Xanthopsia: Difference between revisions

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== Xanthopsia: A Vivid Spectrum of Yellow ==
{{Short description|Visual condition causing yellow-tinted vision}}
{{Use dmy dates|date=October 2023}}


'''Xanthopsia''' pertains to a specific type of color vision anomaly where the individual perceives an undue yellow tinge in their vision. This yellowish predilection can stem from a variety of causes, chiefly alterations or depositions in the [[optical media]] of the eye.<ref name="OpticBasics">{{cite book|title=Basics of the U.S. Health Care System|author=Nancy J. Niles|publisher=Jones & Bartlett Publishers|year=2017|isbn=9781284102888|page=281}}</ref>
'''Xanthopsia''' is a visual condition in which an individual perceives a yellowish tint to their vision. This condition is often associated with certain medical conditions and the use of specific medications. Xanthopsia is a type of [[dyschromatopsia]], which refers to any disorder of color vision.


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==Causes==
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Xanthopsia can be caused by a variety of factors, including:
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== Etiology ==
* '''[[Jaundice]]''': The accumulation of [[bilirubin]] in the blood can lead to a yellowing of the skin and eyes, which may also affect vision.
* '''[[Digitalis]] toxicity''': Medications such as [[digoxin]] and [[digitoxin]], used to treat heart conditions, can cause xanthopsia as a side effect.
* '''[[Cataracts]]''': The yellowing of the lens in the eye due to cataracts can lead to a yellowish tint in vision.
* '''[[Retinal disease]]''': Certain diseases affecting the [[retina]] can alter color perception.


The underlying causes of xanthopsia span a range from pharmaceutical interventions to pathological alterations:
==Symptoms==
The primary symptom of xanthopsia is the perception of a yellow tint in the visual field. This can affect the ability to distinguish colors accurately, particularly those in the blue spectrum, which may appear greenish.


* '''Pharmacological Causes''': [[Digoxin]], derived from the [[Digitalis]] plant and frequently used to manage heart failure, can induce xanthopsia due to its inhibitory effects on the [[Sodium pump]].<ref name="DigoxinVision">{{cite journal|title=The ocular side effects of digoxin|journal=Eye|year=2003|volume=17|pages=21-25|doi=10.1038/sj.eye.6700186|author=Ahmed, F. et al.}}</ref>
==Diagnosis==
* '''Pathological Causes''':
Diagnosis of xanthopsia involves a thorough [[ophthalmological examination]] and a review of the patient's medical history. Tests may include:
  * Development of [[cataracts]], which can lead to a yellow filtering effect in vision.
  * [[Jaundice]], a condition characterized by elevated [[bilirubin]] levels. In extreme cases, bilirubin might accumulate in the eye, thereby imparting a yellow tint to the vision.<ref name="OxfordTextbook">Weatherall, D. J.; Ledingham, J. G. G.; Warrell, D. A. (1996). Oxford Textbook of Medicine. 3rd ed. Oxford: Oxford University Press. 2055.</ref>


== Historical Speculation ==
* '''[[Visual acuity test]]''': To assess the clarity of vision.
* '''[[Color vision test]]''': To evaluate the ability to perceive colors correctly.
* '''[[Blood tests]]''': To check for underlying conditions such as jaundice or medication levels.


The phenomenon of xanthopsia has sparked intrigue even in the art world. A captivating theory postulates that the prominent yellow hue in many of [[Van Gogh]]'s masterpieces could be attributed to digoxin-induced xanthopsia. The artist's potential use of the drug to manage health conditions might have influenced his choice of colors, granting his works their distinctive golden ambiance.<ref>{{cite web|title=The Influence of Disease on the Works of Van Gogh|url=http://www.psych.ucalgary.ca/PACE/VA-Lab/AVDE-Website/VanGogh.html|publisher=University of Calgary|accessdate=8 September 2023}}</ref>
==Treatment==
Treatment of xanthopsia depends on the underlying cause. Options may include:


== Clinical Relevance ==
* '''Discontinuation or adjustment of medication''': If xanthopsia is caused by digitalis toxicity, adjusting the dosage or switching medications may resolve the condition.
* '''Treatment of underlying conditions''': Addressing issues such as jaundice or cataracts can improve symptoms.
* '''Vision aids''': In some cases, tinted lenses may help correct color perception.


Recognizing xanthopsia is of paramount significance, especially in patients with heart failure on digoxin therapy, as it might hint at digoxin toxicity. An astute clinician would judiciously evaluate the drug levels and consider alternative management strategies in such scenarios.
==Prognosis==
The prognosis for xanthopsia varies depending on the cause. If the condition is due to medication or a reversible medical condition, symptoms may resolve with appropriate treatment. However, if xanthopsia is related to irreversible retinal damage, the prognosis may be less favorable.


== See Also ==
==Related pages==
 
* [[Color blindness]]
* [[Color vision]]
* [[Optic neuropathy]]
* [[Dyschromatopsia]]
* [[Dyschromatopsia]]
* [[Jaundice]]
* [[Cataracts]]


== References ==
[[Category:Visual disturbances]]
<references />
[[Category:Ophthalmology]]
 
[[Category:Vision]]
[[Category:Optical disorders]]
[[Category:Pharmacology]]
 
 
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Latest revision as of 19:11, 22 March 2025

Visual condition causing yellow-tinted vision



Xanthopsia is a visual condition in which an individual perceives a yellowish tint to their vision. This condition is often associated with certain medical conditions and the use of specific medications. Xanthopsia is a type of dyschromatopsia, which refers to any disorder of color vision.

Causes[edit]

Xanthopsia can be caused by a variety of factors, including:

  • Jaundice: The accumulation of bilirubin in the blood can lead to a yellowing of the skin and eyes, which may also affect vision.
  • Digitalis toxicity: Medications such as digoxin and digitoxin, used to treat heart conditions, can cause xanthopsia as a side effect.
  • Cataracts: The yellowing of the lens in the eye due to cataracts can lead to a yellowish tint in vision.
  • Retinal disease: Certain diseases affecting the retina can alter color perception.

Symptoms[edit]

The primary symptom of xanthopsia is the perception of a yellow tint in the visual field. This can affect the ability to distinguish colors accurately, particularly those in the blue spectrum, which may appear greenish.

Diagnosis[edit]

Diagnosis of xanthopsia involves a thorough ophthalmological examination and a review of the patient's medical history. Tests may include:

Treatment[edit]

Treatment of xanthopsia depends on the underlying cause. Options may include:

  • Discontinuation or adjustment of medication: If xanthopsia is caused by digitalis toxicity, adjusting the dosage or switching medications may resolve the condition.
  • Treatment of underlying conditions: Addressing issues such as jaundice or cataracts can improve symptoms.
  • Vision aids: In some cases, tinted lenses may help correct color perception.

Prognosis[edit]

The prognosis for xanthopsia varies depending on the cause. If the condition is due to medication or a reversible medical condition, symptoms may resolve with appropriate treatment. However, if xanthopsia is related to irreversible retinal damage, the prognosis may be less favorable.

Related pages[edit]