Eye & EarICD-10: H53.5Common in men (roughly 1 in 12) and uncommon in women; mostly inherited

Color Blindness

Also known as: Color vision deficiency, Colour blindness

Color blindness, more accurately called color vision deficiency, is a reduced ability to tell certain colors apart. True inability to see any color is extremely rare; most affected people have trouble distinguishing reds and greens, and a smaller number struggle with blues and yellows. It is usually inherited and present from birth, caused by missing or altered light-sensing cone cells in the retina. Because it is passed on the X chromosome, it is far more common in men than women. Color blindness does not damage the eyes or worsen over time, but it can affect everyday tasks, schoolwork, and eligibility for some careers, so recognising it early helps people adapt.

At a Glance

Common symptoms
Difficulty telling red from green, or blue from yellow, Trouble seeing colors in dim light, Confusing shades that others see as clearly different, such as purple and blue
Main treatments
There is no cure for inherited color blindness, and most people adapt well without treatment, Treating the underlying condition when color vision loss is acquired, such as managing cataracts or changing a medication, Specially tinted glasses or contact lenses that can enhance contrast between some colors for some people
Category
Eye & Ear · Common in men (roughly 1 in 12) and uncommon in women; mostly inherited
See a doctor if
A noticeable change in how you see colors as an adult, which can signal eye or nerve disease

Symptoms

Difficulty telling red from green, or blue from yellow
Trouble seeing colors in dim light
Confusing shades that others see as clearly different, such as purple and blue
Difficulty reading color-coded charts, maps, or traffic lights
In children, trouble learning colors or coloring objects unusually
Rarely, seeing everything in shades of grey (complete color blindness), often with light sensitivity

Causes

  • Inherited faults in the genes that code for cone cell pigments, usually on the X chromosome
  • Eye diseases such as glaucoma, macular degeneration, cataracts, or diabetic retinopathy
  • Damage to the optic nerve or visual areas of the brain
  • Certain medications, including some used for heart disease, high blood pressure, and infections
  • Normal ageing changes in the lens, which can subtly alter color perception

Risk Factors

  • Being male: red-green deficiency affects roughly 1 in 12 men but only about 1 in 200 women
  • A family history of color vision deficiency
  • Northern European ancestry (for inherited forms)
  • Eye diseases that affect the retina or optic nerve
  • Long-term use of certain medications known to affect color vision

Diagnosis

  • Ishihara plate test: identifying numbers hidden within colored dots
  • Arrangement tests that ask you to order colored discs by hue
  • Online screening tools (useful for a first check but not a substitute for formal testing)
  • Eye examination if the deficiency appeared later in life, to look for an underlying cause

Treatment

  • There is no cure for inherited color blindness, and most people adapt well without treatment
  • Treating the underlying condition when color vision loss is acquired, such as managing cataracts or changing a medication
  • Specially tinted glasses or contact lenses that can enhance contrast between some colors for some people
  • Smartphone apps that identify colors or filter images
  • Practical adaptations: labelling clothes, learning the position of traffic lights, and using high-contrast settings on devices
  • Supportive: informing teachers and employers so color-coded material can be adjusted

Prevention

  • Inherited color blindness cannot be prevented
  • Have children tested early if there is a family history so school materials can be adapted
  • Manage conditions like diabetes and glaucoma that can damage color vision
  • Ask about color vision side effects when starting long-term medications
  • Have regular eye exams to catch acquired causes early

When to See a Doctor

  • A noticeable change in how you see colors as an adult, which can signal eye or nerve disease
  • Color vision changes along with blurred vision, eye pain, or loss of vision
  • Your child struggles to learn colors or mixes them up consistently
  • Color vision problems after starting a new medication

Frequently Asked Questions

Related Conditions

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