Case study ( 3270 views as of May 19, 2019 )
Stephanie is a 35-year-old figure skating coach who has recently noticed some difficulty driving at night when she returns from the rink after dark. She does wear eyeglasses and is up to date with her eye exams.
Stephanie visits her optometrist who performs some vision testing to assess Stephanie's symptoms. He notes that her glasses continue to provide 20/20 vision with only slight changes to her prescription. Further testing is done to see if there are any higher order aberrations (HOA's). HOA's are distortions in the eyes that can cause issues driving at night including glare and blurred vision. Significant HOA's are found in both eyes, and Stephanie is given a new distance vision prescription for eyeglasses to reduce the glare and bleeding of lights she is experiencing at night.
Stephanie would also benefit from being assessed for other eye conditions such as cataracts and macular degeneration, since this can cause HOA's and issues with night vision. Stephanie should speak with her family doctor to ensure any other health symptoms are considered, given the changes in her eye health. A registered dietitian could help Stephanie understand which foods would help her with the required vitamins and minerals to promote good eye health.Author: Dr. David Mitchell