wrong with how he sees colour. He is just at the age when is developing colour recognition and awareness. It may simply be that he likes the colour purple better than any other and for this reason ignores other colours.

    You may find in a month or two that he develops an 'obsession' with toy cars or with a particular toy, a book or a cartoon character. Between one and two years of age children learn rapidly and naturally develop favourites in many aspects of their lives.

    You may notice that your son favours certain activities and likes his routine because it makes him feel secure in a predictable environment with familiar people and objects around him.

    Occasionally a persistent preoccupation with certain objects or types of repetitive behaviour can be a sign that a child is developing differently from his peers. This may well be within the normal limits or may be a sign of a developmental problem such as an autistic spectrum disorder.

    If over the next year you have additional concerns, for example about your son's ability to communicate, to make eye contact, to join in with other children or adults in 'give and take' games or if you feel he is developing differently to other children of his age you could discuss his behaviour with your health visitor or GP.

    However the behaviour you describe at present is well within normal development for his age.

    We recommend readers seek personal medical attention in appropriate circumstances.

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