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Symptoms » Night blindness » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Night blindness

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Night blindness. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. How long have you had night blindness?

    Why: to determine if acute or chronic.

  2. Is your vision during the day also affected?
  3. Past medical history?

    Why: e.g. diabetes increases risk of cataracts which cause degraded night vision; cystic fibrosis, celiac disease, nephrotic syndrome and cirrhosis of the liver may cause Vitamin A deficiency and night blindness.

  4. Past surgical history?

    Why: e.g. intestinal bypass surgery may cause Vitamin A deficiency.

  5. Past refractive error?

    Why: e.g. myopia (short-sightedness) people are at increase risk of macula degeneration which may cause degraded night vision.

  6. Dietary history?

    Why: e.g. In some developing countries vitamin A deficiency is a major cause of blindness in the young due to a failure to incorporate green leafy vegetables or other sources of vitamin A into the diet.

  7. Family history?

    Why: of Diabetes, Retinitis pigmentosa.

  8. Sexual history?

    Why: e.g. syphilitic retinitis causes vision that is worse at night or in the dim light.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Colored haloes around lights?

    Why: suggests cataracts.

  2. Distortion of vision?

    Why: e.g. seeing objects smaller or larger than actual - suggests macula degeneration.

  3. Diarrhea?

    Why: may suggest malabsorption and vitamin A deficiency as a cause of night blindness.

  4. Symptoms of Retinitis Pigmentosa?

    Why: e.g. increasing difficulties with night vision with concentric loss of peripheral visual fields. Central vision may be retained. Usually has a family history of the condition.

  5. Symptoms of Vitamin A deficiency?

    Why: e.g. night blindness is the earliest symptoms of vitamin A deficiency. Later symptoms include dry eyes, eye pain (due to ulcer formation) and blindness. May also have dryness of the skin.


 » Next page: News about Night blindness

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