Does night blindness also cause a decrease in vision during the day?

Written by Wang Hui Zhen
Ophthalmology
Updated on September 18, 2024
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Patients with severe night blindness also experience a decline in vision during the day. Night blindness refers to the blurriness or complete inability to see in the dark or dimly lit environments, causing difficulties in movement. In severe cases, vision can also decline during the day. Night blindness can be categorized into congenital, acquired, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients inherently lack the ability to synthesize rhodopsin, leading to night blindness. Acquired night blindness is often due to diseases of the retina or other eye diseases, and it is recommended 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 affecting Vitamin A absorption, and it is advised to supplement Vitamin A and other treatments as prescribed by a doctor.

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

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 Tao Yuan
Ophthalmology
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Early symptoms of night blindness

Night blindness is a common early symptom of eye diseases, manifested by blurred vision in dim environments. When transitioning from bright to dark environments, it takes a longer time to gradually adapt. There are many causes of night blindness, such as common ones including vitamin A deficiency, malnutrition of rod cells, and advanced glaucoma. If symptoms of night blindness occur, it is necessary to visit an ophthalmologist in a hospital soon for diagnostic evaluation to determine the specific cause. For night blindness caused by vitamin A deficiency, recovery can be promoted by taking oral vitamin A capsules. There is currently no effective treatment for night blindness caused by malnutrition of rod cells. For those caused by advanced glaucoma, surgical treatment is needed to delay or prevent the progression of the condition.

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Written by Wang Hui Zhen
Ophthalmology
1min 14sec home-news-image

What causes sudden night blindness?

There are many causes of sudden night blindness. Night blindness refers to blurry vision or even complete inability to see in low-light conditions such as nighttime, possibly even leading to difficulties in movement. Night blindness can be categorized into congenital, acquired, and temporary types. Congenital night blindness is mostly related to genetic factors, where the patient is born with a deficiency in synthesizing rhodopsin, leading to night blindness. Temporary night blindness is often due to a lack of Vitamin A in the diet, or due to some digestive system diseases that affect the absorption of Vitamin A. Acquired night blindness is usually caused by diseases of the retina or the eye itself. Therefore, if sudden night blindness occurs, it is recommended to go to a reputable hospital's ophthalmology department for comprehensive examinations such as visual acuity, intraocular pressure, slit lamp, dilated fundus examination, and if necessary, further tests like fundus fluorescein angiography to identify the cause and provide targeted treatment.

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Written by Tao Yuan
Ophthalmology
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Is it useful to wear glasses for night blindness?

Patients with night blindness cannot improve their symptoms by fitting glasses. Fitting glasses is mainly used to correct refractive errors, such as myopia, hyperopia, astigmatism, etc., whereas night blindness is not caused by refractive errors. It is usually caused by the following reasons: First, it may be caused by retinal pigment degeneration, for which there is currently no effective treatment. Avoiding strong light stimulation can help delay the progression of the disease. Second, it may be caused by late-stage glaucoma, which requires treatment with medication or surgery to reduce eye pressure in order to stop and delay the progression of the disease. Third, it may be caused by malnutrition of the rod cells, related to genetic factors, for which there is also no effective treatment available. Fourth, it may be caused by a lack of vitamin A, which can be treated by taking vitamin A capsules orally. (Please follow medical advice when using medication.)

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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.