Astigmatism | National Eye Institute (2024)

Astigmatism | National Eye Institute (1)

Astigmatism | National Eye Institute (2)

At a glance: Astigmatism

What is astigmatism?

Astigmatism is a common eye problem that can make your vision blurry or distorted. It happens when your cornea (the clear front layer of your eye) or lens (an inner part of your eye that helps the eye focus) has a different shape than normal.

The only way to find out if you have astigmatism is to get an eye exam. Eyeglasses or contact lenses can help you see better — and some people can get surgery to fix their astigmatism.

What are the symptoms of astigmatism?

The most common symptoms of astigmatism are:

  • Blurry vision
  • Needing to squint to see clearly
  • Headaches
  • Eye strain
  • Trouble seeing at night

If you have mild astigmatism, you might not notice any symptoms. That’s why it’s important to get regular eye exams — your eye doctor can help you make sure you’re seeing as clearly as possible. This is especially true for children, who may be less likely to realize that their vision isn’t normal.

What causes astigmatism?

Astigmatism happens when your cornea or lens has a different shape than normal. The shape makes light bend differently as it enters your eye, causing a refractive error.

Doctors don’t know what causes astigmatism, and there’s no way to prevent it. Some people are born with astigmatism, but many people develop it as children or young adults. Some people may also develop astigmatism after an eye injury or an eye surgery.

How will my eye doctor check for astigmatism?

Eye doctors can check for astigmatism as part of a dilated eye exam. The exam is simple and painless.

What's the treatment for astigmatism?

The most common treatments for astigmatism are eyeglasses or contact lenses. Your eye doctor will prescribe the right lenses to help you see as clearly as possible.

Doctors can also use surgery to treat astigmatism. The surgery changes the shape of your cornea so that it can focus light correctly.

If your astigmatism is mild, you may not need treatment. Your eye doctor can help you figure out if you need to get treated, and what type of treatment is best for you.

Last updated: November 15, 2023

Astigmatism | National Eye Institute (2024)

FAQs

Is astigmatism genetic from mother or father? ›

However, both genetics and environmental factors contribute to myopia, and studies show that you are more likely to inherit this condition from your father. Another eye condition that can be inherited from your mother is astigmatism.

What is the main cause of astigmatism? ›

Astigmatism is usually hereditary, which means it's a condition biological parents pass down to their children. It can also be caused by your eyelids putting too much pressure on your cornea. Astigmatism usually isn't caused by health conditions.

Do people with astigmatism have bad eyesight? ›

Astigmatism (uh-STIG-muh-tiz-um) is a common and generally treatable imperfection in the curvature of the eye that causes blurred distance and near vision.

What ethnicity has astigmatism? ›

The prevalence of astigmatism in the different ethnic groups was African American, 20.0%; Asian, 33.6%; Hispanic, 36.9%; and white, 26.4%. The prevalence of astigmatism differed significantly among the 4 ethnic groups.

Does astigmatism get worse with age? ›

Astigmatism can happen at any age, but you're more likely to have it as you get older. Most cases get more severe over time, as the eyes continue to bend outside the proper curvature. If you have symptoms of astigmatism or if your condition gets worse, set up an eye exam and get the help you need.

Can LASIK cure astigmatism? ›

LASIK corrects astigmatism by forming a flap and then removing ultra-thin layers from the cornea to reshape it. There are two steps involved in LASIK surgery; in the first step a suction ring is applied to create a flap and in the second step laser is to to change the curvature and thickness of your cornea.

Can stress cause astigmatism? ›

Circulatory issues caused by stress and tension are as well as causes of astigmatism. In this case, an accumulation of stress and tension in the neck muscles can lead to a restriction of blood flow to the head and eyes.

Should I wear my glasses all the time for astigmatism? ›

Usually astigmatism above 1 degree causes much visual disturbance. If your vision is affected a lot, you should wear glasses to help your eyes not have to adjust too much. For people with low or low myopia, if eye fatigue and dry eyes do not appear but can still see clearly, they do not need to wear glasses regularly.

Who is prone to astigmatism? ›

Your risk of developing astigmatism may be higher if you have any of the following: a family history of astigmatism or other eye disorders, such as keratoconus (degeneration of the cornea) scarring or thinning of your cornea. excessive nearsightedness, which creates blurry vision at a distance.

Why does squinting help astigmatism? ›

The shortening of the focal line decreases point spread function in exchange for a decreased amount of light (contrast). It follows then that squinting may improve distance vision in WTR astigmatism and near vision in ATR astigmatism, respectively.

What should you avoid if you have astigmatism? ›

Don't rub your eyes

Your eyes might be feeling itchy, and you probably think a slight rubbing won't hurt. However, considering that astigmatism affects the cornea by making it abnormal, excessively rubbing your eyes might injure your cornea further. Avoid rubbing your eyes. If the itchiness persists, see a doctor.

What does a person with astigmatism see? ›

With astigmatism, light rays do not refract (or bend) properly as they enter the front of the eye. Vision is blurry at near and far because light rays either fall short of the retina or behind it. People may have astigmatism along with other refractive errors, such as: nearsightedness (myopia) or.

Does cataract surgery correct astigmatism? ›

Astigmatism can now be corrected during cataract surgery, using peripheral corneal relaxing incisions or toric intraocular lens implantation. The surgeon can select from a growing range of intraocular lenses to achieve the refractive outcomes desired by the patient.

Does a baby get eyesight from mom or dad? ›

If you read our Mother's Day post, you know that nearsightedness can be inherited from your mom but is even more likely to be inherited from your dad. While nearsightedness is a result of both genetic and environmental factors, eye shape is inherited.

Who is most likely to get astigmatism? ›

The condition tends to run in families, and children with myopia or hyperopia are at higher risk of astigmatism. Smoking during pregnancy may increase the chance that a child will have astigmatism.

What is the pattern of inheritance of astigmatism? ›

Several investigations of selected pedigrees and twins have documented that astigmatism is genetically transmitted, but its inheritance alternatively has been found to be autosomal dominant (the result in most studies), autosomal recessive, or X linked.

What is the gene responsible for astigmatism? ›

The VAX2 gene plays a major function in cornea development and increases the risk of astigmatism.

References

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