Can night blindness see clearly during the day?

Written by Li Zhuo
Ophthalmology
Updated on September 08, 2024
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Night blindness is mainly due to two types of cells on our retina: cone cells and rod cells. Rod cells are responsible for vision at night, while cone cells are responsible for vision during the day and are crucial for sharp vision. In cases of night blindness, there are issues with the rod cells, but patients also have problems with their cone cells. Therefore, not only is their nighttime vision unclear, but their daytime vision is also worse than that of an average person. Although they can see during the day, the clarity is impaired. This condition is primarily due to a genetic anomaly, often involving a chromosomal abnormality. It is recommended that patients supplement with B vitamins, such as lutein.

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Written by Li Zhuo
Ophthalmology
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Causes of Night Blindness

Night blindness generally falls into two categories. The first type is due to a deficiency in Vitamin A, which leads to abnormal metabolism of retinol, preventing the perception of low light and thus causing symptoms of night blindness. The other condition is retinitis pigmentosa, where the photoreceptor cells in our retina responsible for detecting light at night, mainly the rod cells, undergo premature apoptosis, resulting in poor light perception. Retinitis pigmentosa can be congenital, caused by genetic mutations or abnormalities, but it can also be secondary to other diseases. Conditions like choroiditis or choroid retinitis inflammation can lead to abnormalities in the rod cells, which can also result in night blindness. The specific causes need to be examined.

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Written by Wang Hui Zhen
Ophthalmology
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Can night blindness be improved by wearing glasses?

Generally speaking, it is difficult to improve night blindness by fitting glasses. If the patient already has tunnel vision, they can try wearing special glasses to enhance the visual quality of the remaining vision. Night blindness refers to blurred vision or even complete inability to see in the dark or dimly lit environments, causing difficulties in movement. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients are born lacking the function to synthesize rhodopsin, leading to night blindness. Currently, there is no specific treatment, but it is advisable to supplement vitamin A as per medical advice. Acquired night blindness is often due to diseases of the eye itself and it is recommended to actively treat the primary disease. Temporary night blindness is mostly due to a lack of vitamin A in the diet, or diseases of the digestive system that affect the absorption of vitamin A, and it is recommended to supplement vitamin A as per medical advice and treat digestive tract diseases, which can mostly improve the condition.

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Written by Li Zhen Dong
Ophthalmology
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Will staying up late worsen night blindness?

If night blindness is caused by congenital reasons, then staying up late generally does not significantly worsen it. If it is caused by acquired eye abnormalities, staying up late will noticeably exacerbate the occurrence of night blindness. Additionally, if it is caused by a deficiency in vitamin A, one should rest properly, reduce close-range activities, avoid staying up late, and supplement with foods or medications containing vitamin A. If the night blindness is due to eye-related causes, active treatment and regular follow-ups are recommended. If it is due to congenital reasons, currently there are no particularly effective treatments available.

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Written by Tao Yuan
Ophthalmology
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Patients with night blindness are lacking something.

Night blindness is a common symptom in ophthalmology, referring to a condition where patients cannot see clearly in dim environments. Night blindness can be caused by various reasons, among which vitamin A deficiency night blindness occurs due to the patient's long-term picky eating or malnutrition, leading to insufficient intake of vitamin A. Vitamin A is an essential raw material for the synthesis of photosensitive substances in the retina, and its deficiency can lead to night blindness. Night blindness caused by retinal pigment degeneration, malnutrition of rod cells, and late-stage glaucoma does not involve a lack of nutritional elements in the patient's body. Instead, it results from damage to the rod cells in the retina or the nerve fiber layer, which prevents them from sensing light stimuli in dark environments.

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Written by Wang Hui Zhen
Ophthalmology
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What causes sudden night blindness?

There are many causes of sudden night blindness. Night blindness refers to blurry vision or even complete inability to see in low-light conditions such as nighttime, possibly even leading to difficulties in movement. Night blindness can be categorized into congenital, acquired, and temporary types. Congenital night blindness is mostly related to genetic factors, where the patient is born with a deficiency in synthesizing rhodopsin, leading to night blindness. Temporary night blindness is often due to a lack of Vitamin A in the diet, or due to some digestive system diseases that affect the absorption of Vitamin A. Acquired night blindness is usually caused by diseases of the retina or the eye itself. Therefore, if sudden night blindness occurs, it is recommended to go to a reputable hospital's ophthalmology department for comprehensive examinations such as visual acuity, intraocular pressure, slit lamp, dilated fundus examination, and if necessary, further tests like fundus fluorescein angiography to identify the cause and provide targeted treatment.