What causes sudden night blindness?

Written by Wang Hui Zhen
Ophthalmology
Updated on December 31, 2024
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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.

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Written by Tao Yuan
Ophthalmology
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Does night blindness have anything to do with playing on mobile phones?

Night blindness is not related to using mobile phones. Night blindness can be caused by several reasons, with the common ones as follows: First, it can be caused by a deficiency in vitamin A, commonly seen in patients with long-term unbalanced diets and malnutrition. Vitamin A is an essential raw material for the synthesis of photosensitive substances in the retina. A deficiency in vitamin A can lead to abnormal retinal function, causing night blindness. This can be treated by taking vitamin A capsules orally or by consuming foods rich in vitamin A, such as animal liver and carrots. Second, it can be caused by retinitis pigmentosa, which is related to congenital developmental abnormalities. Currently, there are no effective treatments available. Third, it can be due to advanced glaucoma, where surgical treatment to lower eye pressure is needed to prevent and slow the progression of the condition.

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Written by Tao Yuan
Ophthalmology
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Is it useful to wear glasses for night blindness?

Patients with night blindness cannot improve their symptoms by fitting glasses. Fitting glasses is mainly used to correct refractive errors, such as myopia, hyperopia, astigmatism, etc., whereas night blindness is not caused by refractive errors. It is usually caused by the following reasons: First, it may be caused by retinal pigment degeneration, for which there is currently no effective treatment. Avoiding strong light stimulation can help delay the progression of the disease. Second, it may be caused by late-stage glaucoma, which requires treatment with medication or surgery to reduce eye pressure in order to stop and delay the progression of the disease. Third, it may be caused by malnutrition of the rod cells, related to genetic factors, for which there is also no effective treatment available. Fourth, it may be caused by a lack of vitamin A, which can be treated by taking vitamin A capsules orally. (Please follow medical advice when using medication.)

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Written by Li Zhen Dong
Ophthalmology
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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 Tao Yuan
Ophthalmology
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Is night blindness a recessive genetic disease?

Night blindness is not a recessive genetic disease; it is merely a symptom caused by many ophthalmic diseases. The primary manifestation is difficulty seeing in dim environments and requiring a longer time to adapt when moving from bright to dim settings. There are various causes of night blindness, with common ones including vitamin A deficiency, malnutrition of rod cells, and advanced glaucoma. Therefore, when a patient exhibits symptoms of night blindness, it is crucial to seek medical attention promptly. A doctor can determine the specific cause through a comprehensive examination and implement targeted treatment. The primary diseases causing night blindness are mostly non-hereditary; for example, vitamin A deficiency is mainly related to malnutrition and picky eating, which can be treated by supplementing vitamin A.

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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.