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Colour vision

Anatomy & Optics

Key Points

  • •Normal colour vision is trichromatic (S/M/L cones) - explained by Young-Helmholtz theory at the receptor level and Hering opponent process theory at the neural processing level
  • •Congenital red-green CVD is X-linked recessive, affecting ~8% of males; deuteranomaly is the most common form (~5% of males)
  • •Kollner's rule: optic nerve disease → red-green defect; macular disease → blue-yellow defect
  • •The anomaloscope is the gold standard for classifying and grading red-green CVD; Ishihara plates are for screening only (detect red-green, cannot classify protan vs deutan)
  • •Achromatopsia (rod monochromacy): no functional cones → no colour vision, VA ~6/60, nystagmus, photophobia, absent cone ERG

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  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
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  • Risk factors and associations

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