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Trouble Seeing at Night? All About Night Blindness

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At this time of year when the sun sets earlier, many people are affected by night blindness. Night blindness or nyctalopia refers to difficulty seeing at night or in poor or dim lighting situations. It can be caused by a number of underlying conditions, sometimes completely benign and sometimes as a symptom of a more serious eye disease. So, if you are experiencing trouble seeing in low light, especially if it is a sudden onset of the condition, it is worth having it checked out by your eye doctor.

Signs of Night Blindness

The main indication of night blindness is difficulty seeing well in dark or dim lighting, especially when transitioning from a brighter to a lower light environment, like walking from outside into a dimly lit room. Many experience difficulty driving at night, particularly with the glare of streetlights or the headlights from oncoming traffic.

Causes of Night Blindness

Night blindness is a condition that can be present from birth, or caused by a disease, injury or even a vitamin deficiency. In order to treat the condition, your eye doctor will need to determine the cause. Here are some of the common causes:

  • Nearsightedness (myopia) - many people with nearsightedness (or difficulty seeing objects in the distance) experience some degree of night blindness, especially when driving.
  • Retinitis Pigmentosa - a genetic condition in which the pigmented cells in the retina break down causing a loss of peripheral vision and night blindness.
  • Cataracts - a clouding of the natural lens of the eye causing vision loss.
  • Glaucoma - a group of diseases that involve damage to the optic nerve and subsequent vision loss.
  • Vitamin A Deficiency - vitamin A or retinol is found in greens (kale, spinach, collards, broccoli etc.), eggs, liver, orange vegetables (carrots, sweet potatoes, mango etc.), eggs and butter. Your doctor may also prescribe Vitamin A supplements if you have a serious deficiency.
  • Eye Surgery - refractive surgery such as LASIK sometimes results in reduced night vision as either a temporary or sometimes permanent side effects.
  • Injury - an injury to the eye or the part of the brain that processes vision can result in reduced night vision.
  • Uncorrected Visual Error - many people experience better daytime vision as the pupils are smaller and provide greater depth of field to compensate for any vision problems. At night, the pupils dilate, so blur is increased from uncorrected nearsightedness, farsightedness, astigmatism or distortions/aberrations on the cornea from refractive surgery. Even a slight prescription for someone who may not need glasses during the day can make a significant improvement in night vision.
  • Eyewear Problems - even if your vision correction is accurate, badly scratched glasses or poor/defective lens coatings can also cause trouble seeing at night. Special lens coatings are now available on glasses for night time and foggy conditions.

Treatment for Night Blindness

Some causes of night blindness are treatable, while others are not, so the first step is a comprehensive eye exam to determine what the root of the problem is. Treatments range from simply purchasing a special pair of glasses, lens coatings or contact lenses to wear at night (for optical issues such as myopia) to surgery (to correct the underlying problem such as cataracts), to medication (for diseases like glaucoma). In some cases, your doctor may recommend that you avoid driving at night. During the day, it may help to wear sunglasses or a brimmed hat to ease the transition indoors.

As with any change in vision, it is critical to get your eyes checked as soon as you begin to experience symptoms, and on a routine basis even if you’re symptom-free. Not only will this improve your chances of detecting and treating a vision-threatening disease if you have one brewing, but treatment will also keep you more comfortable seeing in low-light, and keep you and your loved ones safe at night or in poor light conditions.

At Vision Care Consultants, we put your family's needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 314-843-5700 or book an appointment online to see one of our St. Louis eye doctors.

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VISION CARE CONSULTANTS COVID-19 CDC COMPLIANCE STATEMENT

Eyecare services are currently available for you, your children and family. However, please consult our Google Business page or call us for our current hours of operation. We want to advise you about the procedures and efforts that we are making to address the challenges regarding COVID-19/Coronavirus. (Read more)

Our efforts you can expect at our practice:

  • Staggered appointment times with minimal to no wait times in our reception area. Patients may also check in and wait outside in their cars to be called in for exam.
  • Following guidelines based upon medical evidence and closely monitoring the guidance from the Centers for Disease Control (CDC).
  • Educating our doctors and staff on preventative measures provided by the CDC with daily staff meeting updates.
  • Increasing the frequency and extent of our cleaning practices, such as additional wipe downs of all hard surfaces including the front desk, examination rooms after every exam and additional cleaning for all “patient touch points” (door handles, eyeglasses, counter tops, and other high-touch surfaces).
  • Providing additional resources that are available to patients and employees including hand sanitizers, extra soap and paper towels at all sinks and restrooms.
  • Implementing heightened sanitation and hand-washing procedures for all staff.

OUR PATIENT REQUEST:

  • Only bring scheduled patients to the office (1-Accompanied adult per minor or elderly patient).

  • If you recently traveled to any of the high risk countries within the past 30 days, please, delay & reschedule your appointment for 30 days after you returned from your travel.

  • If you have any flu-like symptoms (fever, chills body aches, & trouble breathing), please, delay your appointment for 30 days.

  • If you are experiencing any of the symptoms listed above, and you arrive at our office, we will kindly ask you to leave & reschedule your appointment

  • Please notify us as soon as possible if you need to reschedule your appointment. This allows us to release your reserved time to another patient.

With appropriate precautions we will together address this challenge and modify behaviors that will make us better prepared to face such challenges in the future. Thank you for your cooperation.

Sincerely,

Dr. Brawley, Dr. Friederich, Dr. Seibel, Dr. Wehner & Staff at Vision Care Consultants