Vision - night blindness

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External and internal eye anatomy

Nyctanopia; Nyctalopia; Night blindness

Take safety measures to prevent accidents in areas of low light. Avoid driving a car at night, unless you get your eye doctor's approval.

Vitamin A supplements may be helpful if you have a vitamin A deficiency. Ask your doctor.

It is important to have a complete eye exam to determine the cause, which may be treatable. Call your eye doctor if symptoms of night blindness persist or significantly affect your life.

Your health care provider will examine you and your eyes. The goal of the medical exam is to determine if the problem can be corrected (for example, with new glasses or cataract removal), or if the problem is due to something more serious.

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The doctor may ask you questions, including:

• When did the night blindness begin?
• Did it occur suddenly or gradually?
• Does it happen all the time or just sometimes?
• How severe is the night blindness?
• Are you nearsighted?
• Do you have other vision changes?
• What other symptoms do you have?
• Do you have unusual stress, anxiety, or a fear of the dark?
• Does using corrective lenses improve night vision?
• What medications do you use?
• How is your diet?
• Have you recently injured your eyes or head?
• Do you have a family history of diabetes?

The eye exam will include:

• Color vision testing
• Pupil light reflex
• Refraction
• Retinal exam
• Slit lamp examination
• Visual acuity

Other tests may be done:

• Electroretinogram (ERG)
• Visual field

Review Date: 07/28/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).