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Astigmatism: Symptoms, Causes, Tests & Effective Treatments

Astigmatism – Symptoms, Tests, Causes, Treatment and Diagnosis

What is Astigmatism?

Astigmatism is a common refractive error that occurs when the cornea or internal lens of the eye has mismatched curves, preventing light from focusing evenly on the retina. This results in blurred or distorted vision at all distances. Astigmatism can occur alongside nearsightedness or farsightedness, and is often present from birth. In many cases, it’s mild and may not require treatment, but moderate to severe cases may need corrective lenses or surgery.

Causes of Astigmatism

Astigmatism develops when the cornea or lens has an uneven curvature, causing light rays to focus at multiple points instead of one.

  • Corneal Astigmatism: Uneven curvature in the cornea.
  • Lenticular Astigmatism: Uneven curvature in the lens.

Astigmatism may be:

  • Present from birth (congenital).
  • Result of eye injury, surgery, or disease.

Myth alert: Squinting, reading in dim light, or sitting close to a screen do not cause or worsen astigmatism.

Astigmatism – Symptoms, Tests, Causes, Treatment and Diagnosis

Symptoms of Astigmatism

Common signs include:

  • Blurred or distorted vision
  • Eye strain or discomfort
  • Headaches
  • Difficulty seeing at night
  • Frequent squinting

When to See a Doctor

If visual disturbances interfere with your daily activities, book an appointment with an ophthalmologist. Early diagnosis can prevent complications such as lazy eye (amblyopia).

Risk Factors

Astigmatism can affect both adults and children. You may have a higher risk if you have:

  • Family history of astigmatism or other eye diseases (e.g., keratoconus)
  • Corneal scarring or thinning
  • High degrees of myopia or hyperopia
  • Previous eye surgery (e.g., cataract surgery)

Potential Complications

If untreated, astigmatism can lead to:

  • Amblyopia (lazy eye)
  • Persistent headaches and eye strain
  • Reduced quality of life due to poor vision

Note: Surgical treatments may also carry temporary side effects like light sensitivity, night vision issues, and dry eyes.

Astigmatism is diagnosed through a comprehensive eye examination

Diagnosis

Astigmatism is diagnosed through a comprehensive eye examination, which may include:

  • Refraction Test – Determines how light bends in your eye.
  • Keratometry – Measures the curvature of the cornea.
  • Corneal Topography – Creates a map of corneal shape.

Treatment Options for Astigmatism

1. Corrective Lenses

  • Eyeglasses: Simple and effective for mild to moderate astigmatism.
  • Contact Lenses: Toric lenses help balance uneven curvature.

2. Refractive Surgery

Surgical treatments reshape the cornea for long-term correction. Options include:

  • LASIK (Laser-Assisted In Situ Keratomileusis): Creates a corneal flap and reshapes the tissue.
  • LASEK (Laser-Assisted Subepithelial Keratectomy): Uses alcohol to loosen the epithelium before reshaping.
  • PRK (Photorefractive Keratectomy): Removes the epithelium before laser reshaping.
  • Epi-LASIK: Uses a blunt blade to lift the epithelium without alcohol.
  • SMILE (Small-Incision Lenticule Extraction): Minimally invasive laser technique (mainly for myopia).
Astigmatism is diagnosed through a comprehensive eye examination

Prevention and Eye Care Tips

Astigmatism cannot be prevented, but regular eye check-ups can ensure early detection and timely correction. Protect your eyes from injury, follow post-surgery care instructions, and maintain a healthy lifestyle to reduce risks of worsening vision problems.

Get Expert Care at Fakeeh University Hospital

Our ophthalmology specialists use advanced diagnostics and treatment techniques to manage astigmatism and other vision conditions. From comprehensive eye exams to customised corrective solutions, we ensure your eye health is in expert hands.

📅 Book your eye check-up today at Fakeeh University Hospital, Dubai.

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