Do you struggle to see at night?

Have you ever wondered why you might struggle to see at night, read in dim light, or drive at night? Or perhaps can never find that pair of black socks in a darkly coloured drawer? This is most likely due to the impacts of poor contrast sensitivity.




What is Contrast Sensitivity?

Contrast Sensitivity is your ability to see subtle differences in your field of vision. It allows us to determine the difference between an object on a similar colour background. For example, someone with poor contrast sensitivity may have a hard time seeing the bird in this image.

contrast sensitivity
visual acuity eye test chart

1Visual Acuity Eye Test Chart – 100% contrast



20/20 Vision does not mean perfect real-world vision

You may be lucky enough to have achieved 20/20 vision in your last eye test, which tests how well your eyes can see at a distance (visual acuity).  However, that does not mean you see well or have perfect vision. Your opticians eye chart tests your visual acuity with 100% contrast – black letters on a white background.

But as you know life is not all black and white, it is full of different shades of colour, shadows, low light and glare.  So having good contrast sensitivity is important for us to be able to see in many situations such as:

  • Being able to tell the difference between an animal and an object at night time
  • Seeing a pedestrian or cyclist on the road on a sunny day or in poor weather conditions
  • Seeing the steps of a stairs or the slope of a hill before reaching it
  • Stepping off footpaths or steps
  • Pouring tea or coffee into a darkly coloured mug
  • Reading material with poor contrast, such as a newspaper
  • Distinguishing facial features on others
Contrast Sensitivity

What causes poor contrast sensitivity?

Low contrast sensitivity can be a sign of a variety of eye disorders or conditions, such as cataracts, glaucoma and age-related macular degeneration.  It can also simply be a sign of a thinning macular pigment at the back of your eye.

  • Cataracts – They occur when the natural lens inside your eye becomes cloudy and yellow. Many patients with cataracts have good visual acuity but still complain of poor quality vision due to decreased contrast sensitivity. These symptoms are amplified in situations where patients experience glare, such as oncoming car headlights when driving at night. In most cases, people with cataracts notice a significant improvement in both visual acuity and contrast sensitivity after cataract surgery.
  • Glaucoma – Glaucoma is a progressive eye disease that damages your optic nerves. Your optic nerves transmit visual signals to your brain, including information on colour, brightness, and contrast. This is why damage to your optic nerves can affect contrast sensitivity.
  • Macular degeneration. The macula is a small area in the retina, is responsible for your central vision and seeing fine details, such as reading text in a book. The macula is protected by a protective layer called the macular pigment which is made up of three nutrients called Lutein,  Meso-Zeaxanthin and Zeaxanthin. If this macular pigment is not nourished with these specific nutrients from our diet, it breaks down. This reduces the protection from blue light, oxidative stress and ageing it affords to the macula. A weakened macular pigment can lead to damage to the macula, which over time can  develop into Macular degeneration causing vision loss. Patients may lose visual acuity, colour vision, and contrast sensitivity. However, most people retain normal peripheral vision.


Taking a daily MacuPrime capsule, has been proven in EU clinical studies to successfully rebuild and maintain the macular pigment, improve contrast sensitivity and reduce glare disability1,2.

what causes poor contrast sensitivity?

When should you go to see an eye doctor?

If you are not happy with your eyesight, we would always recommend you make an appointment to see your eye doctor. Explain and describe the different situations you find yourself in when you are not happy with your vision.

A routine eye exam does not include contrast sensitivity testing. If your eye doctor suspects you have a contrast sensitivity problem, the most common way to check for this is using a Pelli-Robson contrast sensitivity chart

The chart features horizontal lines of uppercase letters in the same size, where the characters fade from black to grey gradually.

This type of vision test is usually performed while you are wearing your eyeglasses or contact lenses (if you need them).

contrast sensitivity eye test chart

2Contrast Sensitivity Eye Test Chart

How MacuPrime can help contrast sensitivity:

Numerous EU clinical studies have shown that contrast sensitivity can be improved by increasing your intake of carotenoids and rebuilding the macular pigment. The CREST Studies at Waterford Institute of Technology1,2 specifically demonstrated that supplementing with 10mg Lutein, 10mg Meso-Zeaxanthin, and 2mg Zeaxanthin helps to improve contrast sensitivity by rebuilding and maintaining optimal macular pigment density.

The macular pigment forms in our eyes to aid our visual development when we are babies but also to improve how well our eyes function as adults.  It works as a light filter, helping to reduce glare enabling us to see more clearly (i.e. improve contrast sensitivity). The macular pigment’s combined qualities serve to maintain the health of our retinal tissues while also improving our visual processing speed and contrast sensitivity. If you don’t eat enough carotenoids every day, your macular pigment diminishes and breaks away over time.

how macuprime can help contrast sensitivity

According to research conducted at the Waterford Institute of Technology in Ireland, we need to eat 10mg Lutein, 10mg Meso-Zeaxanthin, and 2mg Zeaxanthin to maintain optimal macular pigment density. To achieve these levels only through diet, you’d have to consume 1.7 cups of kale, 1.8 cups of orange pepper, and 11,904 trout fish every day!

MacuPrime gives you an easy way to make sure you are nourishing your macular pigment with 10mg Lutein, 10mg Meso-Zeaxanthin and 2mg Zeaxanthin every day. Once rebuilt to maximum density, the macular pigment layer will improve not only contrast sensitivity, but reduce glare disability, and filter blue light giving our eyes the best protection possible against age related conditions such as Age-related Macular Degeneration. 

1. Enrichment of Macular Pigment Enhances Contrast Sensitivity in Subjects Free of Retina Disease: Central Retinal Enrichment Supplementation Trials – Report 1, Nolan et al, IOVS, 2016.
The Impact of Supplemental Antioxidants on Visual Function in Nonadvanced Age-Related Macular Degeneration: A Head-to-Head Randomized Clinical Trial” Akuffo, et al IOVS, 2017.

MacuPrime Products


Proven in Irish clinical studies to help rebuild macular pigment, which is important in protecting central vision and may help to combat Age-Related Macular Degeneration

MacuPrime PLUS®

Delivers the same triple carotenoid formula as MacuPrime® but with added Zinc which helps maintain normal vision and Vitamin C, Vitamin E and Copper, which protect cells from oxidative stress.

Join our community


Phone: +353 51 271010
Address: MacuHealth Ltd, Unit Echo Unit 2, Cessna Avenue, Airport Business Park, Waterford, X91 F857, Ireland.

Thank you for showing interest in our Amsler Grid, please click below for your free downloadable Amsler Grid PDF

Thank you for signing up. Here is your 15% off discount code


valid for single use only

MacuHealth Logo small

To complete your order, we are now transferring you to the website of our trusted distributor – WMO Healthcare.

WMO offer free postage on all MacuPrime orders.