{"id":10204,"date":"2013-11-05T22:09:35","date_gmt":"2013-11-05T22:09:35","guid":{"rendered":"http:\/\/blog.zennioptical.com\/?p=10204"},"modified":"2026-10-19T07:29:35","modified_gmt":"2026-10-19T15:29:35","slug":"just-exactly-what-is-astigmatism","status":"publish","type":"post","link":"https:\/\/ca.zennioptical.com\/blog\/just-exactly-what-is-astigmatism\/","title":{"rendered":"What Is Astigmatism? A Complete Guide to Causes and Treatment"},"content":{"rendered":"<h2><b>What is Astigmatism?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Astigmatism is a common refractive error that affects how your eye focuses light. In a normal eye, the cornea and lens are evenly curved, like a basketball. With this condition, the cornea or lens is irregularly shaped, more like a football, so light focuses unevenly on the retina. The result is blurry or distorted vision at any distance, since the eye cannot bring a single point of light into sharp focus.<\/span><\/p>\n<h2><b>Types of Astigmatism<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There are two main ways to describe it: where it occurs, and how evenly the curve is distorted.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Corneal:<\/b><span style=\"font-weight: 400;\"> The front surface of the eye, the cornea, has mismatched curves.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Lenticular:<\/b><span style=\"font-weight: 400;\"> The lens inside the eye has mismatched curves instead of the cornea.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Regular:<\/b><span style=\"font-weight: 400;\"> The steepest and flattest curves meet at right angles; this is the most common pattern and the easiest to correct with standard lenses.<\/span><\/li>\n<\/ul>\n<p><b>Irregular:<\/b><span style=\"font-weight: 400;\"> The curve varies unevenly across the eye\u2019s surface, often due to an eye injury, prior surgery, or a condition like keratoconus, and may need specialized contact lenses for full correction.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-62599\" src=\"https:\/\/www.zennioptical.com\/blog\/wp-content\/uploads\/2013\/11\/astigmatism-700x382.jpg\" alt=\"\" width=\"700\" height=\"382\"><\/p>\n<h2><b>Common Astigmatism Symptoms<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">With the naked eye, you likely will not notice astigmatism in your own eyes or in someone else\u2019s. Like nearsightedness or farsightedness, it is not a visibly obvious condition, but you may notice:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blurry or distorted vision at any distance<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye strain or discomfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squinting to see near or far objects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty focusing on printed words<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Double vision<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty with night vision<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If any of these sound familiar, schedule an eye exam so your optometrist can test for it directly.<\/span><\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-62601\" src=\"https:\/\/www.zennioptical.com\/blog\/wp-content\/uploads\/2013\/11\/content-image-2-700x382.jpg\" alt=\"\" width=\"700\" height=\"382\">Image source:\u00a0<a href=\"http:\/\/kowaoptimed.wordpress.com\/2011\/09\/28\/taking-care-of-your-eyes-is-easy\/\" aria-label=\"Visit Kowa Optimed Eye Care Page\" rel=\"nofollow noopener\" target=\"_blank\">Kowa Optimed Eye Care<\/a><\/p>\n<h2><b>Causes and Risk Factors<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">This condition is so common that almost everyone has it to some degree, and astigmatism can increase or decrease with age. Genetics plays the largest role, and a family history raises your likelihood of developing it. Other causes and risk factors include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye injury or trauma that alters the shape of the cornea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye surgery that is not performed with a perfectly even result<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keratoconus, a progressive condition that thins and bulges the cornea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Existing high nearsightedness or farsightedness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">General eye disease affecting the cornea or lens<\/span><\/li>\n<\/ul>\n<h2><b>Diagnosis and Eye Examination\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A comprehensive eye exam is the only way to confirm a diagnosis. Your eye doctor may use several tests, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Visual Acuity: The standard distance chart test most people are familiar with.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keratometry: Measures your cornea\u2019s curvature by focusing a circle of light on it and reading the reflection.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Refraction: Uses a phoropter to test a series of lenses in front of your eyes, narrowing in on the prescription that gives the clearest vision.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Corneal Topography: A detailed, color-coded map of your cornea\u2019s surface, often used for more irregular cases or before certain surgeries, to pinpoint exactly where and how the curve is distorted.<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-62602\" src=\"https:\/\/www.zennioptical.com\/blog\/wp-content\/uploads\/2013\/11\/prescription-e1554245534937-700x382.jpg\" alt=\"\" width=\"700\" height=\"382\"><\/p>\n<h2><b>Reading Your Prescription<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">If you have an astigmatism correction, your prescription will include both CYL and AXIS values for one or both eyes. The CYL number is a plus or minus value showing the strength of the correction. The AXIS number, a whole number between 1 and 180, shows the angle at which the cylinder sits on your lens. If you see a CYL value without an AXIS number, contact your eye doctor, as this is likely a prescription error.