
Understanding and Managing Astigmatism
Astigmatism is a common vision condition that affects millions of people worldwide. Despite its prevalence, there’s still a lot of confusion surrounding what astigmatism is, how it affects vision, and what can be done to manage it. At eyeXam, your trusted optometry practice in Newport Beach, CA, we believe that understanding astigmatism is the first step toward effective management. In this article, we’ll explore the causes, symptoms, and treatment options for astigmatism to help you achieve clearer vision and maintain your eye health.
What is Astigmatism?
Astigmatism is a refractive error caused by an irregular curvature of the cornea or lens of the eye. In a perfectly shaped eye, the cornea and lens have a smooth, even curvature, like a basketball. This allows light to be focused precisely on the retina, producing clear images. However, in an eye with astigmatism, the cornea or lens is shaped more like a football, causing light to be focused unevenly. This irregularity results in blurred or distorted vision at all distances.
Astigmatism can occur on its own or in conjunction with other refractive errors such as nearsightedness (myopia) or farsightedness (hyperopia). It can affect both children and adults and may be present from birth or develop later in life.
Causes of Astigmatism
The exact cause of astigmatism is not always clear, but it is believed to be largely hereditary. If one or both parents have astigmatism, there is a higher likelihood that their children will develop the condition. Other factors that may contribute to the development of astigmatism include:
- Eye Injuries: Trauma to the eye can cause scarring on the cornea, leading to an irregular shape and astigmatism.
- Eye Surgery: Certain eye surgeries, such as cataract removal, can alter the shape of the cornea and result in astigmatism.
- Keratoconus: This progressive eye disease causes the cornea to thin and bulge into a cone shape, leading to severe astigmatism.
It’s important to note that astigmatism is not caused or worsened by reading in low light, sitting too close to the television, or using digital devices.
Symptoms of Astigmatism
The symptoms of astigmatism can vary depending on the severity of the condition. Common signs and symptoms include:
- Blurred or Distorted Vision: Objects may appear blurry or stretched out, especially at the edges.
- Eye Strain: Prolonged activities that require focusing, such as reading or using a computer, may cause discomfort or eye strain.
- Headaches: Persistent headaches, particularly after close-up work, can be a symptom of uncorrected astigmatism.
- Difficulty Seeing at Night: Many people with astigmatism find it harder to see clearly in low-light conditions, such as when driving at night.
- Squinting: Squinting may help temporarily improve vision by slightly changing the shape of the eye, but it can also be a sign of astigmatism.
If you experience any of these symptoms, it’s essential to schedule an eye exam at eyeXam. Our experienced optometrists can diagnose astigmatism and recommend appropriate treatment options.
Diagnosing Astigmatism
Diagnosing astigmatism involves a comprehensive eye examination, which may include the following tests:
- Visual Acuity Test: This test measures how well you can see letters on a chart from a distance, helping to determine the extent of your vision problem.
- Keratometry: This test measures the curvature of the cornea by focusing light on it and analyzing the reflection. It helps in determining the amount and axis of astigmatism.
- Refraction Test: This test involves looking through a series of lenses to find the prescription that provides the sharpest vision. It helps in identifying the degree of astigmatism and other refractive errors.
At eyeXam, we use the latest technology and techniques to accurately diagnose astigmatism and assess the overall health of your eyes.
Treatment Options for Astigmatism
The good news is that astigmatism can be effectively managed with the right treatment. The goal of treatment is to correct the way light enters the eye, ensuring that it focuses correctly on the retina. Here are the most common treatment options:
- Prescription Eyeglasses: Eyeglasses with special cylindrical lenses are the most common and simplest way to correct astigmatism. These lenses help compensate for the irregular curvature of the cornea or lens, providing clear vision at all distances.
- Contact Lenses: Contact lenses can also be used to correct astigmatism. Toric lenses are specially designed to correct astigmatism by maintaining a specific orientation on the eye. For those who prefer contact lenses over glasses, toric lenses offer a convenient and effective solution.
- Orthokeratology (Ortho-K): Ortho-K involves wearing specially designed rigid gas-permeable contact lenses overnight to temporarily reshape the cornea. This non-surgical option can correct mild to moderate astigmatism, allowing for clear vision during the day without the need for glasses or contact lenses.
- Laser Eye Surgery: For those seeking a more permanent solution, laser eye surgery, such as LASIK or PRK, can correct astigmatism by reshaping the cornea. Laser surgery is a safe and effective option for many people with astigmatism, though it’s essential to undergo a thorough evaluation to determine if you’re a good candidate for the procedure.
- Refractive Lens Exchange (RLE): In cases where laser surgery is not an option, RLE may be considered. This procedure involves replacing the eye’s natural lens with an artificial intraocular lens (IOL) that corrects astigmatism and other refractive errors.
Managing Astigmatism
Living with astigmatism doesn’t have to be difficult. With proper diagnosis, treatment, and regular eye care, you can enjoy clear vision and a high quality of life. Here are some tips for managing astigmatism:
- Regular Eye Exams: Regular eye exams are crucial for monitoring astigmatism and ensuring your prescription remains up to date. At eyeXam, we recommend annual eye exams for most patients, but your optometrist may suggest more frequent visits if needed.
- Follow Your Treatment Plan: Whether you wear glasses, contact lenses, or have undergone surgery, it’s important to follow your treatment plan as prescribed. This includes wearing your corrective lenses as directed and attending follow-up appointments.
- Protect Your Eyes: Protecting your eyes from injury and harmful UV rays is essential for everyone, especially those with astigmatism. Wear protective eyewear during activities that could pose a risk to your eyes and always wear sunglasses that block 100% of UVA and UVB rays.
Astigmatism in Newport Beach, CA
Astigmatism is a common and manageable vision condition. By understanding the causes, symptoms, and treatment options, you can take control of your eye health and achieve clearer vision. At eyeXam in Newport Beach, our dedicated team is here to provide personalized care and help you find the best solution for your astigmatism. If you suspect you have astigmatism or need to update your prescription, schedule an appointment with us today.





