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Color blindness



 
 
Color blindness, a color vision
Color vision

Color vision is the capacity of an organism or machine to distinguish objects based on the wavelengths of the light they reflect or emit. The nervous system derives color by comparing the responses to light from the several types of Cone cell in the eye....
 deficiency, is the inability to perceive differences between some of the color
Color

Color or colour is the visual perception property corresponding in humans to the categories called red, yellow, blue and others....
s that others can distinguish. It is most often of gene
Gene

A gene is the basic unit of heredity in a living organism. All living things depend on genes. Genes hold the information to build and maintain their cell and pass genetic trait to offspring....
tic nature, but may also occur because of eye
Eye

Eyes are Organ that detect light, and send signals along the optic nerve to the visual system and other areas of the brain. Complex optical systems with resolving power have come in ten fundamentally different forms, and 96% of animal species possess a complex optical system....
, nerve
Nerve

A nerve is an enclosed, cable-like bundle of Peripheral nervous system axons . A nerve provides a common pathway for the electrochemical nerve impulses that are transmitted along each of the axons....
, or brain
Brain

The brain is the center of the nervous system in all vertebrate, and most invertebrate, animals. Some primitive animals such as cnidarian and echinoderm have a decentralized nervous system without a brain, while sponges lack any nervous system at all....
 damage, or due to exposure to certain chemicals. The English chemist John Dalton
John Dalton

John Dalton Fellow of the Royal Society was an England chemist, meteorologist and physicist. He is best known for his pioneering work in the development of modern atomic theory, and his research into Color blindness ....
 published the first scientific
Science

In its broadest sense, science refers to any systematic knowledge or practice. In its more usual restricted sense, science refers to a system of acquiring knowledge based on scientific method, as well as to the organized body of knowledge gained through such research....
 paper on the subject in 1798, "Extraordinary facts relating to the vision of colours", after the realization of his own color blindness; because of Dalton's work, the condition is sometimes called Daltonism, although this term is now used for a type of color blindness called deuteranopia.

Color blindness is usually classed as disability
Disability

Disability is a lack of ability relative to a personal or group standard or norm. In reality there is often simply a spectrum of ability. Disability may involve physical impairment such as sense impairment, cognitive impairment or intellectual impairment, mental disorder , or various types of chronic disease....
; in certain situations, however, color blind people have an advantage over people with normal color vision.






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Encyclopedia


Color blindness, a color vision
Color vision

Color vision is the capacity of an organism or machine to distinguish objects based on the wavelengths of the light they reflect or emit. The nervous system derives color by comparing the responses to light from the several types of Cone cell in the eye....
 deficiency, is the inability to perceive differences between some of the color
Color

Color or colour is the visual perception property corresponding in humans to the categories called red, yellow, blue and others....
s that others can distinguish. It is most often of gene
Gene

A gene is the basic unit of heredity in a living organism. All living things depend on genes. Genes hold the information to build and maintain their cell and pass genetic trait to offspring....
tic nature, but may also occur because of eye
Eye

Eyes are Organ that detect light, and send signals along the optic nerve to the visual system and other areas of the brain. Complex optical systems with resolving power have come in ten fundamentally different forms, and 96% of animal species possess a complex optical system....
, nerve
Nerve

A nerve is an enclosed, cable-like bundle of Peripheral nervous system axons . A nerve provides a common pathway for the electrochemical nerve impulses that are transmitted along each of the axons....
, or brain
Brain

The brain is the center of the nervous system in all vertebrate, and most invertebrate, animals. Some primitive animals such as cnidarian and echinoderm have a decentralized nervous system without a brain, while sponges lack any nervous system at all....
 damage, or due to exposure to certain chemicals. The English chemist John Dalton
John Dalton

John Dalton Fellow of the Royal Society was an England chemist, meteorologist and physicist. He is best known for his pioneering work in the development of modern atomic theory, and his research into Color blindness ....
 published the first scientific
Science

In its broadest sense, science refers to any systematic knowledge or practice. In its more usual restricted sense, science refers to a system of acquiring knowledge based on scientific method, as well as to the organized body of knowledge gained through such research....
 paper on the subject in 1798, "Extraordinary facts relating to the vision of colours", after the realization of his own color blindness; because of Dalton's work, the condition is sometimes called Daltonism, although this term is now used for a type of color blindness called deuteranopia.

Color blindness is usually classed as disability
Disability

Disability is a lack of ability relative to a personal or group standard or norm. In reality there is often simply a spectrum of ability. Disability may involve physical impairment such as sense impairment, cognitive impairment or intellectual impairment, mental disorder , or various types of chronic disease....
; in certain situations, however, color blind people have an advantage over people with normal color vision. There are some studies which conclude that color blind individuals are better at penetrating certain camouflages.

