Colorblind

Definition 
Colorblindness is the inability to perceive colors in a normal fashion.

Causes, incidence, and risk factors 

Colorblindness is usually an inherited condition that is X-linked recessive. As a result, very few women are colorblind, but approximately 1 in 10 men has some degree of colorblindness.

There are also some forms of colorblindness that can be acquired after birth. The most common of these is caused by a rheumatoid arthritis drug called hydroxychloroquine (Plaquenil).

The most common type of colorblindness is red-green, but there is a wide range of variability within this group from very mild to extreme. The second most common form is blue-yellow, and a red-green deficit is almost always associated with this form.

The most severe form of colorblindness is achromatopsia, the inability to see any color. It is often associated with other problems such as amblyopia (lazy eye), nystagmus, photosensitivity, and extremely poor vision.

Symptoms 

People who are colorblind are not be able to see colors with the same intensity as most other people. However, the symptoms may be so mild that some patients are unaware they are colorblind unless specifically tested.

Most commonly, people have difficulty distinguishing shades of a particular color. Parents may notice colorblindness in a more severely affected child at the time the child would normally learn colors. In severe cases, other symptoms such as jiggling eyes (nystagmus) or roving eye movements may be present.

Signs and tests 
Several color vision tests are available through your physician or eye specialist (ophthalmologist). Testing for colorblindness is commonly performed along with other vision screenings.

Treatment 
There is no known treatment.

Expectations (prognosis) 
Colorblindness is a life-long condition. Most affected people cope without difficulty or disability.

Complications 
Colorblindness may exclude people from some jobs, such as being a pilot, where color vision is essential.

Calling your health care provider 
Call for an appointment with your health care provider or ophthalmologist if you suspect colorblindness.

Prevention 
Colorblindness is an inherited disorder. Because colorblindness is seldom a problem in life, genetic counseling is not generally indicated.

Johns Hopkins patient information

Last revised: December 2, 2012
by Arthur A. Poghosian, M.D.

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