Vision Issues: Myopia, Astigmatism, and Glare Explained - Ophthalmology

Share to:

Follow-up Inquiry #183927


Dear Dr.
Gao,
Thank you very much for your response and explanation in the consultation regarding inquiry #183927.
I will follow your advice and continue to observe.
I would like to ask you the following questions:
Q1.
You mentioned that "it may be caused by myopia or astigmatism.
This is normal." If it is caused by myopia or astigmatism, does that mean my glasses prescription is insufficient, which is why I see traffic lights and streetlights as a blur of light with a slight flickering sensation? Or is it unrelated to "insufficient glasses prescription," and that anyone with myopia or astigmatism would experience the same phenomenon I observed tonight, even with properly prescribed lenses?
Q2.
Following up on the previous question, if the phenomenon I observed tonight is due to "insufficient glasses prescription," do I need to have my myopia or astigmatism prescription adjusted? Or is it acceptable to experience the blur and slight flickering of traffic lights and streetlights at night, as it won't cause any adverse effects on my eyes? Since low light conditions at night can naturally lead to such phenomena, and adequate light during the day prevents it, is my understanding correct?
Q3.
Because I saw traffic lights and streetlights as a blur of light with slight flickering tonight, I researched and found the possibility of "glare." Could you please explain what "glare" is? Is it possible that the phenomenon I observed is caused by "glare"? How does "glare" differ from myopia and astigmatism?
Q4.
Previously, I asked about the prescription for astigmatism, and you mentioned, "Astigmatism can be slightly reduced as long as it does not affect vision, because when looking at near objects, the image does not scatter too much.
For distance vision, sufficient correction is needed." What would happen if astigmatism is not corrected at all? Would it cause any adverse effects on the eyes?
Thank you again, Dr.
Gao.

A-Xiang, 40~49 year old female. Ask Date: 2022/07/09

Dr. Gao Pilin reply Ophthalmology


Hello, Ah-Hsiang: 1.
During the day, the pupils are smaller, so it is less noticeable; at night, when the pupils are larger, this phenomenon occurs.
2.
Even with the correct prescription, this can still happen.
3.
Glare is caused by scattered light within the eye, which leads to overlapping images on the retina, resulting in decreased contrast and thus reduced visual performance and clarity.
This is different from the optical properties of astigmatism and myopia.
4.
No, it just means that things are not clear.

Reply Date: 2022/07/09

More Info


Hello! Thank you for your thoughtful questions regarding vision issues such as myopia (nearsightedness), astigmatism, and glare. I appreciate your engagement in understanding these conditions better. Let’s break down your questions one by one.

Q1: Is the phenomenon of seeing red and green lights as a blur due to insufficient prescription for my glasses?
The experience of seeing lights as a blur or halo, especially at night, can indeed be related to myopia or astigmatism. If your glasses prescription is not strong enough to correct your vision adequately, it can lead to visual disturbances, particularly in low-light conditions. However, even with a proper prescription, individuals with myopia or astigmatism may still experience some level of glare or halo effect around lights at night. This is due to the way light is refracted through the eye and the imperfections in the cornea or lens. Therefore, while an insufficient prescription can exacerbate these symptoms, it is not the sole cause.

Q2: Should I adjust my glasses prescription if I experience these visual phenomena?
If you are consistently experiencing issues with seeing lights clearly, it may be beneficial to have your prescription evaluated. An updated prescription could improve your overall visual clarity, especially at night. However, it’s also important to recognize that some degree of glare and halo can be normal for individuals with myopia or astigmatism, particularly in low-light conditions. If your vision is otherwise stable and you are not experiencing significant discomfort or difficulty in daily activities, it may not be urgent to change your prescription. Nonetheless, regular eye exams are essential to monitor any changes in your vision.

