It may be your eyes:
It may be your eyes:
ADHD is a condition that can disrupt one’s life. And while it’s commonly associated with difficulty focusing, sensitivity to light (also known as photophobia) is another uncomfortable symptom many people often experience.
But what if the cause of your ADHD light sensitivity is actually due to a slight misalignment between your eyes known as Binocular Vision Dysfunction (BVD)?
In this article, we’ll discuss hypersensitivity to external stimuli (including light) in individuals with ADHD, the treatment available, and how the real issue might be BVD.
ADHD, also known as Attention-Deficit/Hyperactivity Disorder, is a chronic condition including attention difficulty, hyperactivity, and impulsiveness. Children and adults who have ADHD have normal intelligence. There are three types of ADHD which include inattentive only, hyperactive and impulsive, and a combination of inattentive, hyperactive, and impulsive.
Inattentive Only: This occurs when the individual has difficulty paying attention.
Hyperactive and Impulsive: This type usually involves the individual having hyperactivity and impulsive behavior. The result is typically disruptive.
Combined Inattentive, Hyperactive, and Impulsive: A person with this type of ADHD will have difficulty focusing and also be hyperactive.
It’s important to note that it’s likely you will experience symptoms similar to ADHD at some point in your life that are temporary. However, individuals are diagnosed with ADHD when the symptoms are longstanding, severely impacting their quality of life and making it difficult to function.
The symptoms of ADHD vary from childhood to adulthood and can vary from person to person.
In addition to the above-mentioned symptoms, hypersensitivity is another common symptom in children and adults with ADHD.
Some people with ADHD are considered a Highly Sensitive Person (HSP) due to the level of hypersensitivity to stimuli they experience. These stimuli can include sensitivity to sounds, touch, smell, or sight. The hypersensitivity can also be categorized into emotional sensitivity and physical sensitivity. Individuals experiencing emotional sensitivity with their ADHD might have significant difficulty processing their emotions such as anger and sadness and feel these emotions very intensely, to the point where it feels like they are being flooded with emotion. Individuals with physical sensitivity might feel very uncomfortable with their surroundings, such as their socks being too itchy. These emotional and physical sensitivities can feel so overwhelming that it becomes difficult to focus on other things.
Additional examples of hypersensitivity can include tags on t-shirts feeling itchy or feeling very sensitive to the material of the clothing itself, tight clothing, and loud noises.
Some individuals with ADHD experience extreme sensitivity to light. Known as photophobia, light sensitivity can include being sensitive to light from the sun and also indoor lighting, specifically fluorescent lighting. The light can feel too bright, too intense, or too hot, making it very uncomfortable and/or distracting for the individual. The light sensitivity can also result in:
In one online survey, 69% of adults with ADHD reported experiencing photophobia.
While there isn’t one specific treatment for photophobia or hypersensitivity, there are several options available to individuals to potentially reduce symptoms. This includes ADHD medication, getting enough sleep, eating a healthy diet, exercising, and behavioral therapy. Learning to self-regulate emotion might also be effective for addressing overwhelming sensitivities. This might include (but is not limited to) building awareness of moods and thoughts about moods, and recognizing when our emotions towards specific stimuli are becoming overwhelming.
Similar to how the exact causes of ADHD are not known, there is not yet a known reason for what causes hypersensitivity in some individuals with ADHD. However, one theory is some individuals might also have Autism Spectrum Disorder, which produces similar sensitivity symptoms.
Anxiety is also known to produce sensitivity to emotional and physical stimuli, which is sometimes prevalent in persons with ADHD.
Binocular Vision Dysfunction, also known as BVD, occurs when our eyes are slightly misaligned and can lead to symptoms commonly confused with ADHD, including light sensitivity. While this misalignment between the eyes can be very subtle, it can make it incredibly difficult for our eyes to send one clear image to our brain.
Here’s what happens when someone has BVD: With two eyes, we are able to see one clear image. This is because our brain is easily able to transform the almost identical images seen by each eye into a single image, which is known as binocular vision.
In patients with BVD, there is a slight misalignment between their eyes resulting in their eyes being out of sync with one another. This causes the images seen to be significantly different, making it much more difficult for the brain to process them into a single clear image.
The result? The brain forces the eye aligning muscles to fix the problem by realigning the eyes. But the realignment is only temporary and misalignment then recurs, which is followed closely by realignment, and the cycle of misalignment and realignment continues. Over time, this places an immense amount of strain on the eye muscles and leads to headaches, an inability to focus, and a variety of other symptoms similar to ADHD.
Concentration was always a struggle for me in school. I am 16 years old. I would always lose my focus after about thirty minutes of working.
I did not have any symptoms such as headaches or dizziness, so I assumed I was a slower learner. Once in a while I would lose my place in a book, or read the same line multiple times. With a corrected prescription by Dr. Debby, I have noticed my concentration level rise at school and see clearer. Thank you for helping me see a world of difference.
After trying my new prescription in the test frame, I could see differences immediately.
I was about to be put into a special education class because I was having so many learning problems. That was ten years ago. These lenses changed everything, really! The headaches disappeared. Reading was so much easier and I could figure out my homework.
I’m not tired when I read now. School is not as hard, and I have more fun. My glasses make everything better.
Through a Patient’s Eyes:
The symptoms of BVD tend to be very similar to the symptoms associated with ADHD, including a sensitivity to light.