Background


The normal human retina
Retina

The vertebrate retina is a light sensitive tissue lining the inner surface of the eye. The optics of the eye create an image of the visual world on the retina, which serves much the same function as the film in a camera....
 contains two kinds of light cells: the rod cell
Rod cell

Rod cells, or rods, are photoreceptor cells in the retina of the eye that can function in less intense light than can the other type of photoreceptor, cone cells....
s (active in low light
Scotopic vision

Scotopic vision is the monochromatic vision of the eye in low light. Since cone cells are nonfunctional in low light, scotopic vision is produced exclusively through rod cells so therefore there is no color perception....
) and the cone cell
Cone cell

Cone cells, or cones, are photoreceptor cells in the retina of the eye which function best in relatively bright light. The cone cells gradually become sparser towards the periphery of the retina....
s (active in normal daylight
Photopic vision

Photopic vision is the visual perception of the eye under well-lit conditions. In humans and many animals, photopic vision allows color vision, mediated by cone cells....
). Normally, there are three kinds of cones, each containing a different pigment. The cones are activated when the pigments absorb light. The absorption spectra
Absorption spectrum

A material's absorption spectrum shows the fraction of incident electromagnetic radiation absorption by the material over a range of frequencies....
 of the cones differ; one is maximally sensitive to short wavelengths, one to medium wavelengths, and the third to long wavelengths (their peak sensitivities are in the blue, yellowish-green, and yellow regions of the spectrum, respectively). The absorption spectra of all three systems cover much of the visible spectrum, so it is not entirely accurate to refer to them as "blue
Blue

Blue is a colour, the perception of which is evoked by light having a spectrum dominated by energy with a wavelength of roughly 440?490 Nanometre....
", "green
Green

Green is a color, the perception of which is evoked by light having a spectrum dominated by energy with a wavelength of roughly 520?570-Nanometre....
" and "red
Red

Red is any of a number of similar colors evoked by light consisting predominantly of the longest wavelengths of light discernible by the human eye, in the wavelength range of roughly 625?740 Nanometer....
" receptors, especially because the "red" receptor actually has its peak sensitivity in the yellow
Yellow

Yellow is the color evoked by light that stimulates both the L and M cone cells of the retina about equally, but does not significantly stimulate the S cone cells; that is, light with much red and green but not very much blue....
. The sensitivity of normal color vision actually depends on the overlap between the absorption spectra of the three systems: different colors are recognized when the different types of cone are stimulated to different extents. Red light, for example, stimulates the long wavelength cones much more than either of the others, and reducing wavelength causes the other two cone systems to be increasingly stimulated, causing a gradual change in hue. Many of the genes involved in color vision are on the X chromosome, making color blindness more common in males than in females.

Causes


Any recessive genetic characteristic that persists at a level as high as 5% is generally understood as possibly having some advantage over the long term. In World War II
World War II

World War II, or the Second World War , was a global military conflict which involved a Participants in World War II, including all of the great powers, organised into two opposing military alliances: the Allies of World War II and the Axis powers....
 it was discovered that analysis of color aerial photos yielded more information if at least one team member was color blind. Significantly, humans are the only trichromatic primates with such a high percentage of color blindness.

Another possible advantage might result from the presence of a tetrachromic female. Owing to X-chromosome inactivation, women who are heterozygous for anomalous trichromacy ought to have at least four types of cone in their retinae. It is possible that this affords them an extra dimension of color vision, by analogy to New World monkeys where heterozygous females gain trichromacy in a basically dichromatic species.

Genetic modes of inheritance


Color blindness can be inherited genetically. Some people believe, incorrectly, that it is only ever inherited from mutations on the X chromosome
X chromosome

The X chromosome is one of the two sex determination system chromosomes in many animal species, including mammals . It is a part of the XY sex-determination system and X0 sex-determination system....
 but the mapping of the human genome has shown there are many causative mutations--mutations capable of causing color blindness originate from at least 19 different chromosomes and many different genes (as shown online at the Online Mendelian Inheritance in Man (OMIM) database at Johns Hopkins University
Johns Hopkins University

The Johns Hopkins University, commonly referred to as Hopkins or JHU, is a private university research university located in Baltimore, Maryland, Maryland, United States....
). Cone dystrophy
Cone dystrophy

A cone dystrophy is an inherited list of eye diseases and disorders characterized by the loss of cone cells, the photoreceptor cell responsible for both central and color vision....
, Cone-rod dystrophy, Achromatopsia
Achromatopsia

Achromatopsia , is a medical syndrome that exhibits symptoms relating to at least five separate individual diseases. Although the term may refer to acquired disorders such as color agnosia and cerebral achromatopsia, it typically refers to an autosomal recessive congenital color vision disorder, the inability to perceive color AND to achieve...
 (aka Rod Monochromatism, aka Stationery Cone Dystrophy, aka Cone Dysfunction Syndrome), Blue cone monochromatism, Retinitis pigmentosa
Retinitis pigmentosa

Retinitis pigmentosa is a group of genetic eye conditions. In the progression of symptoms for RP, nyctalopia generally precedes tunnel vision by years or even decades....
 (initially affects rods but can later progress to cones and therefore color blindness), Diabetes, Age-Related Macular degeneration
Macular degeneration

File:Human eye cross-sectional view grayscale.pngFile:Human eyesight two children and ball normal vision.jpgFile:Human eyesight two children and ball with age-related macular degeneration.jpg...
, Retinoblastoma
Retinoblastoma

Retinoblastoma is a rapidly developing cancer which develops in the cells of the retina, the light sensitive cells of the eye. In the developed world, Rb has one of the best cure rates of all childhood cancers , with more than nine out of every ten sufferers surviving into adulthood....
, Leber's congenital amaurosis
Leber's congenital amaurosis

Leber's congenital amaurosis is a rare heredity List of eye diseases and disorders that appears at congenital or in the first few months of life, and affects around 1 in 80,000 of the population....
 - These are some of the inherited diseases known to cause color blindness.

