Tritanopic after Head Injury
- Posted by Daniel Flück on June 8th, 2006 filed in Academic
Divya from India asks me the following question. She tells a short story about acquiring color blindness after a heavy head injury. Here are the lines Divya sent to me:
my boyfriend suffered an injury while playin cricket recently and the optician diagnosed it as tritanopia..heres what happened..he was aplying and was kinda nauseous and he puked in his helmet and fainted and fell backwards and got a hard blow on his head from the bat and a whack from the ground at the back of his head again and got knocked out/fainted..he was out for almost an hour and when he regained consciousness he was colourblind…the optician said its tritanopia..and he can only see luminous stuff as in highlighters and violet stuff and other stuff appears gray…what i want to know is…is this permanent or is it temporary…and if it is curable how can it be done…
I will try my best to answer the above questions and give some more insights about acquired color blindness. As I am not a professional in the field of color vision professional help should be frequented for detailed clarifications.
Unfortunately color blindness can be caused by severe head injuries. By far the most occurences of color blindness are congenital. In very rare cases people with perfect color vision abilities can be affected by an impaired vision or color vision deficiency after a brain trauma, a stroke or some other kind of severe head injury.
Such vision deficiencies are caused by a damage of the optical cortex. Several cases are described in scientific papers but there are no results concerning the cause of the loss of color vision. Some speculate, that the patient’s abnormality arises from partial destruction of the chromatic mechanism. The case described by Divya above about an acquired tritanopia may also occur, if the rod-cone mechanism is damaged.
Unfortunately as much acquired color blindness as congenital color blindness are not curable or at least there are no methods known to this day. As an acquired color blindness is without much doubt caused by some damage in the optical cortex most likely there will be no cure in sight in the near future.
Also because most often a severe damage causes the color blindness, there is evidence to suggest that this trait will be permanent and not only a temporarly impairment.
Update: Please also read the comment of Peter. He is a vision scientist from UCSF and shares some more very interesting insights into the topic. Thanks Peter.
Further reading:
Traumatically acquired color vision defect
Related article:
Tritanopia – Blue-Yellow Color Blindness


June 9th, 2006 at 0:43
Sounds like a curious case. I don’t know if “tritanopia” is exactly the description I would give it, as any acquired color blindness is unlikely to be all that similar to the congenital form.
In addition to occiptal lobe damage (at the back of the brain), acquired color blindness can also caused by optic nerve damage. Although I’m not a medical person (but a vision scientist) I would say recovery is not out of the question. Although your case sounds more like brain damage, optic nerve damage color blindness is known to recover in some cases. Anyway, the brain is remoldable, so possibly therapy could help to reduce the deficit, just as some stroke victims are eventually able to walk or speak again (usually with therapy) after initially losing those abilities.
I would suggest reading as much as possible on PubMed, searching for “trauma acquired color blindness”. Also, if your doctor is not able to provide further advice, I would suggest contacting the nearest large research university and see if any vision scientists are interested in running some tests. This case could be interesting to the scientific community and if you can find an interested expert it would be an excellent way for you to learn more about exactly what happened.
June 9th, 2006 at 21:02
Peter, thanks a lot for your insights into acquired color blindness. I couldn’t find anything about possible therapies which could reduce the deficit but it is definitely worth looking for it.
Also thanks for the hint, that this could be an interesting case for the scientifc community. I would say a win-win situation whereas both parties could learn more about it.
I updated the article to be sure everybody reads also your comment.
October 30th, 2008 at 17:56
A similar thing happened to me. I was driving myself and my friend Zac home from a hockey game at around 11 on a saturday night. We were struck head on by a drunk driver. I don’t remember anything after the impact, all I remember was seeing the blinding headlights swerve towards us. I was in a coma for a week and when I woke up I remember noticing everything was different. I kept it to myself for a few hours but then I asked when things were different colors. I took this test and the doctor determined I had tritanopia. He says I will confuse green as being blue and yellow as violet. That happened when I was 17 and I am 19 today and I still have it.