HeadWise HeadWise: Volume 6, Issue 3 | Page 33

Light and other visual stimuli also can trigger migraine attacks; for example, flickering or pulsing lights, repetitive patterns, glare, bright lights, computer screens, TV, and movies. Fluorescent light contains invisible pulsing, which is likely why so many report it as a migraine trigger. TBI can also cause a person to feel ill when exposed to fluorescent lighting, according to the International Brain Injury Association. Fluorescent light-induced symptoms can include headache, fatigue, dizziness, nausea, eye strain, eye fatigue, and increased sensitivity to visual input. Tension-Type Headache Tension-type headache can also cause photophobia during and between headaches. However, individuals with tension-type headache are generally less sensitive to light than those with migraine. Hemicrania Continua, SUNCT, and Other Trigeminal Autonomic Cephalalgias Although photophobia in hemicrania continua, SUNCT, and other trigeminal autonomic cephalalgias has not been studied extensively, photophobia is a known symptom of the headache disorders in this group. Cluster Headache During a series, cluster headache can cause light sensitivity both during and between attacks. Between cluster series, those with cluster headache have the same levels of photophobia as those without a headache disorder. New Daily Persistent Headache (NDPH) Estimates of photophobia in NDPH range from 46 percent to 66 percent, depending on the study that you are reading. A 2002 study found 48 percent of people with NDPH found pain relief by going into a dark room. Traumatic Brain Injuries (Concussions) Photophobia is the most common visual problem reported by people with traumatic brain injuries (TBI). About 60 percent of military veterans with TBI report severe light sensitivity. What Types of Light are Most Problematic? Any source of light can cause photophobia. Researchers have found that blue-green light can be particularly problematic because of the innate sensitivity of the pain- sensing cells in the eye. Blue green-light is everywhere, from artificial lighting like compact fluorescents, device and computer screens, and even sunshine, in studies comparing tints. The tint that migraine glasses, such as TheraSpecs, use, called F-41, filters those wavelengths thus reducing migraine attacks and providing the most relief for photophobia. www.headaches.org | National Headache Foundation 33