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Why Can't I See As Well At Night?

Published in Eye Health 2 mins read

You can't see as well at night primarily because of how your eyes adjust to low light conditions, potentially coupled with underlying vision issues.

Here's a breakdown:

Understanding Night Vision

Your eyes have two types of photoreceptor cells: rods and cones.

  • Cones: These are responsible for color vision and sharp details in bright light. They don't function well in dim light.
  • Rods: These are responsible for night vision and peripheral vision. They are highly sensitive to light, allowing you to see in low light conditions.

When you move from a bright environment to a dark one, your rods need time to adjust and become more sensitive. This process is called dark adaptation.

Common Causes of Reduced Night Vision

Several factors can contribute to difficulty seeing at night:

  • Night Blindness (Nyctalopia): This isn't a condition itself but rather a symptom of an underlying problem. Common causes include:

    • Vitamin A Deficiency: Vitamin A is crucial for the function of rods. A deficiency can impair their ability to detect light.
    • Retinitis Pigmentosa: This is a genetic disorder that causes a gradual decline in vision, including night vision. It damages the retina.
    • Cataracts: Clouding of the lens can scatter light and make it difficult to see in low light.
    • Glaucoma: Damage to the optic nerve can affect vision, including night vision.
    • Other Retinal Issues: Any condition affecting the retina can impact night vision.
  • Myopia (Nearsightedness): Even well-corrected myopia can sometimes impact night vision. Severe or worsening myopia can lead to poorer night vision.

  • Age: As you age, your rods become less efficient, and it takes longer for your eyes to adapt to the dark.

  • Medications: Some medications can affect vision, including night vision.

What to Do If You're Having Trouble Seeing at Night

If you're experiencing difficulty seeing at night, it's important to consult an eye doctor. They can:

  • Perform a comprehensive eye exam to identify any underlying conditions.
  • Assess your visual acuity in both bright and dim light.
  • Recommend appropriate treatment based on the diagnosis. This might include:
    • Vitamin A supplements (if deficient)
    • Corrective lenses for myopia
    • Cataract surgery
    • Treatment for other retinal conditions

Summary

Difficulty seeing at night is often related to the function of rods in the retina, and can be caused by underlying conditions like vitamin A deficiency, myopia, or other eye diseases. Consulting an eye doctor is crucial for diagnosis and treatment.