Can mild night blindness be cured?

Written by Tao Yuan
Ophthalmology
Updated on September 01, 2024
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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 Li Zhen Dong
Ophthalmology
41sec home-news-image

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
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Can night blindness see clearly during the day?

Night blindness is mainly due to two types of cells on our retina: cone cells and rod cells. Rod cells are responsible for vision at night, while cone cells are responsible for vision during the day and are crucial for sharp vision. In cases of night blindness, there are issues with the rod cells, but patients also have problems with their cone cells. Therefore, not only is their nighttime vision unclear, but their daytime vision is also worse than that of an average person. Although they can see during the day, the clarity is impaired. This condition is primarily due to a genetic anomaly, often involving a chromosomal abnormality. It is recommended that patients supplement with B vitamins, such as lutein.

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Written by Li Zhuo
Ophthalmology
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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.

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Written by Wang Hui Zhen
Ophthalmology
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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 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.