Inherited color blindness can be congenital (from birth), or it can commence in childhood or adulthood. Depending on the mutation, it can be stationary, that is, remain the same throughout a person's lifetime, or progressive. As progressive phenotypes involve deterioration of the retina and other parts of the eye, certain forms of color blindness can progress to legal blindness, i.e., an acuity of 6/60 or worse, and often leave a person with complete blindness.

Color blindness always pertains to the cone photoreceptors in our retina as the cones are capable of detecting the color frequencies of light we perceive.

About 5–8 percent of males, but less than 1 percent of females, are color blind in some way or another, whether it be one color, a color combination, or another mutation. The reason males are at a greater risk of inheriting an X linked mutation is because males only have one X chromosome (XY, with the Y chromosome being significantly shorter than the X chromosome), and females have two (XX); if the women inherit a normal X chromosome in addition to the one which carries the mutation, they will not display the mutation, while men have no 'spare' normal chromosome to override the chromosome which carries the mutation. If 5% of variants of a given gene are defective, the probability of a single copy being defective is 5%, but the probability that two copies are both defective is 0.05 × 0.05 = 0.0025, or just 0.25%.

Other causes


Shaken Baby Syndrome (this can cause retina and brain damage and therefore cause color blindness), accidents and other trauma (swelling of the brain in the occipital lobe), and UV damage to the retina (from not wearing appropriate protection). Most UV damage is caused during childhood and this form of retinal degeneration is the leading cause of blindness in the world. Damage often presents itself later on in life.

Types


There are many types of color blindness. The most common are red-green hereditary (genetic) photoreceptor disorders, but it is also possible to acquire color blindness through damage to the retina, optic nerve, or higher brain areas. Higher brain areas implicated in color processing include the parvocellular pathway of the lateral geniculate nucleus
Lateral geniculate nucleus

The lateral geniculate nucleus is the primary processing center for Visual perception information received from the retina of the eye. The LGN is found inside the thalamus of the brain, and is thus part of the central nervous system....
 of the thalamus
Thalamus

The thalamus is a pair and symmetric part of the brain. It constitutes the main part of the diencephalon....
, and visual area V4 of the visual cortex
Visual cortex

The term visual cortex refers to the primary visual cortex and Extrastriate cortex such as V2, V3, V4, and V5....
. Acquired color blindness is generally unlike the more typical genetic disorders. For example, it is possible to acquire color blindness only in a portion of the visual field but maintain normal color vision elsewhere. Some forms of acquired color blindness are reversible. Transient color blindness also occurs (very rarely) in the aura
Aura (symptom)

An aura is the perceptual disturbance experienced by some migraine sufferers before a migraine headache, and the telltale sensation experienced by some people with epilepsy before a seizure....
 of some migraine
Migraine

Migraine is a neurology syndrome characterized by altered bodily perceptions, headaches, and nausea. Physiologically, the migraine headache is a neurological condition more common to women than to men....
 sufferers.

The different kinds of inherited color blindness result from partial or complete loss of function of one or more of the different cone systems. When one cone system is compromised, dichromacy
Dichromat

Dichromacy in humans is a moderately severe color vision defect in which one of the three basic color mechanisms is absent or not functioning. It is hereditary and sex-linked, predominantly affecting males....
 results. The most frequent forms of human color blindness result from problems with either the middle or long wavelength sensitive cone systems, and involve difficulties in discriminating reds, yellows, and greens from one another. They are collectively referred to as "red-green color blindness", though the term is an over-simplification and is somewhat misleading. Other forms of color blindness are much more rare. They include problems in discriminating blues from yellows, and the rarest forms of all, complete color blindness or monochromacy, where one cannot distinguish any color from grey, as in a black-and-white
Black-and-white

Black-and-white is a number of monochrome forms in visual arts. Most forms of visual technology start out in black and white, then slowly evolve into color as technology progresses....
  movie or photograph.

Classification of color deficiencies


By etiology

Gay Flag
Color vision deficiencies can be classified as acquired or inherited.
  • Acquired
  • Inherited: There are three types of inherited or congenital color vision deficiencies: monochromacy, dichromacy, and anomalous trichromacy.
  • Monochromacy, also known as "total color blindness", is the lack of ability to distinguish colors; caused by cone defect or absence. Monochromacy occurs when two or all three of the cone pigments are missing and color and lightness vision is reduced to one dimension.


  • Rod monochromacy
    Achromatopsia

    Achromatopsia , is a medical syndrome that exhibits symptoms relating to at least five separate individual diseases. Although the term may refer to acquired disorders such as color agnosia and cerebral achromatopsia, it typically refers to an autosomal recessive congenital color vision disorder, the inability to perceive color AND to achieve...
     (achromatopsia) is a rare, nonprogressive inability to distinguish any colors as a result of absent or nonfunctioning retinal cones. It is associated with light sensitivity (photophobia
    Photophobia

    Photophobia is a symptom of excessive sensitivity to light and the aversion to sunlight or well-lit places. In medical terms it is not fear, but an experience of discomfort or pain to the eyes due to light exposure....
    ), involuntary eye oscillations (nystagmus), and poor vision.
  • Cone monochromacy is a rare, total color blindness that is accompanied by relatively normal vision, electoretinogram, and electrooculogram.
  • Dichromacy is a moderately severe color vision defect in which one of the three basic color mechanisms is absent or not functioning. It is hereditary and sex-linked, affecting predominantly males. Dichromacy occurs when one of the cone pigments is missing and color is reduced to two dimensions.


