Acquired Color Vision Deficiency: Insights and Options - Ophthalmology

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I recently noticed that my red-green color perception is abnormal.
Is it possible that this is due to acquired neurological changes? In general, I can distinguish basic red and green colors, but when it comes to "light red and light green" or "dark red and dark green," I have to look for a long time or bring them very close to see them clearly.
Is this considered a problem? Honestly, I have been aware of this for three months now.
I have been training myself to forcefully distinguish red and green colors, and I have a success rate of over 90%.
Is this training effective?
I recently found out that there is a gynecology clinic in the country that offers color blindness DNA testing.
I think if I undergo this test and it comes back negative, it would indicate that my condition is likely due to neurological factors, right? If it is acquired, there should still be hope for improvement! However, this test is not covered by health insurance and costs 4,000 NT dollars, which makes me hesitant.
I want to apply to medical school and become a surgeon, but this situation is quite concerning.
Could you please give me some advice, doctor? Thank you.

XXX, 10~19 year old female. Ask Date: 2004/02/27

Dr. Hu Yusheng reply Ophthalmology


Dear Mr.
XXX,
Hello.
Color blindness can indeed occur due to acquired conditions.
In your case, it is quite easy to determine whether you have color blindness.
Clinically, the Ishihara test (15 plates for color vision testing) has a high sensitivity for diagnosing color blindness.
This examination is covered by health insurance and can be assessed by an ophthalmologist.
Sincerely,
Dr.
Hu Yu-Sheng

Reply Date: 2004/02/27

More Info


Acquired color vision deficiency, particularly in the context of red-green color perception, can indeed be influenced by various factors, including neurological conditions. Your experience of having difficulty distinguishing between shades of red and green, especially when they are lighter or darker, suggests that there may be an underlying issue affecting your color vision. This condition can arise from several causes, including retinal diseases, optic nerve damage, or even certain neurological disorders that affect the brain's processing of visual information.

When it comes to color vision, the human eye contains photoreceptors known as cones, which are responsible for color perception. There are three types of cones, each sensitive to different wavelengths of light corresponding to red, green, and blue. If there is damage to the pathways that transmit visual information from these cones to the brain, or if there is a problem within the brain itself, it can lead to difficulties in color discrimination.

Your proactive approach to training yourself to distinguish colors is commendable. While some individuals may experience improvements in their color discrimination abilities through practice, the extent of recovery can vary significantly based on the underlying cause of the deficiency. If the issue is purely neurological, there may be limitations to how much improvement can be achieved. However, if the deficiency is due to a reversible condition, such as inflammation or a temporary disruption in visual processing, there may be potential for recovery.

Regarding the DNA test for color blindness, it is essential to understand that genetic color vision deficiencies are typically inherited and present from birth. If your color vision issues have developed recently, it is more likely that they are acquired rather than genetic. However, undergoing genetic testing can provide clarity on whether there is a hereditary component to your color vision deficiency. If the test results indicate that you do not have a genetic predisposition, it would further support the idea that your condition is acquired and potentially linked to neurological factors.

In terms of treatment options, it is crucial to consult with an eye care professional or a neurologist who can conduct a thorough examination and possibly recommend imaging studies or other diagnostic tests. These evaluations can help identify any underlying conditions that may be contributing to your color vision issues. Depending on the findings, treatment may involve addressing the underlying condition, such as managing inflammation or other neurological issues.

As for your aspirations to attend medical school and become a surgeon, it is important to remember that many medical professionals successfully navigate their careers despite various challenges. If your color vision deficiency does not significantly impair your ability to perform clinical tasks, it should not deter you from pursuing your goals. Medical schools often consider a range of factors in admissions, including academic performance, personal statements, and interviews, rather than solely focusing on visual acuity.

In summary, while your acquired color vision deficiency may present challenges, understanding its potential causes and seeking appropriate evaluations can provide you with valuable insights. Engaging in color discrimination training may help improve your skills, but it is essential to consult with healthcare professionals for a comprehensive assessment and tailored advice. Your determination to pursue a career in medicine is admirable, and with the right support and resources, you can work towards achieving your goals.

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