Is Difficulty Reading in Low Light Normal or a Sign of Night Blindness? - Ophthalmology

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Insufficient light for reading?


Is it normal to have difficulty reading in low light, or could this be a symptom of night blindness? Thank you, doctor.
Additionally, I would like to ask if it is possible to see anything in complete darkness or total absence of light?

Chen Chen, 20~29 year old female. Ask Date: 2021/03/15

Dr. Gao Pilin reply Ophthalmology


Hello Chen Chen: It is natural to find it difficult to read in low light, but if you can see in the dark while others cannot, it may indicate a problem with your night vision.
The eyes require light to see; typically, in darkness, you can perceive some light due to low illumination.
However, in complete darkness, it is impossible to see anything.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should visit a medical facility for a proper examination.
I hope to have the opportunity to assist you.
Sincerely, Gao Pilin.

Reply Date: 2021/03/15

More Info


Difficulty reading in low light can be a common experience for many individuals, particularly as they age. However, it can also be indicative of a condition known as night blindness, or nyctalopia. Night blindness is characterized by difficulty seeing in low-light conditions, and it can be caused by a variety of factors, including vitamin A deficiency, certain eye diseases, and inherited conditions.

When the light levels are low, our eyes rely on rod cells, which are more sensitive to light than cone cells. Rod cells are responsible for vision in dim lighting, while cone cells are responsible for color and detail in brighter conditions. If you find that you struggle to read or see clearly in low light, it could be due to a deficiency in the function of these rod cells, which is a hallmark of night blindness.

In terms of completely dark environments, the human eye cannot see anything without light. Our eyes require some level of illumination to perceive objects. In total darkness, the rods and cones in our eyes cannot function, and thus, we cannot see. However, if you are in a dark environment for an extended period, your eyes may adjust slightly, allowing you to perceive some shapes or movements, but this is not true vision.

If you are experiencing significant difficulty reading in low light or suspect you may have night blindness, it is advisable to consult with an eye care professional. They can perform a comprehensive eye examination to determine the underlying cause of your symptoms. This may include tests for visual acuity, peripheral vision, and the health of your retina and optic nerve.

In addition to night blindness, other conditions can also contribute to difficulty seeing in low light. For example, cataracts can cause clouding of the lens, leading to increased glare and difficulty seeing at night. Similarly, conditions like retinitis pigmentosa, which is a genetic disorder that affects the retina, can lead to progressive vision loss in low-light conditions.

If you are concerned about your vision, especially if you have noticed a sudden change or worsening of your ability to see in low light, it is crucial to seek medical advice. Early detection and treatment of eye conditions can often prevent further deterioration of vision and improve your overall quality of life.

In summary, while difficulty reading in low light can be a normal phenomenon, especially with age, it can also be a sign of night blindness or other underlying eye conditions. It is essential to monitor your symptoms and consult with a healthcare professional for a thorough evaluation and appropriate management.

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