What is the photic sneeze reflex?
The photic sneeze reflex is a phenomenon that causes people to sneeze when there is a sudden change from darkness to bright light. This reflex typically occurs when a person looks into the sun or when they are suddenly exposed to light, e.g. when they step out of a dark room into the open air. The sneezing reflex usually occurs immediately after exposure to light and can vary in intensity: Some people sneeze only once, others several times.
The sneeze reflex is inherited in an autosomal dominant manner, i.e. anyone who inherits the corresponding gene from one parent can develop the sneeze reflex. The frequency of the phenomenon in the population varies, but it is estimated that the reflex is present in 18 to 35% of people worldwide. Although the reflex has been observed for centuries, the exact mechanisms that trigger it are not yet fully understood. It is thought that the reflex is caused by an unusual crossing of nerve pathways between the visual and trigeminal nerve cords. This crossing causes a visual stimulus, such as the sudden appearance of bright light, to trigger a sneeze.
Physiology of the photic sneeze reflex
The photic sneeze reflex is a complex neurological phenomenon that is triggered by an apparent miscommunication between sensory and motor neural pathways in the brain. During the reflex, the nervous system responds to a visual stimulus - usually intense light - with a sneezing impulse. This reaction appears to be based on a misintegration of signals, in which the brain misinterprets visual information as a stimulus for the sneeze reflex. Normally, the sneeze reflex is a defense reaction of the body to remove foreign bodies or irritants from the airways. In the photic sneeze reflex, however, there is no such stimulus, which makes the reaction particularly unusual.

Good to know
The photic sneeze reflex can even be triggered by simply thinking about bright light, which shows how strongly the brain can react to visual stimuli and their associations.
Frequency and significance in everyday life
Although the photic sneeze reflex may seem trivial at first glance, it can be annoying or even dangerous in certain situations. For example, people who react strongly to light may temporarily lose control when driving or doing outdoor activities if they suddenly need to sneeze. However, most sufferers have learned to deal with this reflex in everyday life. Some people avoid looking directly into the light or wear sunglasses to minimize the occurrence of the reflex. Despite these limitations, the photic sneeze reflex is usually harmless and has no long-term health consequences.