Astigmatism

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Written by Tao Yuan
Ophthalmology
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Are there any treatments for high myopia and high astigmatism?

High myopia combined with high astigmatism can be treated in the following ways: First, correction by wearing frame glasses is the most widely adopted treatment method currently, which is affordable and safe. Second, using rigid corneal contact lenses for correction, which provide higher image quality than regular frame glasses. Third, correction can be done through laser surgery, such as excimer laser surgery, femtosecond laser surgery, and full femtosecond laser surgery, but it is only suitable for adult patients. Fourth, correction can be accomplished by implanting phakic intraocular lenses in the posterior chamber, generally suitable for patients whose corneal condition does not permit laser surgery, at a higher cost compared to laser surgery.

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Written by Tao Yuan
Ophthalmology
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Do you need to wear glasses long-term if you have more than 200 degrees of astigmatism?

Patients with astigmatism of more than 200 degrees generally need to wear glasses long-term. Astigmatism of over 200 degrees is considered moderate and can significantly affect vision. If glasses are not worn to correct this, the patient's unaided vision is usually poor, causing blurriness and inconvenience in work and daily life. Additionally, prolonged unclear vision can easily lead to eye strain, and may even cause symptoms such as eye soreness, dizziness, and headaches. Astigmatism can be diagnosed through an optometric examination, which will determine the specific degree of astigmatism and its axis. Glasses can then be prescribed to correct it. If the patient is an adult who does not wish to wear glasses, laser surgery or the implantation of a posterior chamber intraocular lens can also be considered as treatment options.

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Written by Tao Yuan
Ophthalmology
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Can astigmatism be cured by wearing glasses?

Astigmatism cannot be completely cured by wearing glasses. Astigmatism is a common eye disease and a type of refractive error, usually caused by congenital developmental abnormalities. Some patients' astigmatism is related to poor eye habits, such as squinting for long periods, which can lead to astigmatism. The cornea of people with astigmatism has different refractive powers in the vertical and horizontal directions. Therefore, when light passes through the cornea and enters the eyeball, it cannot converge to form a perfect focus, causing the images projected on the retina to become blurry, and the patient will experience a decrease in vision. By conducting an optometric examination, the exact degree of astigmatism and the axis of astigmatism can be determined, and then corrected by wearing glasses. However, the purpose of correction is to improve the patient's vision, and it cannot eliminate the degree of astigmatism.

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Written by Lian Wen Xi
Pediatrics
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Can 300 degrees of astigmatism in children heal by itself?

Children with 300 degrees of astigmatism will not heal on their own. Astigmatism in children is usually congenital, meaning it is due to genetic factors. There are also a few cases where astigmatism is secondary, caused by poor eye habits or eye injuries, among other reasons. However, regardless of the cause, once astigmatism occurs, there is basically no possibility of it resolving on its own. Astigmatism is a type of refractive error that needs to be corrected by wearing glasses. Moreover, 300 degrees of astigmatism is considered high and can lead to eye fatigue over time. If not corrected, it can also have a serious impact on a child's vision, so parents must pay adequate attention.

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Written by Wang Hui Zhen
Ophthalmology
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Can astigmatism wear orthokeratology lenses?

Astigmatism below 300 degrees generally can be corrected with orthokeratology (OK) lenses. Astigmatism is a type of refractive error where the eye has different refractive powers in different meridians, causing parallel light rays passing through the eye's refractive system to refract improperly and form two focal lines instead of a single focal point on the retina, resulting in a blurred image. Astigmatism can be categorized into regular astigmatism and irregular astigmatism. Regular astigmatism can be corrected using cylindrical lenses or glasses, while irregular astigmatism may require correction with corneal contact lenses, OK lenses, or surgical correction. Common symptoms of astigmatism include blurred vision, reduced visual acuity, and easy eye fatigue, and sometimes may also present with symptoms such as head tilting and headaches. Therefore, it is advisable to seek consultation in the ophthalmology refractive department if astigmatism symptoms appear.

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Written by Wu Ben Rong
Pediatrics
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What will happen if children's astigmatism is not treated?

If children with astigmatism do not receive treatment, the specific consequences will depend on the severity of the astigmatism. If a child has only mild astigmatism and does not exhibit any other clinical symptoms, treatment might not be necessary, and it will not impact the child's vision. However, if the astigmatism is severe, it is necessary to wear corrective lenses for astigmatism; otherwise, it may lead to a decrease in both far and near vision. This is especially true for compound and mixed astigmatism, which can cause a significant decline in a child's vision, and often results in visual fatigue. Children may exhibit symptoms such as eye pain, orbital pain, monocular diplopia, or tearing. Additionally, there may also be occurrences of compensatory head tilting and torticollis.

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Written by Lian Wen Xi
Pediatrics
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Astigmatism in children is caused by what?

The majority of astigmatism in children is caused by congenital factors, that is, genetic factors. If one or both parents of the child have astigmatism, the probability of the child having astigmatism is higher than that of other children. There are also a few cases where a child's astigmatism is caused by acquired factors, such as surgery, trauma, or illness, all of which may cause changes in the curvature of the cornea and lens. Additionally, a lack of outdoor activities and poor eye habits might also promote the development of astigmatism. It is recommended that once a child is diagnosed with astigmatism, they should go to a reputable hospital for examination and then get appropriate treatment to improve the condition, otherwise, it could impact their vision.

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Written by Tao Yuan
Ophthalmology
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Why is astigmatism more serious than nearsightedness?

Astigmatism and myopia are both common eye diseases and are two different types of refractive errors. Under the same degree of refractive error, astigmatism can cause more damage to visual function than myopia. This is because patients with astigmatism usually experience abnormal development of the cornea, leading to different refractive powers in different directions. As a result, when light passes through the cornea and enters the eye, it cannot converge to form a single focus, but instead forms a line intersection, which greatly affects the quality of vision. On the other hand, myopia is caused by an overly long eye axis or excessive corneal refractive power. When light passes through the cornea and enters the eye, although it cannot focus accurately on the retina, it can still form a focus. Therefore, the impact on vision is less severe than that of astigmatism.

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Written by Tao Yuan
Ophthalmology
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Will nearsightedness and astigmatism lead to blindness?

Myopia and astigmatism are common eye diseases and belong to two types of refractive errors, which can occur together. Myopia combined with astigmatism can lead to a decrease in vision, but it will not cause blindness. For patients with myopia and astigmatism, there are various methods to correct and treat these conditions, such as wearing frame glasses, rigid corneal contact lenses, undergoing laser surgery, or implanting artificial lenses to restore vision. In daily life, it is also important to develop good eye habits, avoiding using eyes in dim and shaking environments, and reducing the time spent on smartphones, TVs, and computers to prevent and delay the progression of myopia and astigmatism.

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Written by Hu Shu Fang
Ophthalmology
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Can contact lenses correct astigmatism?

Contact lenses can be prescribed with a certain degree of astigmatism correction. If the astigmatism is less than 100 degrees, it can be converted into half of the spherical degree to create a prescription, and standard contact lenses can be worn to see clearly. If the astigmatism is greater than 100 degrees but less than 300 degrees, it is necessary to first prescribe sufficient spherical degree, then determine the astigmatism's axis and degree, and manufacture special astigmatic contact lenses. Wearing these can be more comfortable and provide clearer vision. Generally, very high degrees of astigmatism cannot be corrected with contact lenses, and wearing frame glasses is required instead.