What is color blindness?
Color blindness is a vision problem that means you have trouble seeing shades of red, green, or blue or a mix of these colors. It happens when there's a problem with some of the cells found in the layer of nerves (retina) at the back of the eye.
Almost always, the problem runs in families and is something you are born with. It's found more often in males than in females. Color blindness that you are born with can't be treated or corrected. But you can learn ways to adapt to being color blind.
What causes it?
Most color vision problems are inherited (genetic) and are present at birth.
People usually have three types of cone cells in the eye. Each type senses either red, green, or blue light. You see color when your cone cells sense different amounts of these three basic colors. The highest concentration of cone cells are found in the macula, which is the central part of the retina.
Inherited color blindness happens when you don't have one of these types of cone cells or they don't work right. You may not see one of these three basic colors, or you may see a different shade of that color or a different color. This type of color vision problem doesn't change over time.
A color vision problem isn't always inherited. In some cases, a person can have an acquired color vision problem. This can be caused by:
- Eye problems, such as glaucoma, macular degeneration, cataracts, or diabetic retinopathy.
- Injury to the eye.
- Side effects of some medicines.
What are the symptoms?
The symptoms of color vision problems vary.
- You may be able to see some colors but not others. For instance, you may not be able to tell the difference between some reds and greens but can see blue and yellow easily.
- You may see many colors, so you may not know that you see color differently from others.
- You may only be able to see a few shades of color, while most people can see thousands of colors.
- In rare cases, some people see only black, white, and gray.
How is it diagnosed?
Tests can measure how well you recognize different colors.
- In one type of test, you look at sets of colored dots and try to find a pattern in them, such as a letter or number. The patterns you see help your doctor know which colors you have trouble with.
- In another type of test, you arrange colored chips in order according to how similar the colors are. People with color vision problems cannot arrange the colored chips correctly.
Because a color vision problem can have a big impact on a person's life, it is important to detect the problem as early as possible. In children, color vision problems can affect learning abilities and reading development. And color vision problems may limit career choices that require you to tell colors apart. Most experts recommend eye exams for children between ages 3 and 5. Vision screening is recommended for all children at least once before entering school, preferably between the ages of 3 and 4.
How is color blindness treated?
Inherited color vision problems cannot be treated or corrected.
For the most common type of color blindness—red-green color deficiency—no treatment is needed, because you function normally. You may not be aware that you do not see colors the way they are seen by others.
Some acquired color vision problems can be treated, depending on the cause. For example, if a cataract is causing a problem with color vision, surgery to remove the cataract may restore normal color vision.
You can find ways to help make up for a color vision problem, such as:
- Wearing colored contact lenses. These may help you see differences between colors. But these lenses don't provide normal color vision and can distort objects.
- Wearing glasses that block glare. People with severe color vision problems can see differences between colors better when there is less glare and brightness.
- Learning to look for cues like brightness or location, rather than colors. For example, you can learn the order of the three colored lights on a traffic signal.
Current as of: August 31, 2020
Author: Healthwise Staff
Kathleen Romito MD - Family Medicine
Martin J. Gabica MD - Family Medicine
Adam Husney MD - Family Medicine
E. Gregory Thompson MD - Internal Medicine
Christopher J. Rudnisky MD, MPH, FRCSC - Ophthalmology