Abstract

Photophobia is a common condition in which bright light causes an unpleasant feeling due to increased sensitivity to light. In addition to discomfort, photophobia may be accompanied by visual dysfunction. The present study was conducted in order to examine whether visual evoked cortical responses contribute to the assessment of visual dysfunction due to bright light. Visual evoked magnetic fields (VEFs) following the presentation of a uniform bright light of 200–3700 cd/m2 in the lower visual field were recorded in 10 healthy volunteers and the effects of five color lenses: yellow, blue, gray, green, and colorless, were examined. VEFs were subjected to a multi-dipole analysis that resulted in the separation of several source activities, including the retina, V1, V2, V6, and fusiform gyrus. Source activity in the retina corresponding to the ERG b-wave exhibited a reduced amplitude and elongated peak latency with the yellow lens. Its latency strongly correlated with transmittance at 450 nm. On the other hand, cortical activities in V1 and the fusiform gyrus were stronger with the yellow lens than with the other color and colorless lenses. Only blue-light blocking showed significant effects. The result showing that the yellow lens enhanced V1 and fusiform activities indicated that processing in these areas was improved when subjects used this lens. The combination of delayed retinal activity and increased visual cortex activity may be an objective indicator of the effects of a color lens on visual function.

Highlights

  • Photophobia is a state of increased sensitivity to light in which light feels too bright and uncomfortable

  • We focused on the effects of colored lenses on cortical activation in visual areas in order to investigate the mechanisms responsible for visual disturbances caused by bright light

  • The present results demonstrated that retinal activity (b-wave) in response to bright light was reduced when subjects viewed it through a yellow lens, while cortical activities in V1 and fusiform gyrus (FG) were enhanced, suggesting changes in visual processing by blue-light filtering

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Summary

Introduction

Photophobia is a state of increased sensitivity to light in which light feels too bright and uncomfortable. Photophobia is an internal experience, similar to pain, and its objective assessment is difficult. Photophobia is not a rare symptom; it is associated with various conditions, including migraine, blepharospasm, eye diseases, such as dry eye, and mental diseases, such as panic disorder or depression (for a review, see [1]). Photophobia is considered to represent abnormal activation in a specific neural circuit, the underlying mechanisms have not yet been elucidated in detail. In addition to the difficulties associated with its objective assessment, the treatment of photophobia using a tinted lens is problematic.

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