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Night blindness Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Night blindness. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  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.

  9. Colored haloes around lights?

    Why: suggests cataracts.

  10. Distortion of vision?

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

  11. Diarrhea?

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

  12. 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.

  13. 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.

Conditions listing medical symptoms: Night blindness:

The following list of conditions have 'Night blindness' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Night blindness or choose View All.

View All A B C D E F G H K L M N O P R S T U V X

Conditions listing medical complications: Night blindness:

The following list of medical conditions have 'Night blindness' or similar listed as a medical complication in our database.


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