  • Protanopia is a severe type of color vision deficiency caused by the complete absence of red retinal photoreceptors. It is a form of dichromatism in which red appears dark. It is hereditary, sex-linked, and present in 1% of all males.
  • Deuteranopia is a color vision deficiency in which the green retinal photoreceptors are absent, moderately affecting red-green hue discrimination. It is a form of dichromatism in which there are only two cone pigments present. It is likewise hereditary, sex-linked, and present in 1% of all males.
  • Tritanopia is an exceedingly rare color vision disturbance in which there are only two cone pigments present and a total absence of blue retinal receptors.
  • Anomalous trichromacy is a common type of inherited color vision deficiency, occurring when one of the three cone pigments is altered in its spectral sensitivity. This results in an impairment, rather than loss, of trichromacy (normal three-dimensional color vision).


  • Protanomaly is a mild color vision defect in which an altered spectral sensitivity of red retinal receptors (closer to green receptor response) results in poor red-green hue discrimination. It is hereditary, sex-linked, and present in 1% of all males. It is often passed from mother to child.
  • Deuteranomaly, caused by a similar shift in the green retinal receptors, is by far the most common type of color vision deficiency, mildly affecting red-green hue discrimination in 5% of all males. It is hereditary and sex-linked.
  • Tritanomaly is a rare, hereditary color vision deficiency affecting blue-yellow hue discrimination.


By clinical appearance


Based on clinical appearance, color blindness may be described as total or partial. Total color blindness is much less common than partial color blindness. There are two major types of color blindness: those who have difficulty distinguishing between red and green, and those who have difficulty distinguishing between blue and yellow.
  • Total color blindness
  • Partial color blindness
  • Red-green


  • Dichromacy (protanopia and deuteranopia)
  • Anomalous trichromacy (protanomaly and deuteranomaly)
  • Blue-yellow


  • Dichromacy (tritanopia)
  • Anomalous trichromacy (tritanomaly)


Congenital color vision deficiencies


Congenital color vision deficiencies are subdivided based on the number of primary hues needed to match a given sample in the visible spectrum
Visible spectrum

The visible spectrum is the portion of the electromagnetic spectrum that is visual perception to the human eye. Electromagnetic radiation in this range of wavelengths is called visible light or simply light....
.

Monochromacy


Monochromacy is the condition of possessing only a single channel for conveying information about color. Monochromats possess a complete inability to distinguish any colors and perceive only variations in brightness. It occurs in two primary forms:
  1. Rod monochromacy, frequently called achromatopsia, where the retina contains no cone cells, so that in addition to the absence of color discrimination, vision in lights of normal intensity is difficult. While normally rare, achromatopsia is very common on the island of Pingelap
    Pingelap

    Pingelap is an atoll in the Pacific Ocean, part of Pohnpei state of the Federated States of Micronesia, consisting of three islands: Pingelap Island, Sukoru and Daekae, linked by a reef system and surrounding a central lagoon, although only Pingelap Island is inhabited....
    , a part of the Pohnpei
    Pohnpei

    Pohnpei "upon a stone altar " is the name of one of the four state s in the Federated States of Micronesia , and among the Senyavin Islands ....
     state, Federated States of Micronesia
    Federated States of Micronesia

    The Federated States of Micronesia is an island nation located in the Pacific Ocean, north of Papua New Guinea. The country is a sovereign state in Associated state with the United States....
    , where it is called maskun: about 1/12 of the population there has it. The island was devastated by a storm in the 18th century, and one of the few male survivors carried a gene for achromatopsia; the population is now several thousand, of whom about 30% carry this gene.
  2. Cone monochromacy is the condition of having both rods and cones, but only a single kind of cone. A cone monochromat can have good pattern vision at normal daylight levels, but will not be able to distinguish hues. Blue cone monochromacy (X chromosome) is caused by a complete absence of L- and M-cones. It is encoded at the same place as red-green color blindness on the X chromosome. Peak spectral sensitivities are in the blue region of the visible spectrum (near 440 nm). They generally show nystagmus
    Nystagmus

    Pathologic nystagmus is a form of involuntary eye movement. It is characterized by alternating smooth pursuit in one direction and saccadic movement in the other direction....
     ("jiggling eyes"), photophobia (light sensitivity), reduced visual acuity
    Visual acuity

    Visual acuity is acuteness or clearness of visual perception, especially form vision, which is dependent on the sharpness of the retinal focus within the eye and the sensitivity of the interpretative faculty of the brain....
    , and myopia (nearsightedness). Visual acuity usually falls to the 20/50 to 20/400 range.


Dichromacy


Protanopes, deuteranopes, and tritanopes are dichromats; that is, they can match any color they see with some mixture of just two spectral lights (whereas normally humans are trichromat
Trichromat

Trichromacy or trichromaticism is the condition of possessing three independent channels for conveying color information, derived from the three different Cone cell types....
s and require three lights). These individuals normally know they have a color vision problem and it can affect their lives on a daily basis. Protanopes and deuteranopes see no perceptible difference between red, orange, yellow, and green. All these colors that seem so different to the normal viewer appear to be the same color for this two percent of the population.

