Medically reviewed by Dr. Bijan Cohenmehr, OD Last reviewed
Night Vision & Glare
Night trouble has a short list of causes. We work the list.
Eyes that feel fine at noon can struggle at night: halos, starbursts, smeared headlights, hesitant lane changes. Dim light opens the pupil and drops the margin for error — so every small flaw in optics or tear film suddenly shows. The fix depends entirely on which flaw it is.
- The pattern
- Fine by day, hard by night
- Why nights expose it
- Large pupils forgive nothing
- The exam
- Works a short, specific list
- The fix
- Matches the cause, not the symptom
The list
Five usual suspects, five different fixes.
- A small uncorrected prescription
Low astigmatism that daytime hides becomes smeared points of light at night. Fix: precise correction, sometimes night-driving glasses with anti-reflective lenses.
- Dry eye
An unstable tear film scatters light between blinks, so you see halos that a blink briefly clears. Fix: the dry eye program, which rescues more night drivers than any lens.
- Early cataract
The aging lens scatters oncoming headlights into veils of glare. Fix: monitoring first, surgery co-management when it genuinely limits you.
- Keratoconus and irregular corneas
Ghosts, multiple moons and comet-tailed lights: the signature we map and correct with scleral lenses.
- Large pupils and higher-order quirks
Some eyes simply open wide; lens designs and coatings are chosen to respect that.
One exam with an eye doctor in Los Angeles separates the five — guessing between them from the driver’s seat is how years get lost.
Worth a same-day call
Two night symptoms that skip the queue.
- New flashes of light or a burst of floaters
- A curtain or shadow across any part of vision
- Both are retina checks: call 310-828-2010 today, or go to an emergency room when we're closed
Night vision near you
12222 Wilshire Blvd, on the Santa Monica border.
Also consider
Next step
Nights getting smaller because driving feels risky?
The five-suspect work-up takes one visit, and night driving is usually recoverable.
