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Different Types of Blindness

by
author image Leah DiPlacido, Ph.D.
Leah DiPlacido, a medical writer with more than nine years of biomedical writing experience, received her doctorate in immunology from Yale University. Her work is published in "Journal of Immunology," "Arthritis and Rheumatism" and "Journal of Experimental Medicine." She writes about disease for doctors, scientists and the general public.
Different Types of Blindness
Different types of blindness cause different types of vision impairment. Photo Credit eye image by Stanisa Martinovic from Fotolia.com

Being blind generally refers to a complete lack of functional vision. However, blindness involves varying levels of vision ability, sometimes under varying conditions. Vision is the result of light rays hitting the back of the eye, or retina, and then the optic nerve transmitting electrical signals to the brain. Blindness occurs when an inadequate amount of light hits the retina, or the information has not been delivered to the brain correctly.

Complete Blindness

Complete blindness is characterized by a complete and total loss of vision. Merck Manuals reports that legal blindness is defined as having equal to or worse than a 20/200 visual acuity in the better eye. Having a visual acuity of 20/200 means that someone with normal vision can see an object at 200 feet, and a person with impaired vision can see at a distance no further than 20 feet. Several different diseases can cause complete blindness; some develop later in life and some are present at birth. The leading cause of blindness in the United States is diabetes, according to the National Eye Institute. Diabetes causes diabetic retinopathy, which results in destruction of the retina. Other causes of complete blindness include age-related macular degeneration, which the National Eye Institute calls the most common cause of blindness in adults who are 60 or older; cataracts, which obstructs light from hitting the retina because of opaque patches on a lens; and glaucoma, which causes blindness due to damage to the optic nerve.

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Color Blindness

People who have color blindness, also called dyschromatopsia, are unable to distinguish certain colors. This type of blindness more commonly affects men than women. Merck Manuals reports that the most common form of color blindness is red-green color blindness, which makes it difficult to distinguish certain shades of red and green. Color blindness is almost always present at birth, and is usually caused by the presence of a defective gene on the X chromosome. The reason that more men are affected by color blindness than women is that women have two X chromosomes; thus, even if they are "carriers" of a bad gene, their other X chromosome usually has a functional gene. Because men have only one X chromosome, the presence of one bad gene is sufficient to cause color blindness. Defective retinal cells result in some forms of color blindness; other forms are caused by defects in the optic nerve.

Night Blindness

Night blindness is vision impairment that occurs at night or when light is dim. It does not generally result in a complete lack of vision but significantly impaired vision. People with night blindness often have difficulty driving at night or seeing stars. Several different factors cause night blindness, according to the University of Maryland Medical Center. These factors include cataracts, birth defects, a vitamin A deficiency, or a retinal disease called retinitis pigmentosa.

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