Why is astigmatism more serious than nearsightedness?

Written by Tao Yuan
Ophthalmology
Updated on September 29, 2024
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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 Wang Fang
Ophthalmology
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How to protect eyes with astigmatism

Some patients have congenital astigmatism, while most of the patients have acquired astigmatism. The occurrence of astigmatism is mostly due to improper sitting posture. It is caused by looking at objects from an inclined angle rather than directly from the eyes' proper axis. Especially lying down while reading or using smartphones can easily lead to an increase in astigmatism. If astigmatism is not corrected, it can easily worsen eye fatigue, thereby inducing a further increase in the degree of vision problems. In daily life, it is important to correct poor sitting postures and avoid situations such as lying down while reading or using smartphones. Engage more in outdoor activities, and limit reading sessions to no more than half an hour at a time. Consuming more vitamins A, D, C, E, and lutein in the diet can also help in preventing astigmatism.

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Written by Zheng Xin
Ophthalmology
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How to relieve headaches caused by astigmatism in the eyes?

Eyestrain and headache can be understood in two senses: First, if one experiences astigmatism when viewing objects, accompanied by headaches and eye pain, it is possible that glaucoma is present. This condition is also associated with increased eye pressure and swelling pain in the eyes. If this is the case, treatment to lower eye pressure and treat glaucoma is necessary. The second meaning involves astigmatism identified through an eye examination, indicating a refractive error. If the astigmatism correction in the glasses worn is not suitable, prolonged viewing can lead to visual fatigue, eye pain, and accompanying headaches. In this case, a detailed eye examination followed by wearing appropriate glasses is needed to alleviate the symptoms.

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Written by Tao Yuan
Ophthalmology
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Can myopia surgery correct astigmatism?

Myopia surgery can also remove astigmatism. Both myopia and astigmatism are common ophthalmological diseases, and they are different types of refractive errors that can occur simultaneously. Currently, there are various surgical methods to correct myopia, such as excimer laser surgery, full femtosecond laser surgery, half femtosecond laser surgery, and posterior chamber intraocular lens implantation for phakic eyes. Whatever the type of surgery mentioned, it can correct and treat myopia while simultaneously removing the patient's astigmatism. Prior to surgery, a detailed optometric examination and ocular examination are required. Based on the patient's eye condition and specific degrees of myopia and astigmatism, a corresponding surgical plan is designed.

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Written by Tao Yuan
Ophthalmology
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Crystalline astigmatism is caused by what?

Lenticular astigmatism is a common eye disease, usually caused by the early formation of cataracts, where the lens becomes unevenly opaque. This leads to inconsistent refractive power in different directions, causing astigmatism. Patients can visit the ophthalmology department of a hospital for an optometry examination and a slit lamp microscope examination to confirm whether the astigmatism is due to the lens. For lenticular astigmatism, if the cataract has little impact on vision, it can initially be corrected by wearing glasses to improve vision. If the cataract has already significantly affected vision, cataract surgery can be performed to correct and treat it. After the surgery, the lenticular astigmatism will naturally disappear, and the patient’s vision will be improved.

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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.