Light Disturbance Analysis and Applications

This narrative review synthesizes recent basic and clinical research on visual disturbances in low-light environments, highlighting the evaluation techniques for these conditions. It focuses on the degradation of visual acuity under dim lighting, exacerbated by pupil dilation, known as night vision disturbance (NVD). Key contributors to NVD include optical scattering, intraocular diffraction, ocular aberrations, and uncorrected refractive errors, all significantly impacting quality of life and functional abilities. This review also examines the effects of aging, eye disorders, surgical interventions, and corneal irregularities on NVD. It details the definitions, distinctions, and measurement methodologies for various optical phenomena, using both objective and subjective approaches, such as visual function questionnaires, simulators, and the light disturbance analyzer (LDA). The LDA is validated for clinical characterization and quantification of light distortion, proving useful in both clinical and research settings. This review advocates for continued innovation in therapeutic interventions to improve patient outcomes and alleviate the impact of visual disturbances.