Can astigmatism and strabismus be corrected?

Written by Wang Hui Zhen
Ophthalmology
Updated on August 31, 2024
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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.

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Written by Hu Shu Fang
Ophthalmology
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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.

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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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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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 Tao Yuan
Ophthalmology
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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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Written by Du Rui Xia
Obstetrics
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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.