An image of an eye representing color blindness, symbolizing the genetic factors that influence color vision deficiency.

Disclaimer: This article is for informational purposes only and is not intended to diagnose any conditions. LifeDNA does not provide diagnostic services for any conditions mentioned in this or any other article.

Overview

What if the way you see the world isn’t the way others see it? For some people, colors don’t look the way you think they do. Color blindness, also known as color vision deficiency, is a condition where individuals have difficulty distinguishing certain colors. It is much more common in males than in females. Research on populations with Northern European ancestry shows that about 1 in 12 males and 1 in 200 females are affected.

This happens because some of the special cells in the eye, called cone cells, do not work the way they should. These cells help us see colors by sensing different kinds of light. Some people are born with cone cells that don’t work properly, so they have trouble telling certain colors apart. While some people lose their color vision because of an eye injury or illness, most people with color blindness inherited it from their parents.

How Does Color Vision Work?

Color vision happens because of three special types of cells in the eye, called cone cells. These cells sit inside the retina, which is the part of the eye that helps us see. Each type of cone cell senses a different kind of light, which allows the brain to understand colors:

  • L-cones (long-wavelength cones) help us see red light. If these cones do not work properly or are missing, it is hard to see red shades.
  • M-cones (medium-wavelength cones) help us see green light. If these cones have problems, it becomes difficult to tell the difference between green colors.
  • S-cones (short-wavelength cones) help us see blue light. If these cones are missing or not working, blue tones may be hard to see.

When any of these cone cells do not function correctly, a person’s color vision changes. This is what causes different types of color blindness.

Types of Color Blindness

1. Red-Green Color Blindness

This is the most common type of color blindness, and it makes it hard to tell the difference between red and green colors. It happens when the cone cells don’t work properly. There are different types of red-green color blindness:

  • Protanomaly: People with this type of color blindness see red colors as dull or brownish. It’s like red loses its bright color.
  • Protanopia: People with this type can’t see any red at all. Red looks the same as black or gray, so they can’t tell red from other colors.
  • Deuteranomaly: With this type, the green color looks a bit more reddish. Green seems faded or has a reddish tint.
  • Deuteranopia: People with this type can’t see green at all. They can’t tell green from red, and everything that should be green might look like a shade of red.

2. Blue-Yellow Color Blindness

This type of color blindness makes it hard to see the difference between blue and yellow. It happens when the S-cones don’t work right. There are two types:

  • Tritanomaly: People with this condition see blue as more green, and yellow is harder to tell apart from other colors.
  • Tritanopia: In this type, people can’t see blue or yellow very well at all. Blue might look green, and yellow might appear like a dull color.

3. Achromatopsia

This is the rarest and most serious type of color blindness. People with achromatopsia can’t see any colors at all! Everything looks like it’s in black, white, and shades of gray. They may also have trouble seeing things clearly and can be very sensitive to bright light.

Is Color Blindness Inherited? 

Yes, color blindness is usually inherited, which means it can be passed down from parents to children through their genes. The way it’s passed down depends on the type of color blindness.

How Is Color Blindness Inherited?

Color blindness is usually inherited through a pattern called X-linked recessive inheritance, which means the genes responsible for the condition are on the X chromosome. Since men only have one X chromosome, if they inherit a defective gene, they will be color blind, making red-green color blindness much more common in men (about 1 in 12). Women, on the other hand, have two X chromosomes, so they would need two defective genes to be affected; if they inherit only one, they become carriers and can pass the condition on without showing symptoms. This is why about 8% of men and only 0.5% of women have red-green color blindness. Other types, like blue-yellow color blindness and achromatopsia, follow a different inheritance pattern and can affect both men and women equally.

The OPN1LW and OPN1MW genes, the variants of which are responsible for red-green color blindness, are located on the X chromosome. These genes help create the cone cells in the eyes that detect red and green light. If either of these genes is defective, it causes issues with seeing red and green, leading to color blindness. Since these genes are located on the X chromosome, they follow the inheritance pattern described above, meaning males with one defective copy of either gene will experience color blindness, while females would need defective copies on both of their X chromosomes to be affected.

Can Color Blindness Be Acquired?

Although genetics play a primary role, color blindness may also develop later in life due to various factors:

  • Aging: Over time, the eye’s ability to process light diminishes, leading to gradual color perception decline.
  • Eye diseases: Conditions such as glaucoma, cataracts, and macular degeneration can damage cone cells, resulting in acquired color blindness.
  • Neurological disorders: Disorders like multiple sclerosis or strokes can interfere with the brain’s ability to interpret color signals from the eyes.
  • Medications and chemical exposure: Some medications for heart disease, or psychiatric treatment can alter color vision as a side effect. Exposure to certain chemicals can also damage the retinal cells responsible for color perception.

Diagnosis and Testing

Color blindness is typically diagnosed through specialized tests designed to assess how well a person perceives colors.

  • The Ishihara Test is the most well-known method. It uses a series of images made up of colored dots arranged to form numbers or shapes. People with normal color vision can see these numbers or shapes clearly, while individuals with color blindness may have difficulty distinguishing them.
  • The Anomaloscope is a device used to measure how well a person perceives different wavelengths of light. During the test, the person adjusts colored lights to match given samples, helping to identify specific color vision problems.
  • Genetic testing can provide a more precise diagnosis, especially for individuals with a family history of color blindness. This test identifies mutations in the genes associated with inherited color blindness, confirming the presence of the condition.

These tests help doctors understand the type and severity of color blindness, guiding treatment or management strategies.

Can Color Blindness Be Treated?

Currently, there is no cure for genetic color blindness, but there are various tools and strategies that can help individuals adapt.

  • Color-correcting glasses and contact lenses: These specialized lenses enhance color contrast, making it easier to distinguish certain hues that might otherwise be difficult to tell apart.
  • Digital applications and screen filters: Many devices now offer color-adjustment settings, allowing individuals with color blindness to improve the visibility of colors on screens, making digital content easier to navigate.
  • Coping strategies: People with color blindness often develop techniques to manage tasks that require color recognition. For example, they might memorize the position of colored objects or rely on differences in brightness and texture to distinguish items.

While these options don’t cure color blindness, they provide practical ways for individuals to manage and navigate their daily lives.

Summary

  • Color blindness is a condition affecting how individuals perceive colors, usually due to genetic mutations that alter cone cell function in the retina.
  • The most common type, red-green color blindness, is inherited through an X-linked recessive pattern, making it significantly more common in males.
  • Other forms, like blue-yellow color blindness and achromatopsia, follow different inheritance patterns and are much rarer.
  • Although most cases of color blindness are genetic, acquired color blindness can result from aging, diseases, neurological disorders, or exposure to certain medications and chemicals.
  • Specialized tests, such as the Ishihara test, anomaloscope, and genetic testing, can diagnose color blindness.
  • There is no cure for genetic color blindness, but adaptive tools like color-correcting glasses, digital filters, and coping strategies help individuals manage their condition effectively.

References