Visual comfort can affect building occupants’ behaviour, productivity and health. It is highly dependent on the occupant and how they perform a task indoors. In that regard, an occupant centred approach is more suitable for evaluating the lighting perception of the indoor environment. Nevertheless, the process of rating and estimating the visual comfort makes a limited distinction between physiological differences (e.g., ageing eye, light sensitivity), field of view, and personal preferences, which have been proven to influence the occupants’ lighting needs to complete their tasks. Such features were not considered while establishing the visually comfortable conditions; perhaps due to the challenge of coupling the assumptions made during building design to the performance indicators monitored during building operation. This work focuses on reviewing literature findings on how the common design approach deviates from real building performance, particularly failing to prevent visual disturbances that can trigger the inefficient operation of building systems. Additionally, it is highlighted that redesigned visual comfort assessment methods and metrics are required to bridge the gap between the lighting environment ratings computed and surveyed. One possibility is to consider such physiological features that induce lighting experiences. Finally, it was deducted that it is important to target the occupants’ eye response to calibrate limit thresholds, propose occupant profiling, and that it is convenient to continuously monitor the occupants’ perception of indoor lighting conditions.