Living with achromatopsia
Achromatopsia is a rare retinal disease that affects around one in 30,000 to 50,000 people (Source: Orphanet). It's usually inherited and affects children from an early age causing colour blindness, reduced vision, and severe light sensitivity (photophobia, also known as day blindness).
There's currently no cure, so the focus is on managing symptoms, for example, by wearing dark tinted lenses in daylight. If your child is diagnosed with achromatopsia, it's natural to worry how their sight will be affected and how they'll cope. But with the right support from an early age, they'll be able to learn the skills they need to live independently.
Managing achromatopsia and your vision
Living with achromatopsia can have challenges, as it not only causes colour blindness but often nystagmus, light sensitivity and reduced visual acuity, making it harder to see clearly. As there are currently no approved treatments for the condition, support focuses on managing these symptoms to make the most of your vision as comfortably as possible.
Different aids and adjustments can help manage life with achromatopsia, such as:
- Glasses tinted red can help cope with light sensitivity in daylight or bright light.
- If you have refractive errors such as farsightedness or nearsightedness, wearing prescription glasses or contact lenses can correct this.
- Many people find that wearing dark tinted lenses and UV blocking sunglasses helps cope with bright conditions, even indoors.
- Visual aids and technology can help when you need to identify colours. For example, smartphone apps, such as Seeing AI, can tell you the colour of things and have modes for people with colour blindness.
Achromatopsia and driving
Some eye conditions must be reported to the DVLA, but this doesn't include colour blindness and nystagmus if your vision meets the minimum eyesight rules for driving. The rules cover both visual acuity and field of vision.
Many people with achromatopsia have reduced visual acuity and struggle to see well in bright light. Wearing tinted lenses can help improve your vision in daylight. There are also alternative ways for people with colour blindness to navigate traffic signs. For example, if you know what the sequencing of traffic lights means, you don't have to rely on seeing their colours. It's best to speak to your eye doctor for advice about whether your eyesight meets the required standard for driving.
If it's likely that your child's achromatopsia may rule out driving when they're older, you can help your child learn the skills they'll need for getting around safely and independently in other ways. You can help them learn to use public transport and find out about getting mobility training for your child.
Can you work with achromatopsia?
Having a visual impairment isn't a barrier to working, but the symptoms of achromatopsia may mean you need some extra support and adjustments to help you at work. Under the Equality Act, employers must make reasonable adjustments that enable people with impairments to work. You can talk to your employer about your condition and the kind of adjustments that will help, for example:
- Visual aids like magnifying lenses to help with reading.
- Lighting adjustments that help you see more clearly.
- Time off for appointments and check-ups.
- A flexible working pattern that can help if you have 'bad eye' days, for example, the option to work from home.
Support for achromatopsia
The support people living with achromatopsia need can vary depending on their symptoms. People with incomplete achromatopsia can see some colours and may have fewer symptoms than people with complete achromatopsia.
If you have total colour blindness and symptoms such as nystagmus, severe light sensitivity, and reduced visual acuity, you may need more support to manage daily life with achromatopsia.
Ophthalmologists can refer people for a low vision assessment (LVA) to explore which visual aids could help. Local social services can also offer support for keeping safe at home and getting around safely.
There are many ways to make the most of your vision and manage daily life:
- Simple visual aids like magnifiers can help you see details.
- Independent living skills can help with the practicalities of life at home.
- Get equipment and learn skills for personal care.
- Use contrast at home, making finding items you regularly use easier.
Frequently asked questions
Get in touch
You can contact us to find out about services and support tailored to your individual needs.
The Royal College of Ophthalmologists champions excellence in the practice of ophthalmology and is the only professional membership body for medically qualified ophthalmologists. The RCOphth is unable to offer direct advice to patients. If you’re concerned about the health of your eyes, you should seek medical advice from your GP, optometrist or ophthalmologist.