Night Blindness: Causes and Solutions for Eye Fatigue - Ophthalmology

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Night blindness issue


Yesterday, I spent 1.2 hours on the computer for a course, during which I already felt eye fatigue and a headache.
After turning off the computer and immediately going to sleep in the dark, I noticed that while I usually take just 1 minute to adjust to the darkness, it took me 3 to 4 minutes yesterday.
Although I eventually achieved the same clarity in the dark as usual, the longer adjustment time and the fact that my vision feels blurrier today, along with some discomfort, concern me.

1.
Could the longer adjustment time to darkness yesterday be due to eye fatigue, or could it indicate night blindness?
2.
Is the blurry vision I'm experiencing today related to eye fatigue?
3.
Is it possible that other underlying conditions could be causing these symptoms? Thank you, doctor.

Ms. Chen, 20~29 year old female. Ask Date: 2021/11/05

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Chen: 1.
Night blindness does not occur suddenly and does not resolve on its own.
If there is an improvement later, it is likely not night blindness.
2.
If the vision returns after resting, it may be due to retinal fatigue caused by prolonged computer use.
3.
If this phenomenon persists, a detailed examination by an ophthalmologist is necessary to determine if it is night blindness.

Reply Date: 2021/11/05

More Info


Night blindness, or nyctalopia, is a condition characterized by difficulty seeing in low light or darkness. It can be caused by a variety of factors, including retinal diseases, vitamin A deficiency, and certain genetic conditions. In your case, it seems that your recent experience of prolonged adaptation to darkness and subsequent visual disturbances may be linked to eye fatigue rather than a specific condition like night blindness.

1. Prolonged Adaptation to Darkness: The fact that you took longer than usual to adapt to the dark after using the computer for an extended period could indeed be related to eye fatigue. When you spend a significant amount of time staring at a screen, your eye muscles become strained, leading to symptoms such as discomfort, headaches, and difficulty adjusting to changes in lighting. This is often referred to as digital eye strain or computer vision syndrome. The fatigue can temporarily impair your ability to see clearly in low-light conditions, making it feel as though your eyes are not adjusting as quickly as they normally would.

2. Blurred Vision: The blurred vision you experienced the following day is likely a continuation of the eye fatigue. When your eyes are tired, they may not focus as well, leading to temporary blurriness. This can happen even if you did not engage in extensive screen time on that particular day. Factors such as insufficient sleep, dehydration, and prolonged exposure to bright screens can exacerbate these symptoms. It’s essential to give your eyes regular breaks, especially during prolonged periods of screen use, to reduce fatigue and maintain visual clarity.

3. Other Potential Causes: While your symptoms seem to align with eye fatigue, it is always prudent to consider other underlying conditions. For instance, if you have a history of retinal issues or if you experience additional symptoms such as persistent headaches, significant changes in vision, or any other unusual visual phenomena, it would be wise to consult an eye care professional. Conditions such as retinitis pigmentosa, which can cause night blindness, or other retinal degenerative diseases could be factors, especially if you have a family history of such conditions.

In summary, your recent experiences of prolonged adaptation to darkness and blurred vision are likely related to eye fatigue from extended screen time. To alleviate these symptoms, consider the following strategies:
- Take Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

- Adjust Lighting: Ensure that your workspace is well-lit to minimize glare on your screen and reduce the contrast between your screen and the surrounding environment.

- Stay Hydrated: Dehydration can contribute to eye discomfort, so drink plenty of water throughout the day.

- Limit Screen Time Before Bed: Reducing screen exposure in the hour leading up to bedtime can help improve your overall eye comfort and sleep quality.

- Consult an Eye Care Professional: If your symptoms persist or worsen, it’s important to seek a comprehensive eye examination to rule out any underlying conditions.

By taking these steps, you can help mitigate the effects of eye fatigue and maintain better overall eye health.

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