Pediatric Opthalmology and Strabismus Associates 2 Dudley St., Suite 505 Providence, RI 02905 (401) 444-7008 400 Bald Hill Rd., Suite 504 Warwick, RI 02886 (401) 737-5206 Affiliated with Brown Medical School
 
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Astigmatism:

David Robbins Tien, MD

 

What is astigmatism?

In an ideal eye, the cornea and lens are round. This allows you to focus objects clearly onto the retina, the part of the eye that processes vision. In an astigmatic eye, the cornea, and possibly the lens, is egg-shaped. This distorts vision.

What are the symptoms?

  • seeing the vertical direction of objects very clearly while the horizontal direction is blurry (or the opposite)

  • headaches

  • blurred vision

  • seeing a comet-like flare around lights.

Astigmatism normally begins at birth. Although eye shape can change over the years, astigmatism usually stays relatively stable throughout life.

What is the treatment?

Eye doctors prescribe glasses or contact lenses for astigmatism. In fact, most people who wear glasses for farsightedness or nearsightedness also have some degree of astigmatism.

When you begin wearing corrective lenses, your new vision may be peculiar or distorted. For instance, doorways may appear curved or bent. It also is not unusual to feel uneasy walking during the first days or week of wearing your new prescription.

You should begin wearing your new glasses gradually. Start using them for stationary activities such as reading or watching television. As you adjust to your new sight, walking and other activities will feel normal again. If, after several weeks, you do not adapt to your new vision, your eye doctor may need to adjust your prescription.

Wait to get contact lenses until you can wear your glasses comfortably all day. Contact lenses should be worn for hours at a time. They are impractical if you must take off your prescription to move about easily. Patients with a large amount of astigmatism may need to be fit for astigmatic soft lenses or gas-permeable hard lenses. These lenses cost more than standard soft lenses because of higher manufacturing costs and the technical skills needed in fitting them.

Please discuss any further concerns with your eye doctor.



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