Last Updated on June 9, 2025 by Dr. Azhar I. Salahuddin
What Is Astigmatism?
Astigmatism is a common eye problem where the eyeball isn’t perfectly round. It may be slightly football-shaped or look like the back of a spoon instead, which can cause blurry vision. In a normal eye, the cornea and lens work together to focus light rays evenly, ensuring clear vision. However, an irregularly shaped cornea or lens can cause it to bend more in one direction. Since light doesn’t focus on the retina properly, objects may seem blurry, wavy, or out of focus, especially at a distance.
What are the symptoms of Astigmatism?
Astigmatism causes:
- Distorted or blurred vision to some level at all distances
- Eyestrain
- difficulty in viewing at night due to astigmatism lights
- headaches, especially after reading or doing any visual task for an extended period.
- Squinting is another symptom that is commonly seen
What Causes Astigmatism and How Is It Diagnosed?
Astigmatism is a common refractive error that takes place when the surface of the cornea or the inner curve of the eye lens is shaped irregularly or changes over time. This often happens during adulthood, but the exact cause is unknown.
The condition can be inherited and is usually present right from birth. It may increase or decrease as you age, occur after eye surgery, disease, or injury, and even be followed by the development of cataracts. It may also be caused by keratoconus, a condition where the cornea thins and becomes cone-shaped over time.
A comprehensive eye exam is the only way to diagnose astigmatism, but look out for symptoms such as blurriness, distorted vision, difficulty reading, or any vision changes. Refractive eye errors such as nearsightedness/farsightedness can also occur along with astigmatism, and your eye doctor can conduct a variety of tests to find the problem.
Also Read – Astigmatism in Children
Types of Astigmatism
There are 3 types of Astigmatism:
- Myopic Astigmatism– One or both central meridians of the eye are nearsighted. If both the meridians are nearsighted, they are myopic in varying degrees.
- Hyperopic Astigmatism– One or both central meridians are far-sighted.
- Mixed Astigmatism– One central meridian is nearsighted and the other is farsighted.
Astigmatism can also be categorized as regular and irregular. Regular Astigmatism is when the central meridians are 90 degrees away (vertical to each other). In irregular astigmatism, the central meridians are not vertical to each other. It is either a result of an eye injury that has scarred the cornea or keratoconus, a disease that causes a gradual tapering of the cornea, or the aftermath of eye surgery. Most people have corneal astigmatism, which gives the anterior surface of the eye an oval shape. Additionally, there’s another type of astigmatism called lenticular astigmatism, which occurs due to irregularities in the shape of the eye lens rather than the cornea.
Also Read – Astigmatism Severity Scale
Is Eye Surgery Necessary for Treating Astigmatism?
Depending on the degree of astigmatism and your eye health, your optometrist could suggest various options for vision correction. Surgery isn’t always necessary, but it can help you regain clear vision in severe cases. If you have slight symptoms with no vision issues, natural treatment might turn out to be highly beneficial.
Check out our blog – How to Cure Astigmatism Naturally?
Treatment options for Astigmatism
Let’s look at the common methods on how to correct astigmatism:
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Corrective Lenses
Eyeglasses and contact lenses can correct vision problems caused by moderate cases of the condition. Single-vision glasses with a cylindrical lens provide additional power in specific parts of the lens for clear vision at all distances, but bifocal or progressive addition lenses may be prescribed if you’re over 40. Your eye doctor may prescribe special soft contact lenses that bend light in the correct direction, but you may need gas-permeable rigid contact lenses if you have severe symptoms. However, both glasses and lenses can be uncomfortable and inconvenient for many people, and neither can correct astigmatism completely.
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LASIK Surgery
LASIK, or laser in situ keratomileusis, is a form of laser eye surgery conducted to remove the underlying flap of the cornea. It corrects vision by refracting or bending light entering the eye and is often preferred over other refractive surgeries since it only removes tissue from the inner layer of the cornea. In the past, LASIK was considered ineffective for correcting astigmatism completely. However, with modern advances in technology and eye refractive surgery methods, this laser-guided treatment can also treat astigmatism as well as other vision problems such as nearsightedness and farsightedness, eliminating the need for glasses or contacts.
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Other Options
Astigmatism may also be treated with orthokeratology, or ortho-k, where a series of rigid contact lenses are fitted over the eye to reshape the cornea. You need to wear these retainer lenses for a specified period of time, usually overnight, before removing them. Ortho-k can improve vision in moderate cases, but only if you continue wearing the lenses. If you stop wearing them, your vision can return to its original condition. Other options include photorefractive keratectomy or PRK, a form of eye surgery where tissue is removed from the cornea’s superficial and inner layers.
Today, LASIK is one of the most popular choices for permanent and practically painless vision correction. Of course, the right treatment choice depends upon the degree of astigmatism, health of your retina and cornea, as well as your lifestyle and vision needs. Your eye doctor can help you choose what’s right.
Don’t let blurry vision hold you back. Schedule your comprehensive eye exam today and get the clarity you deserve
Aaron Barriga is the online marketing manager for Insight Vision Center. With a knack for understanding medical procedures, and an interest in eye and vision health, Aaron loves to share what he knows and what he learns. He blogs to inform readers about the latest eye care technology and other topics related to eye care, especially LASIK.
