Eye Health Eye Anatomy What Is Red-Green Color Blindness? By Cherie Berkley, MS Cherie Berkley, MS Twitter Cherie Berkley is an award-winning journalist and multimedia storyteller covering health features for Verywell. Learn about our editorial process Updated on October 31, 2020 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Johnstone M. Kim, MD Medically reviewed by Johnstone M. Kim, MD Johnstone M. Kim, MD, is a board-certified ophthalmologist and a practicing physician at Midwest Retina in Dublin, Ohio. Learn about our Medical Expert Board Print Eric Audras / Getty Images Table of Contents View All Table of Contents How the Eyes Perceive Color Symptoms of Red-Green Color Blindness Causes Diagnosis Treatment Coping Red-green color blindness is the most common type of color blindness, a condition in which a person has limited ability to differentiate between certain colors. In red-green color blindness, this means difficulty distinguishing between shades of red, green, and yellow. Sharpness of vision typically is not affect. Color blindness is almost always inherited, in which case it cannot be treated, although there are ways for coping with it. Color blindness is more common in men than in women: The condition affects one in 20 men versus one in 200 women. What Does It Mean to Be Color Blind? How the Eyes Perceive Color The eye perceives color with a specific type of photoreceptor cell in the retina called a cone. (Photoreceptors are the cells that detect light; rods are the other type of photoreceptor cell.) Cones are concentrated in the center of the retina; besides perceiving color these cells make it possible to see fine details. The retina has approximately 6 million cones. Each type of cone is sensitive to different wavelengths of visible light. There are three types of cone cells, each making up a certain percentage of the total cones in the retina: Red-sensing cones (60%)Green-sensing cones (30%)Blue-sensing cones (10%) Color blindness can occur when one or more of the cone types do not function properly. Symptoms of Red-Green Color Blindness The primary symptom of red-green color blindness is a diminished ability to see differences in red, green, and yellow. Most cases are mild; in fact, some people never realize they aren't perceiving these colors as sharply as they could. However, parents may notice early signs of color blindness in children: Using the wrong colors for an object–for instance, coloring leaves on trees purpleUsing dark colors inappropriatelySeeming lack of interest when coloring in worksheetsDifficulty identifying colored pencils with red or green in their composition (for example, purple and brown)Diminished ability to identify colors in low level light or in small areasInability to distinguish easily between colors of the same hueSmelling food before eatingEnhanced sense of smellExceptional night visionSensitivity to bright lightsProblems reading pages or worksheets produced with color on colorComplaints of eye or head pain when looking at a red image on a green background or vice versa. Subclasses of Color Blindness Protanopia: Only blue and green cones are functionalDeuteranopia: Only blue and red cones are functionalProtanomaly: Blue and some green cones are normal plus some anomalous green-like conesDeuteranomaly: Normal blue and some red cones are normal plus some anomalous red-like cones Causes Color blindness is caused by a reduced number of cone cells in the retina of the eye. In varying forms of color blindness, there can be a reduced number of cone cells, a reduction of cone density, or the number of cone cells within the macula, and defective or malfunctioning cone cells in the retina. The most common form of color blindness is inherited. Women can be carriers of hereditary forms of color deficiency that is passed through a defect in the X chromosome. White men are disproportionately affected. However, color blindness can be acquired, typically as a complication of diseases and conditions that affect the retina or the optic nerve, including: Eye diseases such as macular degeneration and glaucoma Brain and nervous system diseases, such as Alzheimer’s or multiple sclerosis Side effects of drugs such as Plaquenil (hydroxychloroquine) used to treat rheumatoid arthritis Aging Eye or brain injuries Leukemia Sickle cell anemia Chronic alcoholism Diagnosis The American Academy of Ophthalmology does not recommend routing testing for color blindness as part of routine comprehensive eye exams. However, the conditions is easy to diagnose using a simple test called the Ishihara test. This test involves looking at images formed by multicolored dots on a field of multicolored dots of a different color, known as a pseudoisochromatic plate. People who are color-blind will be unable to distinguish between the different colors in order to identify the image. A.D.A.M. Coping There is no cure for inherited color blindness, but there are ways to cope with it if it is severe enough to interfere with everyday tasks. For example, if you drive it's important to memorize the order of traffic lights. Other options: Glasses and contacts: Special contact lenses and red-green color blindness glasses may help you tell the difference between colors.Visual aids: You can use visual aids, apps, and other technology to help you manage color blindness.Labeling items by color: This can be especially helpful for identifying personal items such as toothbrushes and face towels and coordinating outfits. Color blindness caused by a health problem may subside once the underlying condition is treated. For instance, if you’re taking a drug that causes color blindness, your healthcare provider may adjust your dosage or suggest switching to a different prescription. EnChroma Glasses EnChroma glasses feature tinted plastic lenses coated with nearly 100 layers of dielectric material that filters out specific wavelengths of light that overlap in red-green color blindness. Although EnChroma glasses do not improve color contrast enough that a person can pass a color blindness test, it does help people with color blindness get a taste of what it is like to have color vision. EnChroma glasses aren't a cure-all, nor will they appreciatively improve a person's ability to distinguish color. At best they help people with color blindness better appreciate things like an orange blazer or a lavender flower petal. They also take about 30 minutes to take effect and are expensive. A Word From Verywell If you have color blindness, you've likely figured out ways to prevent it from interfering with your daily life. If you have a child you suspect may be color-blind, however, take them to a pediatric ophthalmologist for confirmation. The sooner you know the extent to which your child's ability to distinguish between colors is impaired, the better able you'll be to help them learn to deal with it. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 7 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Health Service. Colour vision deficiency (colour blindness). Apr 1, 2019. American Academy of Ophthalmology. Cones. Dec. 19, 2018. Mukamal, R. How humans see in color. American Academy of Ophthalmology. June 8, 2017. Colour Blind Awareness. Spotting the early symptoms of colour vision deficiency in children. Tubert, D. What are the symptoms of color blindness? American Academy of Opthamology. Sept. 6, 2019. National Eye Institute: National Institutes of Health. Color blindness. July 3, 2019. Rauch, K. How color blindness is tested? American Academy of Ophthalmology. August 25, 2017.