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 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 mild night blindness be cured?

Night blindness is a common ophthalmic disease caused by many factors. Its main symptom is difficulty seeing in dim environments, and it takes a longer time to adapt when moving from bright to dim surroundings. For mild night blindness, it is important to first identify the specific cause. Different causes lead to different treatments and outcomes. For example, night blindness caused by a deficiency in Vitamin A can be completely cured by taking oral Vitamin A capsules or by consuming foods rich in Vitamin A such as carrots and animal liver. Night blindness caused by malnutrition of the rod cells in the eye is incurable. For night blindness resulting from advanced glaucoma, treatment can delay and control the progression of the disease, but cannot reverse the damage already done to vision.

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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 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
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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.