There is enormous variation in the X-linked L͞M (long͞middle wavelength sensitive) gene array underlying ''normal'' color vision in humans. This variability has been shown to underlie individual variation in color matching behavior. Recently, red-green color blindness has also been shown to be associated with distinctly different genotypes. This has opened the possibility that there may be important phenotypic differences within classically defined groups of color blind individuals. Here, adaptive optics retinal imaging has revealed a mechanism for producing dichromatic color vision in which the expression of a mutant cone photopigment gene leads to the loss of the entire corresponding class of cone photoreceptor cells. Previously, the theory that common forms of inherited color blindness could be caused by the loss of photoreceptor cells had been discounted. We confirm that remarkably, this loss of one-third of the cones does not impair any aspect of vision other than color.cone mosaic ͉ dichromacy ͉ retinal imaging H uman trichromacy relies on three different cone types in the retina; long-(L), middle-(M), and short-(S) wavelengthsensitive. Dichromatic color vision results from the functional loss of one cone class; however, one of the central questions has been whether individuals with this form of red-green colorblindness have lost one population of cones or whether they have normal numbers of cones filled with either of two instead of three pigments. Evidence has accumulated favoring the latter view, in which the photopigment in one class of cone is replaced, but the issue has not been resolved directly. Berendschot et al.(1) measured optical reflectance spectra of the fovea for normals and dichromats, and their analysis favored a replacement model. Psychophysical experiments, based on frequency of seeing curves, have also provided evidence that the packing of foveal cones in dichromats is comparable to that in trichromats (2, 3). Most recently, in comparing mean contrast gains derived from the electroretinogram (ERG) for dichromats to those of trichromats, Kremers et al. (4) concluded that complete replacement occurs in dichromacy.The L-and M-cone photopigments are encoded by genes that reside in a head-to-tail tandem array on the X chromosome (5). Two categories of mutations of these genes have been found to be associated with dichromacy. In one category of mutations, the gene(s) for a spectral class of pigment have been deleted or replaced with a functional gene for a different spectral class (6-10). In the other genetic category, a normal gene is replaced by a mutant one encoding a photopigment that does not function properly (11,12). The most frequently reported example of this latter cause is a mutation that substitutes the amino acid arginine for a cysteine at position 203 (C203R) of the pigment molecule. This cysteine is highly conserved among all G protein-coupled receptors, and is involved in forming an essential disulfide bond in the photopigment molecule (13). The mutation was originally discov...