Light Sensitivity and Therapy for Migraine

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Key Questions
  • Is migraine the only headache disorder that has light sensitivity as a symptom?
  • Is light sensitivity a premonitory symptom or is it a trigger of migraine?
  • Is light sensitivity a chronic condition?
  • Is light sensitivity something that can develop from another condition, such as concussion?
  • What causes light sensitivity?
  • Should people with light sensitivity completely avoid the light, or is it better to learn to adapt to it?
  • What protections are there for people with light sensitivity?
  • Should people with light sensitivity keep their home environments dark at all times?
  • How can you tell the difference between photophobia as a trigger and as a premonitory symptom?
  • Are tinted lenses helpful?
  • When should someone with photophobia see a specialist?
  • What kind of specialist should they see?
  • Are the CGRP medications helpful to those with light sensitivity?
  • Is our modern world of excessive screen time and “Zoom fatigue” causing more photophobia?
  • How can someone tell that their photophobia might be chronic
Interview Notes

Deborah Friedman, MD, MPH, FAAN, FAHS

Neuro-Ophthalmologist & Headache Specialist
Yellow Rose Headache & Neuro-Ophthamology

Dr. Deborah Friedman is a neurologist specializing in headache medicine and neuro-ophthalmology in Dallas. She was the founding director of the Headache and Facial Pain Program and Cerebrospinal Fluid Dynamics Program at the University of Texas Southwestern Medical Center. She is board certified in neurology and headache medicine, and is a Fellow of the American Academy of Neurology, the American Headache Society (AHS), the American Neurological Association, and the North American Neuro-Ophthalmology Society (NANOS).

She served on the board of directors for the AHS and the Southern Headache Society, as a past president of NANOS, and on the steering committee for the Idiopathic Intracranial Hypertension Treatment Trial. She has published over 130 articles in peer-reviewed journals and 27 book chapters. Her key interests are intracranial pressure disorders, migraine, and cluster headache.

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