Why Am I Having Trouble Seeing While Driving at Night?

Baptist Eye Surgeons • October 19, 2022

Trouble seeing while driving at night or engaging in other activities is known as night blindness ( nyctalopia ). It’s not an eye condition but a symptom of an underlying eye condition that needs to be treated, such as retinal issues. Treatments vary based on the underlying cause so it’s important to talk to your Knoxville eye doctor who can diagnose your night vision problems and develop a treatment plan.astigmatism poor night vision

You can experience trouble seeing while driving at night for a number of reasons including cataracts, nearsightedness, astigmatism, and diabetes. The best way to diagnose the cause of your particular night driving problem is with a comprehensive eye exam. There are also questions you can ask yourself to tell if you should schedule an exam.

Why Is It Hard for Me To See at Night While Driving?

There can be a number of problems you experience that make it difficult to drive at night. Glare from oncoming traffic, difficulty transitioning from light to dark vision, and halos around lights can all cause problems. These symptoms can have different causes so it’s important to talk to your ophthalmologist so you can get the treatment that you need.

Cataracts

Your eye works a lot like a film camera. A healthy lens lets light enter the eye and helps to focus it on your retina, creating the images that you see. However, the lens can become clouded as time passes, resulting in blurry vision. This results in a cataract and it can cause trouble seeing while driving at night as well as during other daily activities.

Cataracts are especially common in older adults. This is because the proteins in the lens of the eye deteriorate naturally over time, clumping together as they break down. 

This results in the lenses of your eyes becoming:

  • Thick
  • Cloudy
  • More rigid

Cataracts are a slow process that can take years to notice. While this gives you time to prepare, failure to treat them can have serious repercussions for your vision and quality of life. At Baptist Eye Surgeons, our eye surgeons are trained in all aspects of eye health including cataract diagnosis and treatment.

Click here to read our definitive guide to cataracts!

Nearsightedness and Astigmatism

Nearsightedness can have a major impact on your nighttime vision by making it more difficult to see for longer distances in the dark. This can especially be a problem if you haven’t updated your glasses or contacts prescription in a while.

Also known as myopia , nearsightedness is caused by a refractive error. This occurs when light can’t focus on your retina due to your eye being misshapen. In the case of nearsightedness, this can be caused by:

  • The eyeball is too long from front to back
  • The cornea is too curved
  • A misshapen lens

Astigmatism is when light enters the eye and does not have a common focus. This can result in distortion in your vision, increased glare, and halos.

The end result is objects that are far away appear blurred. Symptoms can be even worse while driving at night due to already less than ideal seeing conditions. 

Diabetes

If you have diabetes then you run a higher risk of having trouble seeing while driving at night compared to other people. The high blood sugar associated with diabetes progressively damages nerves and blood cells in your eyes. 

This can eventually lead to diabetic retinopathy which comes in two types:

  • Non-proliferative diabetic retinopathy
  • Proliferative diabetic retinopathy

Non-proliferative diabetic retinopathy occurs when the blood vessels in your retina rupture, making vision loss a very real possibility. Proliferative retinopathy is the more severe of the two. It occurs when your body creates new, abnormal blood vessels to replace the damaged ones. Both types can cause trouble seeing while driving at night and during the daytime. 

To learn more about how diabetes can affect your vision, click here !

Retinitis Pigmentosa

Retinitis pigmentosa is a group of genetic eye diseases that cause cells in the retina to break down. This process happens gradually over time, eventually resulting in vision loss. Unlike cataracts which tend to occur later in life, symptoms of retinitis pigmentosa often start in early childhood.

Learn Why You’re Having Trouble Seeing While Driving at Night With a Comprehensive Eye Examhaving Trouble Seeing While Driving at Night

Comprehensive eye exams aren’t like the vision screenings you may remember from school. While they will help you see the whiteboard more clearly, they’re real purpose is to view the inner structures of your eye. This is thanks to the dilating eye drops used during the exam. They give our Knoxville eye doctors a more detailed view of your vision and eye health.

Comprehensive eye exams allow us to catch vision problems long before symptoms begin to appear. This includes issues such as glaucoma, cataracts, and macular degeneration. They also allow us to catch health issues beyond your vision including hypertension (high blood pressure), diabetes, and autoimmune diseases.

