Causes of Night Blindness

Written by Li Zhuo
Ophthalmology
Updated on September 22, 2024
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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 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 Tao Yuan
Ophthalmology
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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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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 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 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.