<\/span><\/p>\n<h2><b>Treatment and Correction Options<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Astigmatism is highly correctable in most cases. The most common option is <\/span><a href=\"\/b\/all-glasses\" aria-label=\"Visit prescription glasses Page\"><span style=\"font-weight: 400;\">prescription glasses<\/span><\/a><span style=\"font-weight: 400;\"> or toric lenses, which have different powers across different meridians of the lens to compensate for the eye\u2019s irregular curve. Toric contact lenses work the same way and must be fitted precisely to stay properly positioned. For some people, refractive surgery such as LASIK or PRK can reshape the cornea for a more permanent correction, and orthokeratology, which uses specialized contact lenses worn overnight to reshape the cornea temporarily, is another option some eye doctors offer for mild to moderate cases. Your eye care provider can help you choose the approach that best fits your prescription and lifestyle.<\/span><\/p>\n<h2><b>Ordering Glasses With Your Prescription<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Zenni can correct up to +\/-6.00 CYL, and most of our lenses accommodate this correction, so you still have plenty of frame options. Single-vision lenses carry an extra-strength charge when a prescription indicates a strong correction, since they are more complex to produce. <\/span><a href=\"\/b\/bifocal-glasses\" aria-label=\"Visit Bifocal Page\"><span style=\"font-weight: 400;\">Bifocal<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"\/b\/progressive-glasses\" aria-label=\"Visit progressive lenses Page\"><span style=\"font-weight: 400;\">progressive lenses<\/span><\/a><span style=\"font-weight: 400;\"> with high CYL numbers do not carry this extra charge.<\/span><\/p>\n<h2><b>Maintaining Healthy Vision<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Regular eye exams are essential to monitor your condition and keep your prescription current. A few daily habits can also help reduce eye strain: take frequent screen breaks, ensure proper lighting while reading, stay hydrated, and eat a nutrient-rich diet that supports eye health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Understanding your astigmatism is the first step toward clearer, more comfortable vision. Whether you need glasses, contacts, or a conversation with your eye doctor about surgical options,<\/span><a href=\"\/b\/new-arrivals\" aria-label=\"Visit Zenni\u2019s newest eyeglasses frame styles Page\"><span style=\"font-weight: 400;\"> Zenni\u2019s newest eyeglasses frame styles<\/span><\/a><span style=\"font-weight: 400;\"> accommodate your prescription without sacrificing style. Browse <\/span><a href=\"\/b\/new-arrivals\" aria-label=\"Visit new eyeglasses Page\"><span style=\"font-weight: 400;\">new eyeglasses<\/span><\/a><span style=\"font-weight: 400;\"> and find your next pair.<\/span><\/p>\n<h3>About the Author: <a href=\"\/blog\/author\/mori-ahizennioptical-com\/\" aria-label=\"Read more about Dr. Mori Ahi, O.D.\">Dr. Mori Ahi, O.D.<\/a><\/h3>\n<p><em>Dr. Mori has over 10 years of experience in eye care. She earned her undergraduate degree from UCLA and her optometry degree from the New England College of Optometry. She has worked in a variety of eye care settings and is passionate about helping her patients find a great pair of affordable glasses<\/em><\/p>\n<h2>FAQs<\/h2>\n\n\n<div class=\"lightweight-accordion wp-block-lightweight-accordion-lightweight-accordion\"><details name=\"accordion-group-wfj01gwhh\"><summary class=\"lightweight-accordion-title\"><span><strong>What causes astigmatism?<\/strong><\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<p class=\"wp-block-paragraph\">It happens when the cornea or lens is irregularly shaped instead of evenly curved. Genetics is the leading cause, though eye injury, surgery, and conditions like keratoconus can also contribute.<\/p>\n\n<\/div><\/details><\/div>\n\n\n<div class=\"lightweight-accordion wp-block-lightweight-accordion-lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span><strong>Is astigmatism the same as nearsightedness or farsightedness?<\/strong><\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<p class=\"wp-block-paragraph\">No. Nearsightedness and farsightedness relate to the eyeball\u2019s length, while this relates to the shape of the cornea or lens. It\u2019s possible to have both at the same time.<\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion wp-block-lightweight-accordion-lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span><strong>Can astigmatism get worse over time?<\/strong><\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<p class=\"wp-block-paragraph\">It can change with age, so it\u2019s worth monitoring with regular eye exams. If it changes significantly or rapidly, especially with an irregular curve, an eye doctor should evaluate it to rule out conditions like keratoconus.<\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion wp-block-lightweight-accordion-lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span><strong>Do I need special contact lenses for astigmatism?<\/strong><\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<p class=\"wp-block-paragraph\">Yes, typically toric contact lenses, which have different powers across the lens to correct the uneven curve, rather than standard spherical lenses.<\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion wp-block-lightweight-accordion-lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span><strong>Can astigmatism be fixed permanently?<\/strong><\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<p class=\"wp-block-paragraph\">Refractive surgery such as LASIK or PRK can permanently reshape the cornea for many people, though eyeglasses and contact lenses remain the most common and lowest-risk corrections.<\/p>\n\n<\/div><\/details><\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":null,"protected":false},"author":80,"featured_media":16300,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[149],"tags":[],"class_list":["post-10204","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eye-health"],"acf":[],"_links":{"self":[{"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/posts\/10204","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/comments?post=10204"}],"version-history":[{"count":3,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/posts\/10204\/revisions"}],"predecessor-version":[{"id":98213,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/posts\/10204\/revisions\/98213"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/media\/16300"}],"wp:attachment":[{"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/media?parent=10204"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/categories?post=10204"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ca.zennioptical.com\/blog\/wp-json\/wp\/v2\/tags?post=10204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}