Colorblind3
  • Protanopia (1% of males): Lacking the long-wavelength sensitive retinal cones, those with this condition are unable to distinguish between colors in the green-yellow-red section of the spectrum. They have a neutral point at a greenish wavelength around 492 nm
    Nanometre

    A nanometre is a Units of measurement of length in the metric system, equal to one billionth of a metre .It is one of the more often used units for very small lengths, and equals ten ?ngstr?m, an internationally recognized non-International System of Units of length....
     – that is, they cannot discriminate light of this wavelength from white. For the protanope, the brightness of red, orange, and yellow is much reduced compared to normal. This dimming can be so pronounced that reds may be confused with black or dark gray, and red traffic lights may appear to be extinguished. They may learn to distinguish reds from yellows and from greens primarily on the basis of their apparent brightness or lightness, not on any perceptible hue difference. Violet, lavender, and purple are indistinguishable from various shades of blue because their reddish components are so dimmed as to be invisible. E.g., pink flowers, reflecting both red light and blue light, may appear just blue to the protanope. Very few people have been found who have one normal eye and one protanopic eye. These unilateral dichromats report that with only their protanopic eye open, they see wavelengths below the neutral point as blue and those above it as yellow. This is a rare form of color blindness.


  • Deuteranopia (1% of males): Lacking the medium-wavelength cones, those affected are again unable to distinguish between colors in the green-yellow-red section of the spectrum. Their neutral point is at a slightly longer wavelength, 498 nm. The deuteranope suffers the same hue discrimination problems as the protanope, but without the abnormal dimming. The names red, orange, yellow, and green really mean very little to him aside from being different names that every one else around him seems to be able to agree on. Similarly, violet, lavender, purple, and blue, seem to be too many names to use logically for hues that all look alike to him. This is one of the rarer forms of colorblindness making up about 1% of the male population, also known as Daltonism after John Dalton. (Dalton's diagnosis was confirmed as deuteranopia in 1995, some 150 years after his death, by DNA
    DNA

    Deoxyribonucleic acid is a nucleic acid that contains the genetics instructions used in the development and functioning of all known living organisms and some viruses....
     analysis of his preserved eyeball.) Deuteranopic unilateral dichromats report that with only their deuteranopic eye open, they see wavelengths below the neutral point as blue and those above it as yellow.


Colorblind5
* Tritanopia (less than 1% of males and females): Lacking the short-wavelength cones, those affected are unable to distinguish between the colors in the blue-yellow section of the spectrum. This form of color blindness is not sex-linked.

Anomalous trichromacy


Those with protanomaly, deuteranomaly, or tritanomaly are trichromats, but the color matches they make differ from the normal. They are called anomalous trichromats. In order to match a given spectral yellow light, protanomalous observers need more red light in a red/green mixture than a normal observer, and deuteranomalous observers need more green. From a practical standpoint though, many protanomalous and deuteranomalous people breeze through life with very little difficulty doing tasks that require normal color vision. Some may not even be aware that their color perception is in any way different from normal. The only problem they have is passing a color vision test.

Protanomaly and deuteranomaly can be readily observed using an instrument called an anomaloscope
Anomaloscope

An anomaloscope is an instrument used to test for color blindness. It is used to measure quantitative and qualitative anomalies in colour perception....
, which mixes spectral red and green lights in variable proportions, for comparison with a fixed spectral yellow. If this is done in front of a large audience of men, as the proportion of red is increased from a low value, first a small proportion of people will declare a match, while most of the audience sees the mixed light as greenish. These are the deuteranomalous observers. Next, as more red is added the majority will say that a match has been achieved. Finally, as yet more red is added, the remaining, protanomalous, observers will declare a match at a point where everyone else is seeing the mixed light as definitely reddish.
  • Protanomaly (1% of males, 0.01% of females): Having a mutated form of the long-wavelength (red) pigment, whose peak sensitivity is at a shorter wavelength than in the normal retina, protanomalous individuals are less sensitive to red light than normal. This means that they are less able to discriminate colors, and they do not see mixed lights as having the same colors as normal observers. They also suffer from a darkening of the red end of the spectrum. This causes reds to reduce in intensity to the point where they can be mistaken for black. Protanomaly is a fairly rare form of color blindness, making up about 1% of the male population. Both protanomaly and deuteranomaly are carried on the X chromosome.
  • Deuteranomaly (most common - 6% of males, 0.4% of females): Having a mutated form of the medium-wavelength (green) pigment. The medium-wavelength pigment is shifted towards the red end of the spectrum resulting in a reduction in sensitivity to the green area of the spectrum. Unlike protanomaly the intensity of colors is unchanged. This is the most common form of color blindness, making up about 6% of the male population. The deuteranomalous person is considered "green weak". For example, in the evening, dark green cars appear to be black to Deuteranomalous people. Similar to the protanomates, deuteranomates are poor at discriminating small differences in hue
    Hue

    Hue is one of the main properties of a color described with names such as "red", "yellow", etc. The two other main properties are lightness and colorfulness....
    s in the red, orange, yellow, green region of the spectrum. They make errors in the naming of hues in this region because the hues appear somewhat shifted towards red. One very important difference between deuteranomalous individuals and protanomalous individuals is deuteranomalous individuals do not have the loss of "brightness" problem.
  • Tritanomaly (equally rare for males and females): Having a mutated form of the short-wavelength (blue) pigment. The short-wavelength pigment is shifted towards the green area of the spectrum. This is the rarest form of anomalous trichromacy color blindness. Unlike the other anomalous trichromacy color deficiencies, the mutation for this color blindness is carried on chromosome 7. Therefore it is equally prevalent in both male & female populations. The OMIM gene code for this mutation is 304000 “Colorblindness, Partial Tritanomaly”.


