Honestly, I am just beginning to really start watching things to see if there are triggers. Previously I just ignored the eye condition entirely. BUT! The SOM appears to corelates to my level of TMJ which corelates to my level of stress and anxiety and depression. I've always suspected this, and mentioned it to the SOM diagnosing neuro-opthamoligst. His first answer what a quick and resounding NO, no relationship between SOM and TMJ. But when I questioned him further about this, he went back and did some quick research and said that yes, it very well could be related. I have not been successful finding in my research any documented cases that TMJ triggers SOM.
I'll comment on the following as they apply.
Weather
Indoor or outdoor lighting issues I have needed a lot of light for quite some time now. I have attributed it to advancing age and not to SOM, but who knows?
Strobing This bothers me. Like in the car, or biking in the woods with the sunlight peaking through the trees.
Night driving I have always had problems with seeing in the dark when driving. Incidentally, I also have always had to wear sunglasses while driving (unless it's dark or very cloudy), so I have a sensitivity to too much light as well, at least when driving.
Seasonal changes
Sinus and/or upper respiratory conditions
Colds, flu
Insufficient sleep I feel the eye problems are more pronounced when I don't get adequate sleep.
Emotional conditions or situations Same answer as stress, it causes more TMJ which I think causes more SOM.
Work issues, like computers or other focused tasks/jobs I have one of the most eye tasking jobs you can have, I am a contracts compliance auditor. I look at (oftentimes) really bad or small copies of timesheets and expense receipts, key this data into the computer and comparing what the contract says they could charge against what they actually charged. I am on the computer pretty much for 9 hours consecutively during the day. I do feel that this causes eye strain which exasporates the SOM.
Chemical agents, i.e. cleaning products
Stress See above.
Any other environmental or situational issues