What should be paid attention to in night blindness?

Written by Tao Yuan
Ophthalmology
Updated on September 23, 2024
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Night blindness is a common symptom in ophthalmology and can be caused by many reasons. Once night blindness occurs, patients need to promptly visit an eye clinic for a face-to-face examination to diagnose the cause, and then treat it based on the specific cause. The common causes include the following:

First, it can be caused by late-stage glaucoma. Surgery is needed to reduce intraocular pressure to halt the progression of the disease; otherwise, it may lead to complete blindness.

Second, it can be due to a deficiency of vitamin A, related to long-term poor diet and malnutrition. It often also includes symptoms such as dryness of the conjunctiva and softening of the cornea, which can be treated by taking vitamin A capsules orally.

Third, it is caused by malnutrition of the rod cells in the retina. Currently, there is no effective treatment for this condition.

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Written by Tao Yuan
Ophthalmology
58sec home-news-image

What should be paid attention to in night blindness?

Night blindness is a common symptom in ophthalmology and can be caused by many reasons. Once night blindness occurs, patients need to promptly visit an eye clinic for a face-to-face examination to diagnose the cause, and then treat it based on the specific cause. The common causes include the following: First, it can be caused by late-stage glaucoma. Surgery is needed to reduce intraocular pressure to halt the progression of the disease; otherwise, it may lead to complete blindness. Second, it can be due to a deficiency of vitamin A, related to long-term poor diet and malnutrition. It often also includes symptoms such as dryness of the conjunctiva and softening of the cornea, which can be treated by taking vitamin A capsules orally. Third, it is caused by malnutrition of the rod cells in the retina. Currently, there is no effective treatment for this condition.

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Written by Li Zhuo
Ophthalmology
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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 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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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 home-news-image

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.