Causes of Night Blindness

Written by Li Zhuo
Ophthalmology
Updated on September 22, 2024
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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
1min 21sec home-news-image

What should I do if night blindness is afraid of sunlight?

People with night blindness, who are sensitive to sunlight, can wear sunglasses when going out, and should actively seek treatment for night blindness. Night blindness refers to the blurriness or complete inability to see in dim light or at night, which makes mobility difficult. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to hereditary factors, where patients are born lacking the ability to synthesize rhodopsin, leading to night blindness. It is recommended to supplement vitamin A in appropriate amounts, and gene therapy is a potential treatment direction. Acquired night blindness is generally caused by diseases of the retina or other eye conditions, and it is recommended to actively treat the primary disease. Temporary night blindness is often due to a lack of vitamin A in the diet or due to some digestive system diseases affecting the absorption of vitamin A. It is advisable to supplement vitamin A as per medical advice and actively treat digestive tract diseases.

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Written by Li Zhuo
Ophthalmology
1min home-news-image

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 Wang Hui Zhen
Ophthalmology
1min 32sec home-news-image

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 Wang Hui Zhen
Ophthalmology
1min 45sec home-news-image

What will happen if night blindness is not treated?

Night blindness, if left untreated, can progress slowly in some cases and more rapidly in others, potentially leading to blindness quickly. Therefore, it is recommended to visit a hospital for diagnosis and targeted treatment if night blindness occurs. Night blindness refers to the blurriness or even complete inability to see in low light conditions or at night, causing difficulty 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 genetic factors. Patients are born with a deficiency in synthesizing rhodopsin, which leads to night blindness. It is recommended to supplement with Vitamin A as per medical advice, though the treatment effectiveness for congenital night blindness is generally poor, and gene therapy is considered a direction for the future. Acquired night blindness is often caused by diseases intrinsic to the eye, and it is advisable 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 that affect the absorption of Vitamin A; hence, it is recommended to supplement Vitamin A as advised by a doctor.

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Written by Tao Yuan
Ophthalmology
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Can people with night blindness see things at night?

Individuals with night blindness can still see at night, but with less clarity compared to those with normal vision. Night blindness can be caused by various conditions, such as advanced glaucoma, retinal pigment degeneration, Vitamin A deficiency, and poor nourishment of the rod cells in the retina. It occurs due to damage to the rod cells on the retina, which are responsible for dark vision, preventing them from functioning normally. Diagnosis can be confirmed through dark adaptation tests and electroretinography at an ophthalmology department in hospitals. Treatment for night blindness should be based on the underlying cause; for instance, if caused by Vitamin A deficiency, the condition can be treated by supplementing Vitamin A, thus either restoring health, or preventing and slowing further deterioration of the condition.