ISTD 2014

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COLOUR BLINDNESS


A. Colour Blindness A1. Brief introduction A2. Types of colour blindness A3. X & Y Chromosones


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color blindness: genetic inability to distinguish differences in hue

Most colour blind people are able to see things as clearly as other people but they unable to fully ‘see’ red, green or blue light.

Colour (color) blindness (colour vision deficiency, or CVD) affects approximately 1 in 12 men (8%) and 1 in 200 women in the world. In Britain this means that there are approximately 2.7 million colour blind people (about 4.5% of the entire population), most of whom are male. There are different causes of colour blindness. For the vast majority of people with deficient colour vision the condition is genetic and has been inherited from their mother, although some people become colour blind as a result of other diseases such as diabetes and multiple sclerosis or they acquire the condition over time due to the aging process, medication

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etc. There are different types of colour blindness and there are extremely rare cases where people are unable to see any colour at all. The most common form of colour blindness is known as red/green colour blindness and most colour blind people suffer from this. Although known as red/green colour blindness this does not mean sufferers mix up red and green, it means they mix up all colours which have some red or green as part of the whole colour. For example, a red/ green colour blind person will confuse a blue and a purple because they can’t ‘see’ the red element of the colour purple. See the example of pink, purple and blue pen cases below to understand


WHAT ?

COLOUR BLINDNESS this effect. Similar problems can arise across the whole colour spectrum affecting all reds, greens, oranges, browns, purples, pinks and greys. Even black can be confused as dark green or dark blue. The effects of colour vision deficiency can be mild, moderate or severe so, for example, approximately 40% of colour blind pupils currently leaving secondary school are unaware that they are colour blind, whilst 60% of sufferers experience many problems in everyday life. Statistically speaking most people with a moderate form of red/green colour blindness will only be able to identify accurately 5 or so coloured pencils from a standard box of 24 pencil crayons.


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% OF THE MALE POPULATION ARE COLOUR


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4.5% of the population of the UK as a whole are colour blind and there are estimated to be over 250 million colour blind people worldwide. The vast majority of people with a colour vision deficiency have inherited their condition from their mother, who is normally a ‘carrier’ but not colour blind herself. Some people also acquire the condition as a result of long-standing diseases such as diabetes, multiple sclerosis, some liver diseases and almost all eye diseases. To read more about acquired conditions

click here. The effects of colour vision deficiency can be mild, moderate or severe depending upon the defect. If you have inherited colour blindness your condition will stay the same throughout your life – it won’t get any better or worse. The retina of the eye has two types of light-sensitive cells called rods and cones. Both are found in the retina which is the layer at the back of your eye which processes images. Rods work in low light conditions to help night vision, but cones work in daylight and are responsible for colour discrimination. There are three types of cone cells and each type has a different sensitivity to light wavelengths. One type of cone perceives blue light, another perceives green and the third

perceives red. When you look at an object, light enters your eye and stimulates the cone cells. Your brain then interprets the signals from the cones cells so that you can see the colour of the object. The red, green and blue cones all work together allowing you to see the whole spectrum of colours. When the red and blue cones are simulated in a certain way you will see the colour purple. The exact physical causes of colour blindness are still being researched but it is believed that colour blindness is usually caused by faulty cones but sometimes by a fault in the pathway from the cone to the brain. People with normal colour vision have all three types of cone/pathway working correctly but colour blindness occurs when one or more of the cone types are faulty. For example, if the red cone is faulty you won’t be able to see colours containing red clearly. Most people with colour blindness can’t distinguish certain shades of red and green.




ANOMALOUS

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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 have very little difficulty carrying out tasks that require normal color vision. Some may not even be aware that their color perception is in any way different from normal. Protanomaly and deuteranomaly can be diagnosed using an instrument called an anomaloscope, 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 males, as the proportion of red is increased from a low value, first a small proportion of the audience will declare a match, while most will see the mixed light as greenish;


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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 normal observers will see the mixed light as definitely reddish.


T R IC HR O- M A CY


PROTANOMALY_ 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.

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DEUTERANOMALY_ These individuals have 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 hues 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.

TRITANOMALY_ 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”.


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DICHROMACY _ ___

A certain pair of colors, that seem very different to a normal viewer, appear to be the same color (or different shades of same color) for a such dichromat. The terms protanopia, deuteranopia,

Protanopes, deuteranopes, and tritanopes are dichromats; that is, they can match any color they see with some mixture of just two primary colors (whereas normally humans are trichromats and require three primary colors). These individuals normally know they have a color vision problem and it can affect their lives on a daily basis. Two percent of the male population exhibit severe difficulties distinguishing between red, orange, yellow, and green.


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and tritanopia come from Greek and literally mean “inability to see (anopia) with the first (prot-), second (deuter-), or third (trit-) [cone]�, respectively.

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protanopia / deuteranopia / tritanopia / (a2) / 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 cyan-like wavelength around 492 nm (see spectral color for comparison) – that is, they cannot discriminate light of this wavelength from white. For a protanope, the brightness of red, orange, and yellow are 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 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. For example, 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 shorter than neutral point as blue and those longer than it as yellow. This is a rare form of color blindness.


/ 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, a more greenish hue of cyan. A deuteranope suffers the same hue discrimination problems as protanopes, but without the abnormal dimming. Purple colors are not perceived as something opposite to spectral colors; all these appear similarly. This form of colorblindness is also known as Daltonism after John Dalton. (Dalton’s diagnosis was confirmed as deuteranopia in 1995, some 150 years after his death, by DNA analysis of his preserved eyeball.) Deuteranopic unilateral dichromats report that with only their deuteranopic eye open, they see wavelengths shorter than neutral point as blue and longer than it as yellow. / Lacking the short-wavelength cones, those affected see short-wavelength colors (blue, indigo and a spectral violet) greenish and drastically dimmed, some of these colors even as black. Yellow is indistinguishable from pink, and purple colors are perceived as various shades of red.


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These MONOindividuals CHRO_____ scien MACY know they have

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:

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_______ normally nce 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, a part of the Pohnpei state, Federated States of Micronesia, where it is called maskun: about 10% of the population there has it, and 30% are unaffected carriers. 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 grew to several thousand before foreign troops introduced diseases to the island in the 1940s; the population of the island is now approximately 250.

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 (red and green). 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). People with this condition generally show nystagmus (“jiggling eyes�), photophobia (light sensitivity), reduced visual acuity, and myopia (nearsightedness).[17] Visual acuity usually falls to the 20/50 to 20/400 range.

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X & Y CHROMOSONES Red/green colour blindness is a common hereditary condition which means it is usually passed down from your parents. Colour blindness is usually passed from mother to son on the 23rd chromosome, which is the sex chromosome. Chromosomes are structures which contain genes – these contain the instructions for the development of cells, tissues and organs. If you are colour blind it means the instructions for the development of your cone cells are wrong and the cone cells might be missing, or less sensitive to light or it may be that the pathway from your cone cells to your brain has not developed correctly. The X chromosome is the sex chromosome: males have an X chromosome and a Y chromosome and females have two X chromosomes. For a male to be colour blind the faulty colour blindness gene only has to appear on his X chromosome. For a female to be colour blind it must be present on both of her X chromosomes. This is why red/green colour blindness is far more common in men than women. Blue colour blindness affects both men and women equally, because it is carried on a nonsex chromosome.

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COLOUR BLINDNESS


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