Clinical forms of color blindness


Total color blindness


Achromatopsia
Achromatopsia

Achromatopsia , is a medical syndrome that exhibits symptoms relating to at least five separate individual diseases. Although the term may refer to acquired disorders such as color agnosia and cerebral achromatopsia, it typically refers to an autosomal recessive congenital color vision disorder, the inability to perceive color AND to achieve...
 is strictly defined as the inability to see color. Although the term may refer to acquired disorders such as color agnosia
Color agnosia

Color agnosia , also known as "cerebral achromatopsia", is a medical or psychological condition that prevents a person from recognizing colors even though the eyes are capable of distinguishing them....
 and cerebral achromatopsia
Cerebral achromatopsia

Cerebral achromatopsia is a type of color-blindness that is caused by damage to the cerebral cortex of the brain, rather than abnormalities in the cells of the eye's retina....
, it typically refers to congenital color vision disorders (i.e. more frequently rod monochromacy and less frequently cone monochromacy).

In color agnosia and cerebral achromatopsia, a person cannot perceive colors even though the eyes are capable of distinguishing them. Some sources do not consider these to be true color blindness, because the failure is of perception, not of vision. They are forms of visual agnosia
Visual agnosia

Visual agnosia is the inability of the brain to make sense of or make use of some part of otherwise normal visual stimulus and is typified by the inability to recognize familiar objects or faces....
.

Red-green color blindness


Xlinkrecessive
Those with protanopia, deuteranopia, protanomaly, and deuteranomaly have difficulty with discriminating red and green hues. Genetic red-green color blindness affects men much more often than women, because the gene
Gene

A gene is the basic unit of heredity in a living organism. All living things depend on genes. Genes hold the information to build and maintain their cell and pass genetic trait to offspring....
s for the red and green color receptors are located on the X chromosome
Chromosome

A chromosome is an organized structure of DNA and protein that is found in Cell . A chromosome is a single piece of DNA that contains many genes, regulatory sequence and other genetic sequence....
, of which men have only one and women have two. Such a trait is called sex-linked. Females (46, XX) are red-green color blind only if both their X chromosomes are defective with a similar deficiency, whereas males (46, XY) are color blind if their single X chromosome is defective.

The gene for red-green color blindness is transmitted from a color blind male to all his daughters who are heterozygote
Zygosity

In genetics, zygosity refers to the similarity or dissimilarity of the DNA sequences in specific coding segments, or genes, on the homologous chromosomes chromosomes of a zygote, or fertilisation ovum....
 carriers and are usually unaffected. In turn, a carrier woman has a fifty percent chance of passing on a mutated X chromosome region to each of her male offspring. The sons of an affected male will not inherit the trait from him, since they receive his Y chromosome and not his (defective) X chromosome. Should an affected male have children with a carrier or colorblind woman, their daughters may be colorblind by inheriting an affected X chromosome from each parent.

Because one X chromosome is inactivated
Barr body

In those species in which sex is determined by the presence of the Y or ZW sex-determination system chromosome rather than the Haplodiploid sex-determination system of the X or Z, a Barr body is the inactive X chromosome in a female cell, or the inactive Z in a male , rendered inactive in a process called Lyonization....
 at random in each cell during a woman's development, it is possible for her to have four different cone types, as when a carrier of protanomaly has a child with a deuteranomalic man. Denoting the normal vision alleles by P and D and the anomalous by p and d, the carrier is PD pD and the man is Pd. The daughter is either PD Pd or pD Pd. Suppose she is pD Pd. Each cell in her body expresses either her mother's chromosome pD or her father's Pd. Thus her red-green sensing will involve both the normal and the anomalous pigments for both colors. Such women are tetrachromats, since they require a mixture of four spectral lights to match an arbitrary light.

Blue-yellow color blindness


Those with tritanopia and tritanomaly have difficulty with discriminating blue and yellow hues.

Color blindness involving the inactivation of the short-wavelength sensitive cone system (whose absorption spectrum peaks in the bluish-violet) is called tritanopia or, loosely, blue-yellow color blindness. The tritanopes neutral point occurs near a yellowish 570 nm; green is perceived at shorter wavelengths and red at longer wavelengths. Mutation of the short-wavelength sensitive cones is called tritanomaly. Tritanopia is equally distributed among males and females. Jeremy H. Nathans (with the Howard Hughes Medical Institute
Howard Hughes Medical Institute

The Howard Hughes Medical Institute is a United States non-profit medicine research institute based in Chevy Chase, Maryland. It was founded by the American aviation magnate Howard Hughes in 1953....
) proved that the gene coding for the blue receptor lies on chromosome 7, which is shared equally by men and women. Therefore it is not sex-linked. This gene does not have any neighbor whose DNA sequence is similar. Blue color blindness is caused by a simple mutation in this gene. (2006, Howard Hughes Medical Institute).

