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Web I have no BVD (confirmed by an expert), but patching helps somewhat delay, but not prevent my symptoms if the flicker is coming from a screen. I haven’t tried other eye training because I already have perfectly binocular vision. I’ve done lots of experiments that support the idea that flicker is the trigger for me and one eye viewing it is sufficient to trigger my symptoms. Flicker from ambient LED lights is too immediately dangerous for me even covering one eye as best as I can - I just have to avoid it to not quickly become very debilitated.
I haven’t found any medications that help yet. The headache neurologists have recommended trying magnesium and riboflavin supplements, which don’t help me at all and have irritating side effects for me. Recently they suggested CoQ10 supplements, which I’m not sure of yet. They don’t prevent symptoms from starting for me, but I’m not sure yet whether symptoms haven’t been super long-lasting in the past few weeks has anything to do with the supplements or is just because I’ve avoided major triggers…. CoQ10 is supposed to have antioxidant and anti-inflammatory properties.
I don’t have any of what I think you’re describing in terms of depersonalization or derealization. I don’t have tunnel vision that I can notice myself. However, in a neuroophthalmologist’s visual field test, i had peripheral blindness in my right eye (the side where I feel symptoms) while flicker symptoms were starting due to the flicker of the ambient LED office lights, but not when we repeated the test at a later visit and kept the flickering LED lights off.
I hope some of this helps - I’m sorry I don’t have better answers.