Color Blindness: Causes and Treatment

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Color Blindness

Color Blindness

Color is one of those things that we take for granted. We inherently assume that the colors we see are the same as everyone else. This is not always the case, however. For some people, their experience with color can be dramatically different than the average individual. These are people who have what is known as “color blindness.” The term is technically a misnomer since most people with color blindness still have color vision—theirs is just different. Understanding color blindness and its causes requires a bit of background information on how the eye works, and understanding that requires a brief exposition into how color works. Let’s begin, shall we?

How Color Works

Light comes in varying wavelengths, each of which results in a different color. The traditional Roy G. Biv of the rainbow is what happens when light gets refracted across its different wavelengths. As the acronym implies, red is at the upper (longer) end of the wavelengths, green is in the middle, and blue is nearer the lower (shorter) end. When light hits an object, some of these wavelengths are absorbed and others are bounced back. The ones that bounce back are what our eyes receive.

How Eyes Work

The retina is the thin layer of tissue at the back of the eye. Your retinas are filled with millions of light-sensitive cells known as photoreceptors. These photoreceptors come in two main shapes: rods (about 120 million per eye) and cones (about 6 million per eye). Rods and cones set off different electrical signals in response to wavelengths of light, which are sent to your brain and interpreted as color.

Most discussions of color blindness revolve around the cones because they come in three different types (rods only have one type). These types are sensitive to different photopigments (molecules that react to certain wavelengths of light) and come in red, green, and blue varieties. The combination of these activating is why we see in color.

The typical person has a full set of cones, so most color experiences are shared. There might be some slight variation, but these are minor. When color blindness happens, however, the difference becomes less “my red is redder than your red” and more “my red is green.”

Types of Color Blindness

Depending on which photopigments are affected, different types of color blindness are possible. These types fall into different categories. In order of most common to least, these categories are: red-green color blindness, blue-yellow color blindness, and total color blindness.

Red-Green Color Blindness

Red-green color blindness is when the red cones (protans) and/or green cones (deutran) are affected. The following conditions fall under this label:

  • Protanomaly: Red cones are abnormal but present. Reds, oranges, and yellows appear greener and colors are dulled
  • Protanopia: No working red cones. Red appears black, certain shades of orange and green appear yellow
  • Deuteranomaly: Green cones are abnormal but present. Yellow and green appears redder and violet and blue are hard to distinguish. This is the most common type of color blindness and affects about 5% of men and under 1% of women
  • Deuteranopia: No working green cones. Reds appear brownish-yellow and greens are a sort of beige

Blue-Yellow Color Blindness

Rarer than red-green, this type of color blindness tends to affect men and women at an equal rate.

  • Tritanomaly: Limited blue cone function. Blues appear green and yellow, red, and pink are hard to tell apart.
  • Tritanopia: Blue cones are missing. Blues appear as green and yellow can look violet or even light gray.

Total Color Blindness

There are two types of complete color blindness, both of which represent a total failure of multiple cones.

  • Cone monochromancy: This is when two of the three cone types are nonfunctional, and it gets named after whichever cone is the sole remainder. Although a cone is retained, the brain can’t process color properly without comparing signals from different cones. This makes distinguishing between different colors difficult. People with only blue cones can also have impaired vision clarity, near-sightedness, and nystagmus (uncontrollable eye movements)
  • Rod monochromacy: The rarest type of color blindness is when none of the cone cells work. People with this condition can only rely on their rod cells, which are only able to see things in black, whites, and grays. Since rods primarily respond to dim light, people with this condition can be uncomfortable in bright environments.

Causes of Color Blindness

Color blindness is overwhelmingly an inherited disorder. Red-green color blindness is an X-linked condition, which is why there is such a large gender imbalance. Women have two X chromosomes, so the genes from one can compensate for failings in the other. They would have to get the red-green gene from both parents to be affected (men can get it from just the mother). Blue-yellow and total colorblindness are what is known as “autosomal recessive,” which means it takes a copy of the defective gene from both parents in order to cause the disorder. This is why there is no major gender difference.

Although color blindness is almost always inherited, there are certain conditions that can cause the disorder. This is because the brain and cones need to cooperate in order to perceive color, so ailments that can impair either can lead to color blindness.

  • Parkinson’s disease: Parkinson’s leads to nerve damage. If the nerves in the retina are affected, this can alter how color (or vision in general) is processed
  • Cataracts: Cataracts cloud vision and can lead to a sort of pseudo-color blindness where colors appear washed out
  • Leber’s Hereditary Optic Neuropathy: As the name implies, this is an inherited type of optic neuropathy and can lead to red-green color blindness as dysfunction progresses
  • Kallman’s Syndrome: An inherited failure of the pituitary gland. It can lead to color blindness but its more obvious symptoms include the inability to begin or finish puberty

Are There Treatments for Color Blindness?

With the exception of cataracts (which can be removed), there is no “cure” for color blindness. This is not always a problem depending on the type of color blindness a person has. Protanomaly and deuteranomaly, for instance, can cause little in the way of disruption for some individuals. Although there is no medical treatment for color blindness, there are certain options that people with the disorder should be aware of:

  • Special lenses exist that can help filter light and improve perception among people with red-green color blindness
  • If diagnosed early, children can be taught ways of distinguishing colors (“this type of brown is called red”)
  • Labeling clothing can be useful for people worried about pairing appropriately
  • Various apps are available that can be used to view an object and identify its colors
  • If a person with color blindness is planning on having children, they can undergo genetic counseling to understand the odds of passing on the condition

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Michael J. Watson

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