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Hello Doctor, I have recently noticed that my vision in dark environments seems dimmer than before, although I can still see objects and their positions.
When I followed up with my doctor, I was informed that my astigmatism is relatively high (175 in one eye and 225 in the other), and sometimes it measures even higher.
The doctor mentioned that astigmatism can affect night vision.
I would like to ask if my level of astigmatism could potentially impact my night vision? I haven't experienced much difficulty while riding my bike at night; the only issue arises in completely dark rooms with only external light sources, where things appear blurry, but I can still recognize positions and objects.
Thank you, Doctor.
Niming, 20~29 year old female. Ask Date: 2021/09/17
Dr. Gao Pilin reply Ophthalmology
Hello: Astigmatism can affect night vision, so if you are outside at night without wearing glasses, your night vision will be poor.
If you want to see clearly while riding a bike at night, it is essential to wear glasses for safety.
Reply Date: 2021/09/17
More Info
Astigmatism is a common refractive error that occurs when the cornea or lens of the eye is irregularly shaped, leading to blurred or distorted vision. This condition can significantly impact various aspects of vision, including night vision. Your experience of seeing less clearly in dim lighting, despite being able to recognize shapes and positions, is indeed related to your astigmatism.
How Astigmatism Affects Night Vision
1. Understanding Astigmatism: Astigmatism results from an uneven curvature of the cornea or lens, which causes light rays to focus on multiple points rather than a single point on the retina. This can lead to blurred vision at all distances, but it is often more pronounced in low-light conditions. The higher your astigmatism (in your case, 175 and 225 degrees), the more pronounced the visual distortion can be, especially in dim lighting.
2. Night Vision Challenges: In low-light environments, the eye relies more heavily on rod cells, which are responsible for vision in dim light. However, astigmatism can complicate this process. The distortion caused by astigmatism can lead to difficulties in seeing clearly at night, as the brain struggles to interpret the blurred signals from the retina. This can result in a sensation of darkness or a lack of clarity, even when there is some ambient light.
3. Adaptation to Low Light: You mentioned that you can still recognize shapes and positions in dark rooms with some light sources, which indicates that your eyes are adapting to the available light. This adaptation process can take longer for individuals with higher degrees of astigmatism, as the brain needs to work harder to interpret the distorted images. This is why you might feel that things appear darker than they actually are.
4. Impact on Activities: While you may not experience significant issues while riding a bike at night, the challenges of astigmatism can become more pronounced in situations where precise vision is necessary, such as driving or navigating unfamiliar environments in low light. The blurriness can lead to difficulties in depth perception and distance judgment, which are crucial for safe navigation.
5. Management and Treatment: If your astigmatism is affecting your night vision, corrective lenses (glasses or contact lenses) specifically designed to address astigmatism can help improve clarity. Additionally, regular eye exams are essential to monitor any changes in your vision and to ensure that your prescription is up to date. In some cases, refractive surgery may be an option to correct astigmatism, but this should be discussed thoroughly with your eye care professional.
6. Other Factors: It's also worth noting that other factors can influence night vision, such as overall eye health, the presence of other refractive errors (like myopia or hyperopia), and even environmental conditions (like glare from streetlights). If you notice any sudden changes in your night vision or experience symptoms like halos around lights, it’s important to consult with your eye doctor.
Conclusion
In summary, your astigmatism is likely contributing to your perception of darkness and difficulty seeing clearly in low-light conditions. While you may still be able to navigate and recognize objects, the distortion caused by astigmatism can make it more challenging to see clearly at night. Regular eye exams and appropriate corrective measures can help manage these symptoms and improve your overall visual experience, especially in low-light situations. If you have further concerns or notice any changes in your vision, don't hesitate to reach out to your eye care provider for personalized advice and treatment options.
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