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 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 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 Li Zhen Dong
Ophthalmology
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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 Tao Yuan
Ophthalmology
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Can high myopia with astigmatism be treated with surgery?

High myopia combined with astigmatism can also be treated surgically, but it requires the patient to be at least 18 years old, and both the myopia and astigmatism must have been stable for over a year without worsening. Before undergoing surgical treatment, a detailed eye examination is necessary. This includes an optometric examination to accurately measure the degree of myopia and astigmatism, a corneal topography test, and an ophthalmic ultrasound to understand the corneal curvature and thickness. Based on these parameters, a specific surgical plan is designed. If the patient’s corneal condition allows, laser surgery is the preferred method for correction. If the patient’s corneal condition is poor and not suitable for laser surgery, correction and treatment can be achieved through the implantation of a posterior chamber intraocular lens in phakic eyes.

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Ophthalmology
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Can astigmatism and strabismus be corrected?

Astigmatism and strabismus can sometimes be corrected, depending on their severity. Astigmatism refers to the condition where parallel light rays entering the eye cannot focus on a single point on the retina after being refracted by the eye's optical system, instead forming two focal lines, ultimately failing to produce a clear image on the retina. Astigmatism can be categorized into regular and irregular types. Regular astigmatism can be corrected with cylindrical lenses in eyeglasses; while irregular astigmatism generally requires correction with contact lenses. Additionally, after reaching 18 years of age, astigmatism can also be corrected through refractive surgery. Generally, mild astigmatism does not impact vision and does not require special treatment; however, moderate to severe astigmatism, if uncorrected, might lead to amblyopia and other vision impairments. Strabismus means that when one eye is focusing, the visual axis of the other eye deviates from being parallel, presenting an abnormal eye position. It is generally recommended to start treatment immediately after diagnosing strabismus. If there is significant refractive error, glasses should be prescribed first. If glasses cannot correct the condition, surgery might be necessary.