Photophobia
Photophobia is a symptom of excessive sensitivity to light and the aversion to sunlight or well-lit places. In ordinary medical terms photophobia is not a morbid fear or phobia, but an experience of discomfort or pain to the eyes due to light exposure.
Causes
Light sensitivity is usually due to too much light entering the eye, which causes over stimulation of the photoreceptors in the retina and subsequent excessive electric impulses to the optic nerve. This leads to a reflex aversion to light, and discomfort or pain. Too much light can enter the eye if it is damaged, such as with corneal abrasion and retinal damage, or if a pupil(s) is unable to normally constrict (seen with damage to the oculomotor nerve).
Patients may develop photophobia as a result of several different medical conditions, related to the eye or the nervous system.
Common causes of photophobia include migraine headaches, cataracts, or severe ophthalmologic diseases such as uveitis or corneal abrasion.[1] A more extensive list follows:
Eye-related
Causes of photophobia relating directly to the eye itself include:
- Achromatopsia[2]
- Aniridia[3]
- Anticholinergic drugs may cause photophobia by paralyzing the iris sphincter muscle.
- Aphakia[4] (absence of the lens of the eye)
- Buphthalmos[3] (abnormally narrow angle between the cornea and iris)
- Cataracts[3]
- Cone dystrophy[3]
- Congenital abnormalities of the eye[3]
- Viral conjunctivitis ("pink eye")[5]
- Corneal abrasion[3]
- Corneal dystrophy[3]
- Corneal ulcer[6]
- Disruption of the corneal epithelium, such as that caused by a corneal foreign body or keratitis [3]
- Ectopia lentis[3]
- Endophthalmitis[3]
- Eye trauma caused by disease, injury, or infection such as chalazion, episcleritis, glaucoma[3], keratoconus, or optic nerve hypoplasia
- Hydrophthalmos, or congenital glaucoma[3]
- Iritis[3]
- Optic neuritis[3]
- Pigment dispersion syndrome
- Pupillary dilation (naturally or chemically induced)[4]
- Retinal detachment
- Scarring of the cornea or sclera [3]
- Uveitis[3]
Nervous-system-related
Neurological causes for photophobia include:
Other causes
Treatment
The best treatment for light sensitivity is to address the underlying cause. Once the triggering factor is treated, photophobia disappears in many but not all cases.[25]
Patients with photophobia will avert their eyes from direct light (sunlight and room lights), or may seek the shelter of a dark room or wear sunglasses.
See also
- Computer vision syndrome, eye strain when using a computer display
- Asthenopia
- Erythropoietic protoporphyria, a disease manifesting itself with painful photosensitivity
- Photic sneeze reflex, a medical condition by which people exposed to bright light sneeze
- Heliophobia, fear of sunlight
- Photosensitivity, the amount to which an object reacts upon receiving photons of light
- List of phobias
References
- ↑ Hazin R, Abuzetun JY, Daoud YJ, Abu-Khalaf MM (July 2009). "Ocular complications of cancer therapy: a primer for the ophthalmologist treating cancer patients". Curr Opin Ophthalmol 20 (4): 308–17. doi:10.1097/ICU.0b013e32832c9007. PMID 19491683.
- ↑ "Achromotopsoa". Scottish Sensory Centre. http://www.ssc.education.ed.ac.uk/resources/vi&multi/eyeconds/Achro.html. Retrieved December 11, 2009.
- ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 Day, Susan (January 15, 1997). "P9: Photophobia". In Taylor, David. Paediatric Opthamalogy (2nd ed.). Wiley-Blackwell. pp. 1034–1036. ISBN 9780865428317.
- ↑ 4.0 4.1 "Photophobia". Texas School for the Blind and Visually Impaired. http://www.tsbvi.edu/Education/anomalies/Photophobia.htm. Retrieved December 11, 2009.
- ↑ "Conjunctivitis". Merck Manual of Diagnosis and Therapy. http://www.merck.com/mmpe/sec09/ch101/ch101c.html. Retrieved December 11, 2009.
- ↑ "Corneal ulcer". Merck Manual of Diagnosis and Therapy. http://www.merck.com/mmpe/sec09/ch102/ch102c.html. Retrieved December 11, 2009.
