Understanding Astigmatism

A Comprehensive Guide to This Common Vision Condition

Family Medicine

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Last updated: Mar 24, 2025

What is Astigmatism?

Astigmatism is a common refractive error that occurs when the cornea (front surface of the eye) or lens has an irregular shape. Instead of being perfectly round like a basketball, the surface is shaped more like a football, causing light to focus on multiple points rather than one clear point on the retina.

Common Symptoms

  • Blurred or distorted vision at all distances
  • Eye strain and discomfort
  • Headaches
  • Difficulty seeing at night
  • Squinting frequently
  • Poor night vision

Types of Astigmatism

1. Corneal Astigmatism

  • Irregularity in the shape of the cornea
  • Most common type

2. Lenticular Astigmatism

  • Irregularity in the lens shape
  • Less common than corneal astigmatism

Diagnosis

Your eye care professional can diagnose astigmatism through:

  • Visual acuity tests
  • Keratometry (measures corneal curvature)
  • Corneal topography
  • Refraction tests

Treatment Options

Corrective Lenses

  • Eyeglasses with special cylindrical lenses
  • Toric contact lenses
  • Gas permeable contact lenses

Surgical Options

  • LASIK surgery
  • PRK (Photorefractive Keratectomy)
  • SMILE (Small Incision Lenticule Extraction)

Living with Astigmatism

  • Regular eye examinations are essential
  • Update prescriptions as needed
  • Maintain good eye hygiene
  • Use proper lighting for reading
  • Take regular breaks during screen time

When to See a Doctor

Consult an eye care professional if you experience:

  • Persistent blurred vision
  • Frequent headaches
  • Difficulty with night driving
  • Changes in vision quality

Prevention and Management

  • Regular eye examinations
  • Proper eye protection
  • Good lighting conditions
  • Regular breaks during close-up work
  • Maintaining current prescriptions

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