Does night blindness lead to blindness?

Written by Wang Hui Zhen
Ophthalmology
Updated on September 29, 2024
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Night blindness, if severe, can lead to blindness. Night blindness refers to blurred vision at night or in dimly lit environments, or even total inability to see, causing difficulty in movement and affecting normal life. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients are born with a lack of the ability to synthesize rhodopsin, leading to night blindness. Acquired night blindness is often due to diseases of the retina itself, and it is advisable to actively treat the underlying disease, which can cure most cases. Temporary night blindness is mostly due to a lack of vitamin A in the diet or due to certain digestive system diseases affecting the absorption of vitamin A, for which it is advisable to follow medical advice and supplement with an appropriate amount of vitamin A and other treatments.

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Written by Li Zhuo
Ophthalmology
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Causes of Night Blindness

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 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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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 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.

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Written by Tao Yuan
Ophthalmology
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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.