Common Symptoms for Adults and Children 14+ with Binocular Vision Dysfunction
The following is a list of common symptoms in adults with BVD:
Symptoms of BVD in Children Ages 4 to 8-years-old
Symptoms of BVD in Children Ages 9 to 13-years-old
To treat BVD, specialized microprism lenses are applied to correct the eye misalignment. These glasses bend light in a way that the images seen by your eyes are moved into the position they need to be in, resulting in realigned images. When the images seen by your two eyes are realigned, your brain can easily transform the almost identical images into one, singular image. As a result, your light sensitivity and other symptoms caused by BVD are significantly reduced or eliminated.
In fact, the average patient will notice a 50% reduction of symptoms by the end of their first visit. Over the next several visits, our team at Vision Specialists of Michigan will fine-tune your lenses so that your headache, nausea, and other BVD symptoms can continue to improve and be eliminated.
We recommend you visit your primary care physician or an ADHD specialist to rule out other causes. Then if no cause is found for your light sensitivity and symptoms, our Vision Specialists of Michigan team can help determine if BVD is the issue.
During your visit:
You can expect to spend approximately 3 hours in our office during your visit.
If you or a loved one have been diagnosed with ADHD and are experiencing the symptoms mentioned above, contact our team at Vision Specialists of Michigan. If BVD is causing your hypersensitivity, our microprism lenses just might be the solution you need.
Daily Stomach Ache, Headache, Nausea:
Headaches and Learning Challenges:
Years of Daily Headaches, Nausea, and Dizziness:
Dr. Sandy DiPonio earned her optometry degree from Illinois College of Optometry in 1996. She is a highly skilled and experienced eye care professional dedicated to giving her patients of all ages excellent and compassionate care. She has a wide variety of experience in binocular vision, pediatric and adult eye care, ocular disease and contact lens fitting. She strives to provide each of her patients the best quality of life they can achieve with their vision through knowledge and education of treatment options.
Dr. DiPonio is a member of the American Optometric Society and Michigan Optometric Society.
Dr. Sally Hoey has been practicing optometry since graduating from Michigan College of Optometry in 2001. During her time in optometry school, she developed an interest in binocular vision, culminating in a senior thesis involving binocular vision.
Prior to joining Vision Specialists of Michigan, Dr. Hoey specialized in the diagnosis and treatment of vision-related learning problems as well as other binocular vision disorders. Her other areas of interest include specialty contact lens fittings and treating dry eye. Dr. Hoey strives to provide her patients with clear, comfortable vision while meeting their individual needs at the same time.
Dr. Hoey had the opportunity to provide eye care on an optometric mission trip to Guyana, South America and vision screenings at a local medical clinic. She is a member of the American Optometric Association, Michigan Optometric Association, Metropolitan Detroit Optometric Society and the College of Optometrists in Vision Development.
Dr. Jennifer Place graduated with honors from Michigan College of Optometry in 2001.
Before joining Vision Specialists of Michigan, she specialized in treating pediatric and adult patients with binocular vision disorders and vision-related learning problems, as well as fitting specialty contact lenses and managing various types of ocular disease. She enjoys working with patients with unique visual needs, and she takes great pride in providing all patients with highly customized care.
Dr. Place has volunteered for Opening Eyes, a program that provides eye exams to the athletes of the Michigan Special Olympics, and she participated in an international mission to St. Lucia to provide eye care to those in need. Dr. Place is a member of the Detroit Optometric Society, the Michigan Optometric Association, the American Optometric Association, the College of Vision Development, and the Optometric Extension Program Foundation.
Dr. Mary Jo Ference has been practicing optometry since 1990 upon graduating from Ferris State University- Michigan College of Optometry, and is certified in Low Vision Rehabilitation. She has worked at Sinai-Grace Hospital systems for over 20 years before joining Vision Specialists of Michigan in 2013 to work with binocular vision disorders. Her clinical areas of expertise include visual rehabilitation of pediatric and adult patients who have suffered from brain trauma, injury or disease. She has taught both optometry and ophthalmology residents at Sinai Grace Hospital. Dr. Ference has sat on numerous boards, including Sinai Grace Hospital, Berry Out-Patient Surgical Center, and Seedlings Braille Books for the Blind. She is actively involved in area school districts to provide education, training and access for students, teachers, OT’s and PT’s to eye care service rehabilitation information. Dr. Ference has lectured extensively nationally and internationally.
Dr. Debby Feinberg began practicing Optometry in Oakland County in 1983, upon graduating from Illinois College of Optometry. She joined her father, Dr. Paul C. Feinberg, at Mall Optical Center, which was located in Summit Place Mall.
Since 1995 Dr. Feinberg has been developing the field of NeuroVisual Medicine which is the optometric subspecialty that identifies and treats neurological / medical symptoms that originate directly or indirectly in the visual system.
Dr. Feinberg has been performing pioneering work with Binocular Vision Dysfunction (BVD), a condition where a vision misalignment (frequently subtle) creates difficulties with the two eyes working together to create a single 3-dimensional image, and difficulties with the two eyes following that image as it moves.
The symptoms caused by BVD are not usually associated with problems with the visual system, and include headache, dizziness, anxiety and panic, persistent post-concussive symptoms, gait instability and balance problems, frequent falls, neck pain, motion sickness, nausea, and reading and learning problems.
In 2004. Dr. Feinberg established Vision Specialists of Birmingham, specifically designing the practice to accommodate the needs of the NeuroVisual Medicine patient.
In 2011, the office moved to its current location in Bloomfield Hills and updated its name to Vision Specialists of Michigan.