Glare and Astigmatism: Insights from Eye Care Experts - Ophthalmology

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Dear Dr.
Gao,
Thank you very much for your responses and guidance regarding the inquiries in articles #183973, #183935, and #183927.
I have a clear understanding of the meaning of "glare" and whether astigmatism needs correction (if squinting occurs while looking at objects, correction is necessary).
However, I still have some uncertainties regarding my experience of seeing traffic lights and street lamps as a blur of light with a slight flickering sensation at night.
I would like to seek your guidance on the following:
Q1.
Regarding my experience of seeing traffic lights and street lamps as a blur of light with a slight flickering sensation at night, you mentioned in article #183935 that "even with the correct prescription, this can still occur." In your earlier response in article #183973, you stated, "if the prescription is insufficient, this phenomenon will be more severe." Could you clarify if you mean that even with the correct prescription, this phenomenon can still happen, but to a lesser extent? Conversely, if the prescription is insufficient, the phenomenon would be more pronounced.
Is my understanding correct?
Q2.
Concerning my experience of seeing traffic lights and street lamps as a blur of light with a slight flickering sensation at night, you mentioned in article #183927 that "no treatment is necessary; just observe." Does this imply that this phenomenon does not pose any adverse effects (or damage) to my eyes, and therefore, observation is sufficient?
Thank you again, Dr.
Gao.

Axiang, 40~49 year old female. Ask Date: 2022/07/11

Dr. Gao Pilin reply Ophthalmology


Hello, Ah-Hsiang: 1.
That's correct.
Optical principles are complex, and even if the prescription is accurately filled, there may still be some optical discrepancies.
However, if the prescription is not filled correctly, the issues can be more severe.
2.
This phenomenon is harmless, so no treatment is necessary.

Reply Date: 2022/07/11

More Info


Hello! Thank you for your detailed questions regarding glare and astigmatism, as well as your experiences with visual disturbances, particularly at night. Let's address your queries one by one.


Q1: Understanding Glare and Visual Disturbances
You mentioned experiencing a phenomenon where traffic lights and street lamps appear as a blur of light with a slight flickering sensation at night. This is a common issue, especially among individuals with refractive errors such as astigmatism.
Your understanding is correct: even if your glasses are properly prescribed, you may still notice some glare or halo effects around lights, particularly at night. This is often due to the way light interacts with the eye's optics, including the cornea and lens. If your prescription is insufficient, these effects can indeed become more pronounced. This is because an inadequate prescription can lead to increased strain on the eye, causing it to work harder to focus, which can exacerbate visual disturbances.


Q2: Is This Phenomenon Harmful?
Regarding your second question, the fact that your eye care provider suggested that this phenomenon does not require treatment and can simply be observed indicates that it is not likely to cause any harm to your eyes. Many people experience similar visual effects, especially in low-light conditions, and they are often benign.
However, it is essential to monitor any changes in your vision. If you notice an increase in the severity of these symptoms, or if you experience additional symptoms such as pain, significant changes in vision, or persistent discomfort, it would be wise to consult your eye care professional for a more thorough evaluation.


Additional Insights on Glare and Astigmatism
1. Astigmatism and Glare: Astigmatism occurs when the cornea or lens is irregularly shaped, leading to blurred or distorted vision. This irregularity can cause light to scatter, resulting in glare, especially at night. Properly correcting astigmatism with glasses or contact lenses can significantly reduce these symptoms, but as mentioned, some residual glare may still be experienced.

2. Night Vision: Many individuals with refractive errors report more significant visual disturbances at night. This is partly due to the reduced amount of light entering the eye, which can make it harder for the eye to focus and can enhance the perception of glare.
3. Adaptation: Over time, many people adapt to these visual disturbances. Your brain learns to interpret the visual information it receives, which can help mitigate the discomfort caused by glare. However, this adaptation varies from person to person.

4. Potential Treatments: If glare becomes bothersome, there are options available. Anti-reflective coatings on glasses can help reduce glare from headlights and streetlights. Additionally, some individuals find that specific types of contact lenses designed for astigmatism can provide clearer vision and reduce glare.

5. Regular Check-ups: Regular eye examinations are crucial, especially if you have existing conditions like astigmatism. Your eye care provider can monitor your vision and make adjustments to your prescription as needed, ensuring that you have the best possible vision correction.


Conclusion
In summary, while the visual disturbances you are experiencing can be frustrating, they are often manageable and not indicative of serious underlying issues. Proper correction of your vision, along with regular monitoring by your eye care professional, can help you navigate these challenges. If you have any further concerns or if your symptoms change, do not hesitate to reach out to your eye care provider for personalized advice and treatment options. Thank you for your questions, and I wish you the best in your eye health journey!

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