Okay, at first it appeared that the 4gb patch had taken care of this entirely, but upon further review it seems it only extends the amount of time i can play without the issue returning. My new fix is to, immediately after exiting an interior, hit ctrl+alt+del, click task manager (this is windows 8.1) and the task manager will instantly minimize, skyrim screen goes black for about 5 seconds, everything comes back kind of bright for a sec like the shaders hat been reset or something and it works great til the next time i come outside. Much faster than restarting the game. Btw, using gtx 650ti, amd quad-core, 8gb ram, realvision b full and 255 esp/esms activated