Comprehensive Eye Exam

Navigating the Symptoms and Treatments of Night Blindness

By Dr. Nathan Kluttz 

Nyctalopia, more commonly referred to as night blindness, is an eye condition characterized by difficulty seeing in poorly lit environments. For those affected, it can be like navigating in the dark with insufficient lighting, like driving with dim headlights or using minimal candlelight during a blackout. 

Identifying Symptoms of Night Blindness

The main characteristic of night blindness is a struggle to see or adjust to low light levels, leading to unclear vision in dark or dim settings. This can significantly hinder daily activities, especially in environments with inadequate lighting. 

Driving at night can be particularly challenging for individuals with night blindness due to their decreased visual acuity in dark conditions. The situation can be further aggravated by the glare from bright LED headlights, which can be overwhelming and disorienting. 

Exploring the Causes of Night Blindness

Refractive Errors

Refractive errors, such as myopia (nearsightedness) and astigmatism, are common contributors to night blindness. These errors disrupt how light is focused within the eyes, leading to blurred vision and increased glare in low-light conditions, hallmarks of night blindness. 

Ocular Nutrition

A deficiency in Vitamin A, essential for maintaining healthy eyes and clear vision, can also cause night blindness. Inadequate intake of this vitamin impairs the eyes' ability to function optimally in low-light situations. 

Eye Diseases 

Conditions like retinitis pigmentosa, which affect the retina's cells, can lead to night blindness. Additionally, problems with the optic nerve, the vital connector between the eyes and brain, can result in night blindness if it hampers the transmission of visual information. 

Approaches to Treating Night Blindness

If you notice symptoms of night blindness, the initial step is to consult with an EyeCare Associates optometrist for a comprehensive eye exam. The optometrist can pinpoint the cause of your symptoms and recommend a tailored treatment plan. 

When night blindness results from refractive errors, wearing corrective lenses like glasses or contact lenses may be advised. Increasing vitamin A intake is another common recommendation to support eye health. 

For night blindness due to an underlying eye disease, the treatment strategy aims to manage symptoms and slow the disease's progression. Keeping up with regular eye examinations is critical in these cases. 

Prevention Strategies for Night Blindness

To mitigate and manage night blindness, especially if you have a refractive error or an eye disease, adopting certain practices is beneficial. Wearing anti-reflective glasses can lessen the glare from bright lights, particularly helpful for night driving against LED headlights. 

A diet rich in vitamin A, including carrots, sweet potatoes, and dark leafy greens, is crucial for eye health. Regular visits to EyeCare Associates for eye check-ups play a key role in detecting and addressing potential eye issues early on. To take the first step towards clearer vision, schedule an appointment with EyeCare Associates


Night blindness impairs clear vision in dark or dimly lit conditions. It's important to understand its causes, symptoms, and treatment options to reduce its impact on activities like night driving. Managing underlying causes, utilizing the right eyewear, and embracing lifestyle adjustments can greatly improve vision in low-light situations. rs to the highest standard and assists in onboarding our new optometrists.   

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About the Author

Nathan Kluttz, OD

Dr. Nathan Kluttz, OD, practices full-scope optometry at the EyeDoctors Optometrists location in Ottawa, KS. Dr. Kluttz serves as the Area Medical Director, a position granted by the Medical Executive Board at EyeCare Partners. In this role, he helps hold our expert eye doctors to the highest standard and assists in onboarding our new optometrists.