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6.1 - Photophobia: When Light Becomes Painful

Bright lights, screens, or even daylight feel like daggers to your eyes. This isn’t sensitivity—it’s photophobia.


Imagine walking into a softly lit room, and it feels like a spotlight is burning into your eyes. That’s what photophobia feels like. It’s not just discomfort—it’s sensory overload triggered by light.


In this first post in the Vision & Sensory Discomfort Series, we unpack what photophobia is, what causes it, and how to help patients find relief and regain control.


What Is Photophobia?

Photophobia is an abnormal sensitivity or intolerance to light—natural or artificial. It can range from mild annoyance to debilitating pain. It’s a symptom, not a standalone diagnosis, and is often linked to:

  • Concussion and TBI

  • Migraine

  • Dry eye syndrome

  • Eye inflammation (e.g., uveitis, corneal abrasion)

  • Neuro-ophthalmic disorders (e.g., meningitis, optic neuritis)

  • Anxiety or postural syndromes


Daily Impact

  • Avoidance of screens or reading

  • Wearing sunglasses indoors

  • Difficulty working in offices or schools

  • Social isolation

  • Emotional distress due to pain or overstimulation

📊 Photophobia affects up to 80% of people with concussion and over 90% of migraine sufferers, according to the American Headache Society.


Relief Strategies

  • Tinted lenses (FL-41, blue-blocking, or precision tints)

  • Hat brims and visors to control light angles

  • Controlled lighting environments (warm tones, anti-glare)

  • Vision therapy for underlying visual dysfunctions

  • Neurological care if symptoms are chronic or complex


Quote to Remember

“Photophobia can derail daily life—but it’s treatable. With the right lens, light, and support, patients don’t just cope—they thrive.”— Dr. Deborah Friedman, Neuro-Ophthalmologist

Final Thoughts

Photophobia is real, painful, and disruptive—but not hopeless. With a clear diagnosis, supportive tools, and visual rehabilitation, patients can regain control and see the world without fear.

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