Astigmatism: Causes, Symptoms, and Effective Treatments
Astigmatism is a common vision condition that causes blurry or distorted sight due to an irregularly shaped cornea or lens. Learn what causes it, how it's diagnosed, and how options like LASIK can provide long-term visual clarity.
Astigmatism is a common vision issue caused by an irregular curvature of the cornea or lens. This uneven shape prevents light from focusing evenly on the retina, often leading to blurry, distorted, or stretched vision at all distances.
Fortunately, astigmatism is highly treatable. From glasses and contacts to laser vision correction like LASIK, several options are available to help you achieve clearer sight and greater visual comfort.
What Is Astigmatism?
Astigmatism is a type of refractive error—alongside nearsightedness and farsightedness—that disrupts how light focuses on the retina. Instead of focusing at a single point, light scatters, causing blurred or warped vision.
Key Characteristics:
Can occur on its own or with other refractive errors
Caused by an oval-shaped cornea or lens
Affects vision at both near and far distances
Types of Astigmatism
Type
Description
Corneal Astigmatism
Irregular curvature of the front surface (cornea)
Lenticular Astigmatism
Irregular shape of the internal lens
Both types can distort vision horizontally, vertically, or diagonally—depending on how the light is refracted.
What Causes Astigmatism?
Astigmatism can be present from birth or develop later in life due to a variety of factors:
1. Inherited Factors
Astigmatism is often an inherited condition, passed down from one’s parents. The shape of the cornea or lens can vary from person to person, and this genetic predisposition can contribute to the development of astigmatism.
2. Eye Injuries or Diseases
Certain eye injuries, such as a corneal scar or eye surgery, can alter the shape of the cornea and lead to astigmatism. Additionally, eye diseases like keratoconus can cause the cornea to become irregularly shaped, resulting in astigmatism.
3. Aging
As we grow older, the natural lens inside the eye can undergo changes that may lead to the development of astigmatism. This is a common occurrence, and it’s important to have regular eye exams to monitor for any changes.
Symptoms of Astigmatism
Astigmatism symptoms can vary in severity and may include:
Blurry or Distorted Vision: This can affect both near and far vision, often causing difficulties in distinguishing shapes or details.
Eyestrain and Discomfort: Frequent squinting or straining to see clearly can lead to headaches and eye discomfort.
Difficulty with Night Vision: Light scatter and halos around lights at night are common, making night driving challenging.
Headaches: Continuous effort to focus can lead to persistent headaches.
Since children may not realize their vision is unclear, regular eye examinations are essential for early diagnosis and intervention.
Diagnosis of Astigmatism
Astigmatism can be diagnosed through a comprehensive eye examination conducted by an ophthalmologist or optometrist. The following tests are typically used:
Visual Acuity Test: Reading letters on an eye chart at varying distances helps determine the sharpness of vision.
Phoropter Exam: By looking through a device that contains different lenses, patients help doctors identify the best corrective lens for their astigmatism.
Autorefractor Test: This device shines light into the eye and measures how light reflects off the back of the eye, providing an objective measure of refractive errors.
Keratometry and Corneal Topography: These tests measure the curvature of the cornea to detect irregularities that may indicate astigmatism.
These tests provide a detailed assessment of your eye’s structure and function, allowing your eye care professional to accurately diagnose and determine the appropriate treatment for your astigmatism.
Astigmatism Treatment Options
There are several effective treatment options for astigmatism, ranging from corrective lenses to surgical procedures. The choice of treatment often depends on the severity of the condition and individual lifestyle needs.
Eyeglasses and Contact Lenses
Eyeglasses: The simplest and most common treatment for astigmatism. They help correct the way light enters the eye, enabling clearer vision.
Toric Contact Lenses: Specifically designed to address the irregular curvature of the cornea, these lenses offer an alternative for those seeking a less conspicuous option than glasses.
Rigid Gas Permeable (RGP) Lenses: For individuals with more severe or irregular astigmatism, RGP lenses may be recommended. They maintain their shape, offering a more stable correction.
LASIK and Other Refractive Surgeries
For those looking for a long-term solution, LASIK surgery is a highly effective option. The procedure involves using a laser to reshape the cornea, correcting the irregular curvature responsible for astigmatism. LASIK can be particularly beneficial for those with astigmatism who seek to reduce or eliminate their dependence on corrective lenses.
Benefits of LASIK for Astigmatism:
Precision: LASIK can address multiple refractive errors at once, such as myopia and hyperopia, along with astigmatism.
Quick Recovery: Most patients experience a significant improvement in vision within 24 hours, with minimal discomfort.
Long-Lasting Results: Unlike contact lenses or glasses, which need to be updated regularly, LASIK provides a more permanent correction.
It is essential to consult with an ophthalmologist to determine whether LASIK is a suitable option, as not everyone may be a candidate for the procedure.
Final Thoughts
Astigmatism may be common, but it doesn’t have to compromise your vision. From corrective lenses to advanced solutions like LASIK, today’s treatments offer effective, personalized results.
If you’re noticing blurry vision or other signs of astigmatism, schedule a comprehensive eye exam with a trusted vision specialist. With the right diagnosis and care, clearer vision could be just a few steps away.
References
Astigmatism. Oct. 01, 2024 American Academy of Ophthalmology.