Q3: What is glare, and could it be the cause of the visual phenomena I am experiencing?
Glare is a visual sensation caused by excessive brightness or contrast in the visual field, which can lead to discomfort and difficulty seeing. It can occur in various situations, such as when driving at night or in bright sunlight. The phenomenon you described, where lights appear as halos or blurs, can indeed be attributed to glare. This is particularly common in individuals with refractive errors like myopia and astigmatism, as their eyes may not focus light perfectly on the retina. Glare is different from the refractive errors themselves; it is more about how the brain processes light and contrast rather than the eye's ability to focus.

Q4: What happens if astigmatism is left uncorrected?
If astigmatism is not corrected, it can lead to several issues. While some people may adapt to mild astigmatism without significant problems, uncorrected astigmatism can cause visual discomfort, including blurred vision, eye strain, and headaches. Over time, this can affect your quality of life, making it challenging to perform tasks that require clear vision, such as reading or driving. Additionally, if you have significant astigmatism, it may lead to more pronounced visual distortions, especially in low-light conditions. Therefore, while it may not cause direct harm to the eyes, correcting astigmatism can enhance visual clarity and comfort.

In conclusion, it is essential to maintain regular eye exams and communicate any changes in your vision to your eye care professional. They can provide tailored advice and treatment options to ensure your visual health is optimized. If you have further questions or concerns, don’t hesitate to reach out to your eye care provider. Thank you for your inquiry, and I wish you the best in your eye health journey!

Similar Q&A

Understanding the Differences Between Glare, Astigmatism, and Photophobia

The difference between glare and astigmatism lies in their definitions. Glare refers to excessive brightness that causes visual discomfort or difficulty in seeing, often due to bright lights or reflections. Astigmatism, on the other hand, is a refractive error caused by an irregu...


Dr. Cai Wenyuan reply Ophthalmology
Astigmatism is a type of refractive error measured during an eye examination. A flash is a personal sensation. Thank you.

[Read More] Understanding the Differences Between Glare, Astigmatism, and Photophobia


Struggling to Focus: Understanding Vision Issues with Myopia and Astigmatism

I have myopia, with a significant difference in vision between my two eyes—one eye is about 75 and the other is around 150. I also have astigmatism of approximately 100 and experience floaters. When reading, my eyes often feel very difficult to focus, and I have a tendency to fee...


Dr. Wang Zhishun reply Ophthalmology
There may be insufficient cohesion or strabismus; it is best to have a physician examine it.

[Read More] Struggling to Focus: Understanding Vision Issues with Myopia and Astigmatism


Understanding Vision Issues: Is Astigmatism the Real Culprit?

About seven months ago, my vision was checked and I had 575 in my left eye and 600 in my right eye, with astigmatism over 100. I am currently wearing prescription daily disposable contact lenses to control my myopia. However, recently, I have noticed a significant increase in bot...


Dr. Cai Wenyuan reply Ophthalmology
Monitor the symptoms, and if they persist, seek medical evaluation.

[Read More] Understanding Vision Issues: Is Astigmatism the Real Culprit?


Understanding Fluctuating Vision: Causes and Solutions for Eye Health

Hello Doctor, I am nearly 34 years old this year. Since childhood, my family strictly limited my reading, writing, and television viewing distances. During fifth and sixth grade, when I loved reading the most, I did not have myopia. However, during middle school, the educationa...


Dr. Cai Wenyuan reply Ophthalmology
Hello, I believe your issue is not serious. I recommend visiting a medical center for a check-up. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Fluctuating Vision: Causes and Solutions for Eye Health


Related FAQ

Glare

(Ophthalmology)

Astigmatism

(Ophthalmology)

Eye Focusing

(Ophthalmology)

Visual Impairment

(Ophthalmology)

Farsightedness

(Ophthalmology)

Eye Pain

(Ophthalmology)

Hyperopia

(Ophthalmology)

Pseudomyopia

(Ophthalmology)

Vision Correction For Myopia

(Ophthalmology)

Vision Discrepancy

(Ophthalmology)