Is night blindness a recessive genetic disease?

Written by Tao Yuan
Ophthalmology
Updated on September 04, 2024
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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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Written by Tao Yuan
Ophthalmology
1min 1sec home-news-image

Night blindness will have what impact?

Night blindness is a common ophthalmological symptom, primarily characterized by poor vision in dim environments. Many factors can cause night blindness, such as advanced glaucoma, retinal pigment degeneration, vitamin A deficiency, etc. It is crucial to seek timely ophthalmic examination at a hospital to diagnose the specific cause of night blindness and then implement targeted treatments. Otherwise, the condition may gradually worsen. For example, night blindness caused by advanced glaucoma can progressively lead to blindness. If night blindness caused by a deficiency in vitamin A is not treated in time, it can also lead to dry eye syndrome, keratomalacia, and other issues. Regarding treatment, night blindness caused by vitamin A deficiency can be treated with oral vitamin A capsules. For night blindness caused by advanced glaucoma, surgical treatment to reduce eye pressure is necessary to halt the progression of the condition.

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Written by Li Zhuo
Ophthalmology
1min 23sec home-news-image

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
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 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 Li Zhen Dong
Ophthalmology
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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.