Is night blindness related to myopia?

Written by Li Zhen Dong

Ophthalmology

Updated on September 13, 2024

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Night blindness generally has little to do with myopia. Night blindness can be divided into congenital night blindness and acquired night blindness, caused by retinal dysfunction. Myopia makes distant objects appear blurry and near objects clear, primarily due to changes in the eye's axis. Night blindness does not involve changes in visual acuity or the eye's axis. Once night blindness occurs, one should actively seek an ophthalmological examination and receive proper treatment. Currently, the treatment for myopia mainly includes corrective glasses, orthokeratology (corneal reshaping therapy), and surgical treatments.

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Written by Wang Hui Zhen

Ophthalmology

1min 11sec

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Does night blindness also cause a decrease in vision during the day?

Patients with severe night blindness also experience a decline in vision during the day. Night blindness refers to the blurriness or complete inability to see in the dark or dimly lit environments, causing difficulties in movement. In severe cases, vision can also decline during the day. Night blindness can be categorized into congenital, acquired, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients inherently lack the ability to synthesize rhodopsin, leading to night blindness. Acquired night blindness is often due to diseases of the retina or other eye diseases, 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 due to certain digestive system diseases affecting Vitamin A absorption, and it is advised to supplement Vitamin A and other treatments as prescribed by a doctor.

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Written by Li Zhen Dong

Ophthalmology

38sec

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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 Li Zhuo

Ophthalmology

1min

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Will night blindness lead to blindness?

Night blindness first requires determining the cause of your condition. If it is due to a deficiency of vitamin A leading to night blindness, supplementing vitamin A can alleviate the symptoms, and the night blindness will disappear. However, if the night blindness is caused by retinitis pigmentosa, as this condition progresses with age, the symptoms of retinal pigment degeneration worsen and the retinal-caused night blindness will gradually intensify, eventually there is a possibility of blindness. It is essential first to determine the specific cause. Some people may experience a rapid progression of the disease, but others with retinitis pigmentosa, or such symptoms of night blindness, may not be very severe. They could maintain useful vision throughout their lives, which mainly depends on the type and severity of the genetic mutation and the specific causes.

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Written by Li Zhen Dong

Ophthalmology

41sec

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Is night blindness related to myopia?

Night blindness generally has little to do with myopia. Night blindness can be divided into congenital night blindness and acquired night blindness, caused by retinal dysfunction. Myopia makes distant objects appear blurry and near objects clear, primarily due to changes in the eye's axis. Night blindness does not involve changes in visual acuity or the eye's axis. Once night blindness occurs, one should actively seek an ophthalmological examination and receive proper treatment. Currently, the treatment for myopia mainly includes corrective glasses, orthokeratology (corneal reshaping therapy), and surgical treatments.

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Written by Li Zhuo

Ophthalmology

1min 23sec

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Can people with night blindness undergo myopia surgery?

Night blindness is mostly due to abnormalities in the retinal pigment epithelial cells, because when these cells are abnormal, it leads to abnormalities in the rod cells, which sometimes leads to night blindness. This is because rod cells are responsible for seeing in low light, proving that this refractive system’s weakness is akin to a camera’s film being damaged. In the case of performing surgery for nearsightedness, it is primarily because there's an issue with the eye’s refractive system, similar to having a damaged camera lens. While a damaged lens can be repaired, if the film is faulty, even a perfectly repaired lens won't improve the camera's imaging function. Thus, night blindness primarily involves the retina, whereas surgery for nearsightedness mainly involves the lens and cornea. If the retina's condition is poor, then vision improvement from nearsightedness surgery will be limited because the effectiveness of such surgery relies on the pre-surgery vision achievable with glasses. If vision with glasses is inadequate, the surgical outcomes tend to be suboptimal. Generally, we do not recommend laser surgery for patients with night blindness.