Astigmatism refers to a type of refractive error in which the eye does not focus light evenly onto the retina, often due to an irregular shape of the cornea or lens.

Written by Hu Shu Fang
Ophthalmology
Updated on September 15, 2024
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Astigmatism is a type of refractive error. Because our eyes are not a perfect sphere, they are more like an egg shape, with different meridians having different refractive powers. Thus, after imaging, the axial images may form in front of or behind the retina, rather than forming a focal point on the retina. Normally, astigmatism of some small degrees and with good axial alignment may not significantly affect vision. However, high degrees of astigmatism, especially irregular astigmatism, will definitely impact visual quality and require the prescription of special lenses to correct the astigmatism.

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Written by Tao Yuan
Ophthalmology
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Can nearsightedness with astigmatism undergo laser surgery?

Myopia and astigmatism are common eye diseases that are two different types of refractive errors but often occur together. Patients with both myopia and astigmatism who are over 18 years old and have stable prescriptions for more than a year can undergo laser surgery treatment. During the laser surgery, both myopia and astigmatism can be corrected simultaneously. Before undergoing surgery, patients need to visit the ophthalmology department of a hospital for an in-person consultation and examination. The exact degrees of myopia and astigmatism are determined through refraction tests, while corneal topography and ophthalmic ultrasound are used to assess the corneal curvature and thickness to determine if the patient is suitable for corrective laser surgery.

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Written by Li Zhen Dong
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Can pseudomyopia cause astigmatism?

Pseudomyopia generally does not involve astigmatism. Pseudomyopia is caused by ciliary muscle spasm, while astigmatism is due to changes in the curvature of the cornea, or changes in the eyeball itself; these two are not the same. Pseudomyopia can be completely cured with proactive treatment, adequate rest, reducing close-up activities, avoiding eye fatigue, and using eye drops that alleviate ciliary muscle paralysis, such as low-concentration atropine eye drops and digoxin eye drops. If not treated actively, prolonged pseudomyopia can turn into true myopia. True myopia involves elongation of the eye axis, leading to blurred distance vision but clear near vision. Therefore, when this occurs, a proper dilated refraction test should be conducted. (Medication should be used under the guidance of a physician.)

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Written by Zheng Xin
Ophthalmology
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Can farsightedness and astigmatism be corrected with glasses?

Hyperopia is a condition where parallel rays of light entering the eye focus behind the retina, preventing external objects from forming a clear image on the retina. This condition is referred to as hyperopia. Astigmatism is due to the cornea of the eye having a certain curvature, with light bending unevenly across the cornea due to its irregular curvature, causing different refractive indices on each meridian of the cornea. This results in the light rays not focusing on the same focal point, thereby preventing the rays from accurately focusing on the retina to form a clear image. This condition is known as astigmatism. Both hyperopia and astigmatism are types of refractive errors, and wearing glasses can correct them. It is also necessary to wear glasses promptly for correction.

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Written by Wang Fang
Ophthalmology
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What should I do if I have astigmatism in my eyes?

Astigmatism should be corrected by wearing astigmatic lenses. Astigmatism is a type of refractive error where the refractive power of the eye varies along different axes, resulting in a refractive abnormality. Particularly with high degrees of astigmatism, there may be symptoms such as blurred vision, distorted vision, or even eye fatigue. Therefore, once astigmatism is detected, it is important to visit a hospital for a medical eye examination promptly. It is recommended that astigmatism of 50 to 75 degrees or more should be timely corrected with glasses, otherwise prolonged uncorrected astigmatism can lead to severe eye fatigue. Additionally, if adult patients have other refractive errors such as myopia along with astigmatism, they could also consider undergoing laser surgery for myopia correction.

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Written by Wang Fang
Ophthalmology
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Will astigmatism cause the pupils to enlarge?

Astigmatism of the eye is a type of refractive error caused by an uneven curvature of the cornea's surface, resulting in different refractive powers along different axes. Once astigmatism occurs, particularly with a high degree of astigmatism, there can be a noticeable decrease in vision, distortion in sight, or in severe cases, significant eye fatigue. However, it generally does not lead to pupil dilation. Pupil dilation is caused by the paralysis of the ciliary muscle due to internal and external factors, resulting in enlarged pupils. Therefore, if symptoms of astigmatism appear, it is advisable to visit a hospital promptly for accurate diagnosis and appropriate treatment.