What causes photophobia?
Photophobia isn’t a disease of its own. It’s a symptom that comes with many conditions, including:
- Migraine, where up to 80% of people have it during attacks1
- Concussion and post-concussion syndrome2
- Blepharospasm and other neurological conditions5
- Dry eye and other problems with the eye’s surface1
- Visual snow syndrome, where it’s one of the most common extra symptoms6
- Fibromyalgia, where everyday light and sound can feel unpleasant7
- ADHD and autism, where many people report sensory sensitivity3, 8
Light sensitivity that comes on suddenly with eye pain, redness, vision changes or a severe headache needs prompt medical care.
Why can light hurt?
Light-sensing cells in the retina send signals to neurons in the thalamus that also carry pain from the trigeminal nerve system, the nerves of the head and face.4 When those pathways are sensitized, ordinary light registers as discomfort or pain.
Why are screens especially hard?
You can dim a room or wear a hat outside, but a screen is a light you look straight into for hours. Most are lit by white LEDs with a strong blue peak, and many add flicker: PWM dimming that pulses the backlight, and FRC dithering that flickers pixels.
Brightness, flicker and color
Turning the brightness down usually helps, but on a screen that dims with PWM, lower brightness means more flicker. DC dimming avoids that tradeoff. Studies disagree about which colors of light are worst; for many people, intensity matters most.5
Tips for screen use with light sensitivity
- Keep the room and the screen at similar brightness; a bright screen in a dark room is harsh.
- Turn the screen down, and try dark mode if it helps you.
- Cut glare from windows and overhead lights.
- Take regular breaks.
- Use a screen that dims without flicker and has no bare, glaring light source.