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I run 5m / 300 (SK6812 / WS2812B) RGBW LEDs from a 5V 20A 100W switching PSU*, which also powers a Pi-Zero as a controller - not actually as a backlight, more as an "ooh pretty colours thing", but the setup is the same.
I'm using Hyperion at the moment (which is basically Raspbian), as it is a nice OTB solution, but will be changing later. It does have an HA integration, albeit not particularly sophisticated.
By itself, though, it can be used as an ambient back light, taking HDMI input to reflect what is on screen.
The only real problem that I had with set up was, as ever, permissions for various IO pins.
* actually two of them, because it's in a long line and the voltage drop at 5V means it doesn't play as nicely with just one
Yesterday I was browsing the internet for a "backlight" to reflect off the wall (it will show the fugly/floral wallpaper though, so it will only alleviate the physical eye strain of working in the dark)
It went like this...
4.30pm: "It's gotten so dark so early. I need a backlight."
It will probably fail in flames and I'll end up paying for that double pack Hue LED thing in the end.