Can astigmatism wear orthokeratology lenses?

Written by Wang Hui Zhen
Ophthalmology
Updated on February 12, 2025
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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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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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Can playing with a cell phone every day during pregnancy cause astigmatism?

It is not recommended to use cellphones every day during pregnancy. Although using mobile phones does not cause astigmatism, it can still harm the eyes of pregnant women. Astigmatism is caused by congenital changes in the corneal shape and the intrinsic refractive state of the lens. Various acquired factors can also affect the outcome of astigmatism, such as unhealthy visual habits in daily life and changes in refractive status, which can lead to acquired astigmatism. Engaging in prolonged mobile phone use during pregnancy might lead to myopia, but it will not cause astigmatism. Long-term accumulation of myopia can lead to symptoms like dizziness and fatigue.

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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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Can you wear contact lenses with 200 degrees of astigmatism?

Astigmatism of 200 degrees or less can be corrected by wearing regular contact lenses. However, when purchasing lenses, one needs to divide the astigmatism diopter by two and incorporate it into the prescription for myopia during the fitting process. If a patient's astigmatism exceeds 200 degrees, they typically are not suitable for regular contact lenses. Instead, they may opt for custom contact lenses with astigmatism correction or use rigid corneal contact lenses for correction. Patients with astigmatism should promptly visit an ophthalmology department at a hospital for an optometry examination to accurately determine their astigmatism and undergo vision correction tests. Following this, a doctor will issue a prescription for fitting contact lenses.

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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.