Is this night blindness?
Does anyone know why when the lighting is dim at night, I can't see anything when looking directly at objects, but I can see them using peripheral vision? This issue has been bothering me for a long time, and I've consulted a doctor.
The doctor said it is not macular degeneration, but the symptoms don't quite match night blindness either.
If anyone has similar symptoms or an explanation, please reply as soon as possible.
Thank you!
Kiki, 20~29 year old female. Ask Date: 2020/12/28
Dr. Cai Wenyuan reply Ophthalmology
It is recommended to visit a medical center for an examination, which should provide the answers needed.
Reply Date: 2020/12/28
More Info
Night blindness, or nyctalopia, is a condition that affects a person's ability to see in low-light conditions. It can be particularly frustrating for individuals who find that they can see better using peripheral vision in dim light rather than direct vision. This phenomenon can be attributed to several factors related to how our eyes function in different lighting conditions.
Firstly, it is essential to understand the anatomy of the eye and how it adapts to varying light levels. The retina, located at the back of the eye, contains two types of photoreceptor cells: rods and cones. Rods are responsible for vision in low-light conditions and are more sensitive to light than cones, which are responsible for color vision and function best in bright light. In dim lighting, the rods become more active, allowing us to detect shapes and movement, but they do not provide the same level of detail or color perception as cones.
When you mention that you can see better in dim light using your peripheral vision, it is likely because your rods are more active in those conditions. The central part of your vision, where the cones are concentrated, may struggle to gather enough light to form a clear image, leading to the sensation that you cannot see well when looking directly at objects. This is a common experience, especially in low-light environments, and can be exacerbated by factors such as fatigue, eye strain, or even certain refractive errors.
Additionally, if you have been diagnosed with refractive errors like myopia (nearsightedness) or astigmatism, these conditions can further complicate your night vision. When light enters the eye, it may not focus correctly on the retina, leading to blurred vision, particularly in low-light situations. This could explain why you find it challenging to see directly but can perceive objects better when using your peripheral vision.
Another aspect to consider is the adaptation of your eyes to darkness, known as dark adaptation. When transitioning from a well-lit environment to a darker one, your eyes take time to adjust. Initially, you may find it difficult to see, but after a few minutes, your rods will become more sensitive, allowing you to see better in the dark. This process can vary from person to person and may be influenced by factors such as age, overall eye health, and the presence of any underlying conditions.
If your eye doctor has ruled out significant issues such as macular degeneration or other retinal diseases, it may be worthwhile to explore other potential causes of your symptoms. Conditions such as vitamin A deficiency, which is crucial for the health of the retina, or certain medications that affect vision could also play a role.
In conclusion, the experience of seeing better in dim light using peripheral vision rather than direct vision is a common phenomenon related to the functioning of the rods and cones in the retina. If you continue to experience difficulties or if your symptoms worsen, it is advisable to seek further evaluation from an eye care professional. They may recommend additional tests or treatments to address your concerns and improve your night vision.
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