Living With Astigmatism

Young woman checking her eye in the mirror
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Astigmatism is the most common vision problem, affecting most people to at least some degree. Astigmatism occurs when either the cornea or the lens of the eye has a slightly different surface curvature in one direction than the other. Instead of being even and smooth in all directions, the surface may be flatter or steeper in some areas. Slight amounts of astigmatism usually don't affect vision and don't require treatment.

Tips for Living with Astigmatism

Some patients with astigmatism seem to have significant difficulty driving at night or working under certain light conditions. They often complain of a shadowy effect on letters, distortion, glare, and halos around lights. If you have been diagnosed with astigmatism, the following tips may help to improve unwanted symptoms.

See Your Eye Doctor Often

Moderate or large amounts of astigmatism can fluctuate over time. It is important to have your prescription updated to ensure that all of your astigmatism is being fully corrected.

Use Anti-reflective Coating

Ask that anti-reflective (or anti-glare) coating be added to your next pair of glasses. Anti-reflective coating decreases—and in some cases eliminates—unwanted glare, halos, and odd reflections that you may get at night. Plus, it improves the cosmetic appearance of your glasses. Anti-reflective coating minimizes internal reflections and if you have high amounts of astigmatism it will make your lenses appear thinner and more invisible.

Ask About Contact Lenses

New hybrid-style contact lenses are better at improving vision in patients with astigmatism. Hybrid contact lenses are composed of a rigid center surrounded by a soft skirt. These lenses combine the solid optics of a rigid lens with the comfort of a soft lens.

Depending on the severity of your astigmatism, it can sometimes be corrected through use of standard soft contact lenses, as well.

Hydrate Your Eyes

If you wear soft contact lenses for astigmatism, use re-wetting drops frequently, especially if you are doing work requiring lots of concentration, such as driving at night. Dryness will not only affect the quality of the optics of contact lenses, but your eyes may dry significantly enough to cause lens rotation when blinking. You'll want to keep your eyes hydrated to minimize rotation of the contact lens, as soft astigmatism lenses are designed to work best with minimal rotation.

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  • American Optometric Association, Astigmatism., 2006-08.