- ↑ Fan X, Miles JH, Takahashi N, Yao G (2009). "Abnormal Transient Pupillary Light Reflex in Individuals with Autism Spectrum Disorders". Journal of Autism and Developmental Disorders.
- ↑ "Light sensitivity - photophobia". Royal National Institute of Blind People. http://www.rnib.org.uk/EYEHEALTH/EYECONDITIONS/EYECONDITIONSDN/Pages/photophobia.aspx. Retrieved December 11, 2009.
- ↑ "Photophobia - Glossary Entry - Genetics Home Reference". United States National Library of Medicine. http://ghr.nlm.nih.gov/glossary=photophobia. Retrieved December 11, 2009.
- ↑ "Ankylosing spondylitis". United States National Library of Medicine. http://ghr.nlm.nih.gov/condition=ankylosingspondylitis. Retrieved December 11, 2009.
- ↑ "Albinism - MedicinePlus Medical Encyclopedia". United States National Library of Medicine. http://www.nlm.nih.gov/medlineplus/ency/article/001479.htm. Retrieved December 11, 2009.
- ↑ Harris, Robert S.; Kenneth V. Thimann (February 11, 1943). Vitamins & Hormones, Volume 1. Academic Press. p. 88. ISBN 9780127098012.
- ↑ Wakakura M, Tsubouchi T, Inouye J (March 2004). "Etizolam and benzodiazepine induced blepharospasm" (PDF). J. Neurol. Neurosurg. Psychiatr. 75 (3): 506–7. doi:10.1136/jnnp.2003.019869. PMID 14966178. PMC 1738986. http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1738986&blobtype=pdf.
- ↑ Pelissolo A; Bisserbe JC (Mar-Apr 1994). "[Dependence on benzodiazepines. Clinical and biological aspects]". Encephale 20 (2): 147–57. PMID 7914165.
- ↑ "A case of bilateral presumed chikungunya neuroretinitis". Indian Journal of Opthamalogy. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684432/. Retrieved December 11, 2009.
- ↑ "Chronic Fatigue Syndrome". University of Virginia Health System. http://www.healthsystem.virginia.edu/uvahealth/adult_infectious/cfs.cfm. Retrieved December 11, 2009.
- ↑ Dr. Diana Driscoll, Ehlers-Danlos Eye Dr PDF
- ↑ Sjaastad, Ottar; Bakketeig, Leiv S. (December 22, 2004). "Hangover headache: accompanying symptoms. Vågå study of headache epidemiology". The Journal of Headache and Pain (Springer Milan) 5 (4): 224–229. doi:10.1007/s10194-004-0130-5. ISSN 1129-2369.
- ↑ "Influenza Virus (Orthomyxovirus)". University of South Carolina School of Medicine. http://pathmicro.med.sc.edu/mhunt/flu.htm. Retrieved December 11, 2009.
- ↑ Gauthier-Smith, P.C. (December 22, 2004). "Neurological complications of glandular fever (infectious mononucleosis)". Brain (Oxford University Press) 88 (2): 323–334. doi:10.1093/brain/88.2.323.
- ↑ Durlach, Jean; Hirotoshi Morii, Yoshiki Nishizawa (March 6, 2007). "10: Clinical forms of Magnesium Depletion by Photosensitization and Treatment with Scototherapy". New Perspectives in Magnesium Research. Springer London. pp. 117–126. doi:10.1007/978-1-84628-483-0_10. ISBN 781846283888.
- ↑ "Epidemiologic Notes and Reports Elemental Mercury Poisoning in a Household -- Ohio, 1989". Morbidity and Mortality Weekly Report (Centers for Disease Control and Prevention) 39 (25): 424–425. June 29, 1990. http://www.cdc.gov/mmwr/preview/mmwrhtml/00001652.htm.
- ↑ Drummond, Peter D. (1986). "A Quantitative Assessment of Photophobia in Migraine and Tension Headache". Headache: the Journal of Head and Face Pain 26 (9): 465. doi:10.1111/j.1526-4610.1986.hed2609465.x.
- ↑ "Human Rabies -- Miami, 1994". Morbidity and Mortality Weekly Report (Centers for Disease Control and Prevention) 43 (42). October 28, 1994. http://www.cdc.gov/rabies/publications/mmwr_4342.html.
- ↑ http://www.allaboutvision.com/conditions/lightsensitive.htm
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