These exams should be prioritized based on age. Those under the age of 40 need them every 5 to 10 years. Patients between the ages of 40 and 54 should get comprehensive eye exams every 2 to 4 years. As you age, you’ll need them more often with patients aged 55 – 64 needing them every 1 to 3 years. Those aged 65 and up should get one every 1 to 2 years.

How Do I Test Myself for Night Blindness?

Night blindness can have different causes so your symptoms may vary. Your eye doctor is the final authority on whether you have night blindness or other vision problems. However, there are a few questions you can ask yourself to tell if you should come in for a comprehensive exam.

According to the American Academy of Ophthalmology (AAO), ask yourself if you have trouble:

  • Walking through your home at night, even with night lights
  • Recognizing people’s faces in dimly lit environments
  • Adjusting to dark rooms and other poorly lit environments
  • Adjusting to brightly lit environments when coming in from the dark

If you said yes to any of these questions then you should schedule an appointment with one of our Knoxville ophthalmologists immediately. They will be able to diagnose what’s causing your trouble seeing while driving at night and any other issues you may be having. Even more importantly, they can provide treatment so you can see more clearly whenever it’s dark.

Are you having trouble seeing while driving at night and need a comprehensive eye exam? Contact us today to schedule an appointment!

Trouble seeing while driving at night can occur for a variety of reasons including cataracts, nearsightedness, and diabetes. A comprehensive eye exam is the best way to learn the cause of your particular problem and get the treatment that you need. You can also ask yourself certain questions to determine if you need to come in for a comprehensive eye exam.

Baptist Eye Surgeons is an ophthalmological practice in Knoxville, TN, and Morristown, TN. Give us a call at 865-579-3920 for more information or to schedule an appointment .