Prevalence

Color blindness affects a significant number of people, although exact proportions vary among groups. In Australia, for example, it occurs in about 8 percent of males and only about 0.4 percent of females. Isolated communities with a restricted gene pool sometimes produce high proportions of color blindness, including the less usual types. Examples include rural Finland
Finland

Finland , officially the Republic of Finland , is a Nordic countries situated in the Fennoscandian region of northern Europe. It borders Sweden on the west, Russia on the east, and Norway on the north, while Estonia lies to its south across the Gulf of Finland....
, Hungary
Hungary

Hungary , officially in English the Republic of Hungary , is a landlocked country in the Carpathian Basin of Central Europe, bordered by Austria, Slovakia, Ukraine, Romania, Serbia, Croatia, and Slovenia....
, and some of the Scottish
Scotland

conventional_long_name = ScotlandAlba|common_name= Scotland|image_flag = Flag of Scotland.svg|flag_width = 130px...
 islands. In the United States, about 7 percent of the male population – or about 10.5 million men – and 0.4 percent of the female population either cannot distinguish red from green, or see red and green differently (Howard Hughes Medical Institute, 2006). It has been found that more than 95 percent of all variations in human color vision involve the red and green receptors in male eyes. It is very rare for males or females to be "blind" to the blue end of the spectrum.

Prevalence of color blindness
Men Women Total References
Overall — — —  
Overall (United States) — — 1.30%  
Red-green (Overall) 7 to 10% — —  
Red-green (Caucasians) 8% — —  
Red-green (Asians) 5% — —  
Red-green (Africans) 4% — —  
Monochromacy — — —  
Rod monochromacy (disfunctional, abnormally shaped or no cones) 0.00001% 0.00001% —  
Dichromacy 2.4% 0.03% —  
Protanopia (L-cone absent) 1% to 1.3% 0.02% —  
Deuteranopia (M-cone absent) 1% to 1.2% 0.01% —  
Tritanopia (S-cone absent) 0.001% 0.03% —  
Anomalous Trichromacy 6.3% 0.37% —  
Protanomaly (L-cone defect) 1.3% 0.02% —  
Deuteranomaly (M-cone defect) 5.0% 0.35% —  
Tritanomaly (S-cone defect) 0.01% 0.01% —  


Diagnosis


The Ishihara color test
Ishihara color test

The Ishihara Color Test is a test for red-green color blindness. It was named after its designer, Dr. Shinobu Ishihara, a professor at the University of Tokyo, who first published his tests in 1917....
, which consists of a series of pictures of colored spots, is the test most often used to diagnose red-green color deficiencies. A figure (usually one or more Arabic digits
Arabic numerals

The 'arabic numerals', or 'Hindu numerals' are the ten digits , which?along with Decimal Number System by which a sequence was read as a number?were originally defined by Indian mathematics, later modified and transferred to North African Islamic mathematics and transmitted to Europe in the Middle Ages, whence they spread around the wo...
) is embedded in the picture as a number of spots in a slightly different color, and can be seen with normal color vision, but not with a particular color defect. The full set of tests has a variety of figure/background color combinations, and enable diagnosis of which particular visual defect is present. The anomaloscope, described above, is also used in diagnosing anomalous trichromacy.

However, the Ishihara color test is criticized for containing only numerals and thus not being useful for young children, who have not yet learned to use numerals. It is often stated that it is important to identify these problems as soon as possible and explain them to the children to prevent possible problems and psychological traumas. For this reason, alternative color vision tests were developed using only symbols (square, circle, car).

Most clinical tests are designed to be fast, simple, and effective at identifying broad categories of color blindness. In academic studies of color blindness, on the other hand, there is more interest in developing flexible tests to collect thorough datasets, identify copunctal points, and measure just noticeable difference
Just noticeable difference

In psychophysics, a just noticeable difference, customarily abbreviated with lowercase letters as jnd, is the smallest detectable difference between a starting and secondary level of a particular sensory stimulus....
s.

Treatment and management


There is generally no treatment to cure color deficiencies. However, certain types of tinted filters and contact lenses may help an individual to distinguish different colors better. Optometrists can supply a singular red-tint contact lens to wear in the dominant eye. This may enable the wearer to pass some color blindness tests for certain occupations, but the wearer is not better suited. The effect of wearing such a device is akin to wearing red/blue 3D glasses and can take some time getting used to as certain wavelengths can "jump" out and be overly represented. Additionally, computer software
Computer software

Computer software, or just software is a general term used to describe a collection of computer programs, Algorithm and Software documentation that perform some tasks on a computer system....
 has been developed to assist those with visual color difficulties.

The Gnome Desktop provides colorblind accessibility using the gnome-mag and the libcolorblind software. Using a gnome applet, the user may switch a color filter on and off choosing from a set of possible color transformations that will displace the colors in order to disambiguate the colors. The software enables, for instance, a color blind person to see the numbers in the ishihara test.

The National Eye Institute
National Eye Institute

The National Eye Institute is one of the United States National Institutes of Health that was established in 1968. The mission of NEI is to prolong and protect the vision of the American people....
 is doing research into treating/curing color blindness, and it is now required to donate 5% of its resources to this cause under instruction of the National Institutes of Health
National Institutes of Health

The National Institutes of Health is an agency of the United States Department of Health and Human Services and is the primary agency of the United States government responsible for biomedical and health-related research....
.

Design implications of color blindness


Color code
Color code

Color code may refer to:*Bottled gases*Color codes in Three-phase electric power#Color codes *Electronic color code*Web colors for HTML color codes...
s present particular problems for color blind people as they are often difficult or impossible for color blind people to understand.

