What is astigmatism? What are the correction options?
What is astigmatism?
Astigmatism is a type of refractive error caused by the irregularities in the shape of a person’s cornea, (the clear window above the coloured iris). In this condition, the eye fails to focus the light equally on the retina leading to blurred or distorted vision. It can be present at the time of birth, or can develop gradually in life.
Astigmatism is a refractive error and is not an eye disease or eye health issue.
Astigmatism is simply a problem with how the eye focuses light.
What causes astigmatism?
Astigmatism is usually caused by an irregularly shaped cornea. Instead of the cornea having a symmetrically round shape (like a soccer ball), it is shaped more like an egg (or rugby ball), with one meridian being significantly more curved than the meridian perpendicular to it.
(To understand what meridians are, think of the front of the eye like the face of a clock. A line connecting the 12 and 6 is one meridian; a line connecting the 3 and 9 is another.)
The steepest and flattest meridians of an eye with astigmatism are called the principal meridians.
It's important to schedule an eye test for your child to avoid vision problems in school from undetected and uncorrected astigmatism.
3 types of astigmatism
There are three primary types of astigmatism:
One or both principal meridians of the eye are short-sighted. (If both meridians are short-sighted, they are myopic in differing degree.)
One or both principal meridians are long-sighted. (If both are long-sighted, they are hyperopic in differing degree.)
One prinicipal meridian is short-sighted, and the other is long-sighted.
Astigmatism is also classified as regular or irregular. In regular astigmatism, the principal meridians are 90 degrees apart (perpendicular to each other). In irregular astigmatism, the principal meridians are not perpendicular.
Most astigmatism is regular corneal astigmatism, which gives the front surface of the eye an oval shape.
Irregular astigmatism can result from an eye injury that has caused scarring on the cornea, from certain types of eye surgery or from keratoconus, a disease that causes a gradual thinning of the cornea.
Astigmatism is detected during a routine eye test with the same instruments and techniques used for the detection of short-sightedness and long-sightedness.
Your optometrist can estimate your prescription, including the amount of astigmatism you have, by shining a light into your eye while manually introducing a series of lenses between the light and your eye. This test is called retinoscopy.
Astigmatism correction options
Astigmatism can usually be corrected with glasses or contact lenses.
Refractive surgery is one of the less common astigmatism correction options, however, since it is a laser procedure that changes the shape of your eyes, it comes with risks associated with most surgeries.
Astigmatism should be treated as soon as possible. Once diagnosed, regular visits to an optometrist are required as astigmatism can fluctuate over time, making it necessary for prescriptions to be modified.
Page published in March 2020
Page updated in July 2021