July 29, 2026
Diabetes affects various parts of the body, including your eyes. Keeping your blood sugar under control is not just good for your health overall, but it also helps protect your eyesight. Over time, high blood sugar can irritate the tiny blood vessels in your eyes and increase your risk of serious eye problems. Knowing how diabetes and eye health are linked can help you identify issues and take measures to protect your sight. How Does Diabetes Affect Eye Health? When blood sugar stays high, it can damage the blood vessels in the retina, which is the part of your eye that senses light and helps you see. Damaged blood vessels might leak fluid, swell, or change how well the retina works. Diabetic eye problems usually develop slowly, so you might not pick up on any changes in your vision until significant damage has occurred. That’s why it’s important for people with diabetes to get regular eye exams, even if their eyesight seems fine. Common Eye Conditions Linked to Diabetes People with diabetes are more likely to have certain eye problems. Finding and treating these issues early can lower the chance of losing vision permanently. 1. Diabetic Retinopathy Diabetic retinopathy is a common eye issue that happens when high blood sugar damages the retinal blood vessels. These damaged vessels may leak fluid, which may cause blurry vision, dark spots, or changes in how you see. In advanced cases, abnormal blood vessel growth can lead to serious problems. If diabetic retinopathy worsens, new abnormal blood vessels can grow, causing serious problems, including vision loss. Getting regular eye exams can help catch these changes early, before they become severe. When fluid is retained in the macula (part of the retina which focuses on sharp central vision), this swelling can make it harder to read, recognize faces, or see fine details clearly. When detected early, treatments can help reduce swelling and protect your eyesight. 3. Cataracts People with diabetes have a higher chance of getting cataracts early. Cataracts occur when the lens in your eye becomes cloudy, which can cause blurry vision, increased sensitivity to glare, and difficulty seeing clearly. While cataracts come with age, having diabetes can make them appear sooner or progress quicker. 4. Glaucoma Diabetes can also raise your risk for glaucoma, which is a group of eye diseases that harm the optic nerve. Glaucoma usually starts without any clear symptoms, but if it is not treated, it can cause permanent vision loss. Routine regular eye exams are important for finding glaucoma early and keeping your eyes healthy Diabetes-related eye problems might not cause symptoms at first. Still, there are some warning signs you should look out for: • Blurry or distorted vision • Difficulty focusing • Dark spots, floaters, or shadows in your sight • Increased sensitivity to glare • Trouble seeing colors clearly • Sudden alterations in vision • Partial or complete loss of vision If you notice sudden vision changes, contact an eye doctor as soon as possible. The Value of Regular Eye Exams for People With Diabetes Getting a full eye exam is one of the best ways to protect your vision if you have diabetes. During the examination, your physician will study your retina, look for symptoms of diabetic eye disease, and track any changes over time. Many eye problems linked to diabetes can be treated more easily if they are found early. Regular checkups help your eye doctor give you advice that fits your own eye health and diabetes care. Protecting Your Eyes When You Have Diabetes Looking after your general health is important for keeping your eyes healthy. Here are some things you can do to protect your vision: • Keeping blood sugar levels under control • Managing blood pressure and cholesterol • Scheduling regular diabetic eye exams • Following your diabetes treatment plan • Eating a balanced diet that promotes eye health • Avoiding smoking, which increases the risk of eye complications Prioritizing Your Vision and Eye Health Diabetes and eye health are closely linked, but you can lower your risk of serious vision problems by taking action early. Getting regular eye exams, making healthy choices, and managing your diabetes all help protect your eyesight. If you have diabetes, seeing your eye doctor regularly can help catch changes early and keep your vision clear for the future. Your eyes are a key part of your health, so make caring for them a priority at every age. 
June 30, 2026
Night vision problems can make everyday activities like driving at dusk, walking in poorly lit places, or adjusting to indoor lighting harder and sometimes unsafe. Trouble seeing in low light, called nyctalopia, is not a disease itself but a sign that something else may be affecting your eyes. Learning what causes night vision problems and when to get help is important for keeping your vision healthy. What Are Night Vision Problems? Night vision problems mean it is hard to see clearly in low light or darkness. Some people notice their eyes take longer to adjust when going from bright to dim places. Others may have trouble with glare from headlights, seeing less contrast, or things just looking dimmer at night. Mild changes in night vision can happen as you get older, but if your symptoms keep getting worse or do not go away, you should pay attention to them. Common Causes of Night Vision Difficulties There are several potential causes of night vision problems. Night vision problems can have many causes, from getting older to certain eye conditions, such as lens problems, leading to blurred vision and increased sensitivity to glare. They are one of the most common causes of poor night vision, especially in older adults. 1. Cataracts Cataracts cause clouding of the eye’s natural lens, leading to blurred vision and increased sensitivity to glare. They are one of the most common causes of poor night vision, especially in older adults. 2. Vitamin A Deficiency Vitamin A is important for keeping your retina healthy. If you do not get enough vitamin A, your eyes may have trouble adjusting to darkness, which can lead to night blindness. 3. Glaucoma Some types of glaucoma can affect your side vision and make it harder to see differences between light and dark. As the optic nerve gets damaged, seeing in low light can become more difficult. 4. Retinitis Pigmentosa This inherited eye condition slowly affects your ability to see at night and to the sides. Early signs often include trouble seeing in the dark. 5. Diabetes-Related Eye Disease Diabetic retinopathy can harm the blood vessels in your retina, which may cause blurry vision and make it harder to see at night. 6. Aging and Pupil Changes As people get older, their pupils do not react to light changes as quickly, and the retina becomes less sensitive. This naturally makes night vision worse over time. Symptoms to Watch For Night vision problems often develop slowly. Some common signs are: Difficulty seeing in low light or darkness Trouble driving at night due to glare from headlights Longer adjustment time when moving between light and dark environments Reduced contrast or clarity in dim settings Frequent squinting or eye strain in low light If these symptoms start to affect your daily life, it is a good idea to get a full eye check-up. When to See an Eye Doctor You should see an eye doctor if you notice new night vision problems, if they are getting worse, or if you have other changes in your vision. The doctor can run tests to find out what is causing the problem and suggest the right treatment. A full eye exam might include checking your retina, testing your field of vision, and taking images to look at your eye health. Finding problems early is very important for conditions like glaucoma, diabetic eye disease, and retinal disorders, because early treatment can help protect your vision. Protecting Your Night Vision Not all causes of night vision loss can be prevented, but taking care of your eyes can lower your risk and help you see better. Some helpful steps are: Scheduling regular eye exams Handling chronic health conditions like diabetes Eating a diet rich in vitamin A and antioxidants Wearing proper corrective lenses if prescribed Avoiding driving with untreated vision changes Prioritizing Your Eye Health Night vision problems can be an early sign of eye disease. Since many eye problems develop slowly, having regular eye exams is one of the best ways to catch changes early and keep your vision healthy for the long term. If you have trouble seeing at night or notice any changes in your vision, making an appointment for an eye exam can help keep your eyes healthy and your vision clear in all types of light.
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