Tinted lenses have also been a life saver for me. There were days they were not enough as well. Cortical Visual Impairment (CVI) seems to be the problem for me... that is neurologically based.

My eye doctor was shocked to learn recently that I use one pair of glasses for reading and distance. Also he learned my dominant eye is at odds with my dominant hand. Right eye dominant, left hand dominant.

Do you have things suddenly "pop" into view (that is SO disconcerting!)? Or tunnel vision? I near fell out of my chair when I learned how much I don't see! Check into CVI...

What has been the biggest, and most surprising help to me was not correcting my vision to be the sharpest it can be. When at the eye doctors he would make my vision sharpest and my sensitivities went through the roof.. he would step it to slightly blurry and it would go down a lot. I would tell him it felt better blurry. He said that I seem to have issues with contrast.

So, taking my prescription back to have slightly blurred vision (not too blurry, but enough to take the sharpness off) in conjunction with tinted lenses, has given such an improvement for the first time in my life. On bad days I wear my sunglasses in the house and at the stores even... don't give a care in the world to funny looks... I am out and about and not feeling like I am dying.. that is what counts! Other days I simply wear my other tints ( I have three different colors now... has been quite the pain getting the right tint)

Hope that helps some. I never realized contrast could impact so much.. I have even tweaked my computer monitor settings so that it strains my eyes less.. yeah contrast and dimness looks icky.. but my eyes and head are soooooo happy!