Good graphic design
Graphic design

The term graphic design can refer to a number of artistic and professional disciplines which focus on visual communication and presentation. Various methods are used to create and combine symbols, images and/or words to create a visual representation of ideas and messages....
 avoids using color coding or color contrasts alone to express information, as this not only helps color blind people, but also aids understanding by normally sighted people. The use of Cascading Style Sheets
Cascading Style Sheets

Cascading Style Sheets is a stylesheet language used to describe the presentation of a document written in a markup language. Its most common application is to style web pages written in HTML and XHTML, but the language can be applied to any kind of XML document, including Scalable Vector Graphics and XUL....
 on the world wide web
World Wide Web

The World Wide Web is a very large set of interlinked hypertext documents accessed via the Internet. With a Web browser, one can view Web pages that may contain writing, s, videos, and other multimedia and navigate between them using hyperlinks....
 allows pages to be given an alternative color scheme for color-blind readers. helps a graphic designer see color schemes as seen by eight types of color blindness. For an example of a map that could present a significant problem to a color blind reader, see from a recent New York Times article. The typical red-green color blind reader will find the green sections of the map nearly indistinguishable from the orange, rendering the graphic unreadable.

Designers should take into account that color-blindness is highly sensitive to differences in material. For example, a red-green colorblind person who is incapable of distinguishing colors on a map printed on paper may have no such difficulty when viewing the map on a computer screen or television. In addition, some color blind people find it easier to distinguish problem colors on artificial materials, such as plastic or in acrylic paints, than on natural materials, such as paper or wood. Thirdly, for some color blind people, color can only be distinguished if there is a sufficient "mass" of color: thin lines might appear black while a thicker line of the same color can be perceived as having color.

When the need to process visual information as rapidly as possible arises, for example in a train or aircraft crash, the visual system may operate only in shades of grey, with the extra information load in adding color being dropped. This is an important possibility to consider when designing, for example, emergency brake handles or emergency phones.

Due to this inability to recognize colors such as red and green, some countries (e.g., Singapore
Singapore

Singapore , officially the Republic of Singapore, is an island country microstate located at the southern tip of the Malay Peninsula. It lies 137 kilometres north of the equator, south of the Malaysian state of Johor and north of Indonesia's Riau Islands....
 prior to the 1990s or Romania
Romania

Romania is a country located in Southeastern Europe Central Europe, North of the Balkan Peninsula, on the Lower Danube, within and outside the Carpathian Mountains, bordering on the Black Sea....
 even to the present day) have refused to grant individuals with color blindness driving licenses. In Romania there is an ongoing effort to remove the legal restrictions that prohibit its colorblind citizens from getting drivers' licenses.

Misconceptions and compensations


Color blindness is not the swapping of colors in the observer's eyes. Grass is never red, and stop signs are never green. The color impaired do not learn to call red "green" and vice versa. However, dichromats often confuse red and green items. For example, they may find it difficult to distinguish a Braeburn
Braeburn

The Braeburn is a cultivar of apple that is firm to the touch with a red/orange vertical streaky appearance on a yellow/green background. Its color intensity varies with different varieties....
 from a Granny Smith
Granny Smith

Granny Smith, green apple, is a tip-bearing apple cultivar. It originated in Australia in 1868 from a chance seedling Fruit tree propagation by Maria Ann Smith , where the name "Granny Smith" comes from....
 and in some cases, the red and yellow of a traffic light without other clues (e.g., shape or location). This is demonstrated in this simulation of the two types of apple as viewed by a trichromat or by a dichromat.
Braeburn Grannysmith Dichromat Sim


Anomalous Trichromats are often able to readily spot camouflage clothing, netting, and paint that has been designed for individuals with color-normal vision. They tend to learn to see texture and shape. This lets them see through some camouflage patterns.

Traffic light colors are confusing to some dichromats: there is insufficient apparent difference between the red and amber and sodium street lamps and the green can be confused with a grubby white lamp. This is a risk factor on a high-speed undulating road where angular cues can't be used. British Rail color lamp signals use more easily identifiable colors: the red is really blood red, the amber is quite yellow and the green is a bluish color. Most British road traffic lights use a white rectangle; dichromats simply look for the position of the light within the rectangle (top, middle or bottom; British traffic lights are never mounted horizontally).

Color blindness almost never means complete monochromatism. In almost all cases, color blind people retain blue-yellow discrimination, and most color blind individuals are anomalous trichromats rather than complete dichromats. In practice this means that they often retain a limited discrimination along the red-green axis of color space although their ability to separate colors in this dimension is severely reduced.

It should also be noted that even though some people are unable to see some or maybe even any of the numbers in (e.g., red-green) color blindness tests, they might still be able to tell the difference between the colors in their everyday lives. This may be due to the particular pigments used in the tests; they may fade over time or may not be accurately reproduced in copies.

See also


  • Cerebral achromatopsia
    Cerebral achromatopsia

    Cerebral achromatopsia is a type of color-blindness that is caused by damage to the cerebral cortex of the brain, rather than abnormalities in the cells of the eye's retina....
  • Tetrachromacy
    Category:Articles with images not understandable by color blind users


Bibliography


External links


  • - Simulates colorblind vision.
  • , contains a proposal for safe palette.
  • - Naming on-screen colors, handy tool for the color blind (Windows).
  • - Naming colors in the world, turns iPhone into handheld color blind tool (iPhone).
  • - View Web sites like a color blind person would see them.
  • - How to create the Color Universal Design . Japanese Visual Science Groupe.
  • The Daltonism Appliance: A handy tool for the color blind.
  • [https://addons.mozilla.org/en-US/firefox/addon/5001 ColorBlindExt] Firefox add on for colorblind people