probarbly a combination of the two.
i make sure that my computer screens (i use a dual setup) are on low intensity while i am in a well lit room, and i also have a small lamp behind the screens to produce backlight, should i start to feel uncomfertable.
also, i have installed some mods that allow me to finetune the flicker rate, my, new-ish, main screen is on 66 hz, but the secondary, older one is tuned to 85 hz, since it indeed uses a large pulse width, which especially hurts in the corners of my eyes (or when i look at the main screen, which is most of the time)