By Healthtrip Team Blog Published on - 14 September - 2023

Understanding Astigmatism: Causes, types, symptoms and more

Are you struggling with blurry vision, distorted images, or eye discomfort? Astigmatism might be the culprit. In this comprehensive guide, we'll delve into all aspects of this common eye condition, including its types, causes, symptoms, diagnosis, treatment options, and more. So, let's embark on a journey to clarity and visual comfort!

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What is Astigmatism?

Astigmatism is a common refractive error affecting the eye's ability to focus light accurately onto the retina. Unlike other vision problems such as nearsightedness (myopia) and farsightedness (hyperopia), astigmatism occurs when the cornea or lens has an irregular shape. Instead of being perfectly spherical, they have a more oblong or football-like shape. This irregularity causes light rays to focus unevenly, resulting in distorted or blurred vision.

Types of Astigmatism

Astigmatism can be classified into three main types:

1. Corneal Astigmatism

Corneal astigmatism occurs when the cornea, the clear front surface of the eye, has an irregular shape. This is the most common type of astigmatism.

2. Lenticular Astigmatism

Lenticular astigmatism is caused by an irregularity in the lens inside the eye. This type can develop alongside other eye conditions, such as cataracts.

3. Mixed Astigmatism

Mixed astigmatism is a combination of both corneal and lenticular astigmatism.

What Causes Astigmatism?

The exact cause of astigmatism isn't always clear, but it can be influenced by a variety of factors, including:

  • Genetics: If you have a family history of astigmatism, you may be more likely to develop it.
  • Eye injuries: Trauma to the eye can lead to changes in the cornea's shape, resulting in astigmatism.
  • Keratoconus: This progressive eye disorder can cause astigmatism as the cornea becomes more conical in shape.

Refractive Errors and Astigmatism

Astigmatism is one of several refractive errors that affect vision. These errors include:

  • Myopia (Nearsightedness): Difficulty seeing objects at a distance.
  • Hyperopia (Farsightedness): Difficulty seeing objects up close.
  • Presbyopia: Age-related difficulty focusing on close objects.

Astigmatism often coexists with these conditions, making vision correction more complex.

Risk Factors for Astigmatism

While astigmatism can develop for various reasons, some factors increase your risk of developing it:

  • Genetics: Family history plays a significant role in determining your risk.
  • Eye Injuries: Any trauma to the eye can lead to changes in corneal shape.
  • Medical Conditions: Conditions like keratoconus and Down syndrome may increase the likelihood of astigmatism.

Recognizing Astigmatism: Symptoms

Astigmatism can manifest in several ways, including

  • Blurred vision
  • Eyestrain or discomfort
  • Changes in vision
  • Family history of eye issues
  • Children's vision concerns
  • Routine check-ups due
  • Prescription changes
  • Eye injury or trauma
  • Interest in refractive surgery
  • Unusual eye symptoms

How is Astigmatism Diagnosed?

If you suspect you have astigmatism or experience any of the above symptoms, it's essential to consult an eye care professional. They will perform a comprehensive eye exam, including:

  • Visual acuity test: This involves reading letters from an eye chart to determine the extent of your vision problem.
  • Keratometry: Measures the curvature of your cornea.
  • Refraction test: Helps determine the appropriate prescription for corrective lenses.

Prescription Measurements for Astigmatism

Correcting astigmatism typically involves prescription eyeglasses or contact lenses. The prescription for astigmatism includes three main components:

  1. Spherical Correction (SPH): This addresses nearsightedness or farsightedness.
  2. Cylinder (CYL): This indicates the amount of astigmatism correction needed.
  3. Axis: Denotes the orientation of astigmatism correction on your eye.

Treating Astigmatism

The good news is that astigmatism is highly treatable. Your treatment options depend on the severity and type of astigmatism:

1. Eyeglasses

Eyeglasses are the most common and non-invasive way to correct astigmatism. They can provide clear vision by compensating for the irregular shape of the cornea or lens.

2. Contact Lenses

Soft toric contact lenses are specially designed for astigmatism. They conform to the shape of your eye and provide clear vision.

3. Refractive Surgery

For those seeking a more permanent solution, refractive surgery options like LASIK or PRK can reshape the cornea to correct astigmatism. Consult with an ophthalmologist to determine if you're a suitable candidate.

4. Orthokeratology (Ortho-K)

Ortho-K involves using specially designed gas-permeable contact lenses that you wear overnight to reshape the cornea temporarily. This can provide clear vision during the day without the need for glasses or contacts.

Potential Complications of Astigmatism

When left untreated, astigmatism can lead to various complications:

  • Eye Strain: Prolonged uncorrected astigmatism can cause eye discomfort and fatigue.
  • Reduced Quality of Life: Poor vision can impact daily activities and quality of life.
  • Amblyopia (Lazy Eye): In children, untreated astigmatism can lead to amblyopia, where one eye doesn't develop normal vision.

The Outlook for Astigmatism

The outlook for astigmatism is generally positive. With the right treatment, most people can enjoy clear and comfortable vision. Regular eye exams are essential to monitor your eye health and ensure your prescription remains up-to-date.

In Conclusion

Astigmatism is a common vision problem that can affect people of all ages. While it may seem daunting, it's highly manageable with the right treatment. If you're experiencing any symptoms or suspect you have astigmatism, don't hesitate to schedule an eye exam. Your eye care professional will help determine the best course of action to provide you with clear and comfortable vision.

Remember, clear vision is not a luxury; it's a necessity for a vibrant and fulfilling life. Don't let astigmatism hold you back from experiencing the world in all its visual glory!


Astigmatism is a common eye condition where the cornea or lens has an irregular shape, leading to distorted or blurred vision.
Astigmatism can be caused by genetics, eye injuries, or conditions like keratoconus.
There are three main types: corneal astigmatism, lenticular astigmatism, and mixed astigmatism
Symptoms include blurred vision, eyestrain, headaches, and difficulty with night vision.
Eye care professionals use visual acuity tests, keratometry, and refraction tests to diagnose astigmatism.
Treatment options include eyeglasses, contact lenses, refractive surgery, and orthokeratology.
Yes, a family history of astigmatism can increase your risk of developing it.
Untreated astigmatism can lead to eye strain, reduced quality of life, and lazy eye (amblyopia) in children.
Refractive surgeries like LASIK or PRK can provide a more permanent solution for some individuals.
Regular eye exams, following your prescribed treatment, and protecting your eyes from injuries are key to managing astigmatism and overall eye health.