Crystalline astigmatism is caused by what?

Written by Tao Yuan
Ophthalmology
Updated on September 14, 2024
00:00
00:00

Lenticular astigmatism is a common eye disease, usually caused by the early formation of cataracts, where the lens becomes unevenly opaque. This leads to inconsistent refractive power in different directions, causing astigmatism. Patients can visit the ophthalmology department of a hospital for an optometry examination and a slit lamp microscope examination to confirm whether the astigmatism is due to the lens.

For lenticular astigmatism, if the cataract has little impact on vision, it can initially be corrected by wearing glasses to improve vision. If the cataract has already significantly affected vision, cataract surgery can be performed to correct and treat it. After the surgery, the lenticular astigmatism will naturally disappear, and the patient’s vision will be improved.

Other Voices

doctor image
home-news-image
Written by Tao Yuan
Ophthalmology
55sec home-news-image

Can high myopia with astigmatism be treated with surgery?

High myopia combined with astigmatism can also be treated surgically, but it requires the patient to be at least 18 years old, and both the myopia and astigmatism must have been stable for over a year without worsening. Before undergoing surgical treatment, a detailed eye examination is necessary. This includes an optometric examination to accurately measure the degree of myopia and astigmatism, a corneal topography test, and an ophthalmic ultrasound to understand the corneal curvature and thickness. Based on these parameters, a specific surgical plan is designed. If the patient’s corneal condition allows, laser surgery is the preferred method for correction. If the patient’s corneal condition is poor and not suitable for laser surgery, correction and treatment can be achieved through the implantation of a posterior chamber intraocular lens in phakic eyes.

doctor image
home-news-image
Written by Li Zhuo
Ophthalmology
1min 7sec home-news-image

Can children with astigmatism undergo laser surgery?

Firstly, laser surgery is generally performed after the age of 18, as people's eyes continue to grow. This means that just like when a person stops growing taller, the eyes also stop growing at a certain age. If laser surgery is performed too early, while the eyes are still growing, the results may regress over time. Therefore, astigmatism in children should only be addressed after they reach adulthood, usually after the age of 18, but we generally recommend waiting until after the age of 21. Additionally, if the progression of the eye prescription is less than 50 to 100 degrees per year, the surgery outcomes are more likely to be stable. Generally, laser surgery is primarily used for myopia, which pertains to issues with seeing distant scenes, whereas astigmatism, which generally affects horizontal vision, is usually not corrected through laser surgery.

doctor image
home-news-image
Written by Li Zhen Dong
Ophthalmology
53sec home-news-image

Can pseudomyopia cause astigmatism?

Pseudomyopia generally does not involve astigmatism. Pseudomyopia is caused by ciliary muscle spasm, while astigmatism is due to changes in the curvature of the cornea, or changes in the eyeball itself; these two are not the same. Pseudomyopia can be completely cured with proactive treatment, adequate rest, reducing close-up activities, avoiding eye fatigue, and using eye drops that alleviate ciliary muscle paralysis, such as low-concentration atropine eye drops and digoxin eye drops. If not treated actively, prolonged pseudomyopia can turn into true myopia. True myopia involves elongation of the eye axis, leading to blurred distance vision but clear near vision. Therefore, when this occurs, a proper dilated refraction test should be conducted. (Medication should be used under the guidance of a physician.)

doctor image
home-news-image
Written by Wang Hui Zhen
Ophthalmology
1min 34sec home-news-image

Can astigmatism and strabismus be corrected?

Astigmatism and strabismus can sometimes be corrected, depending on their severity. Astigmatism refers to the condition where parallel light rays entering the eye cannot focus on a single point on the retina after being refracted by the eye's optical system, instead forming two focal lines, ultimately failing to produce a clear image on the retina. Astigmatism can be categorized into regular and irregular types. Regular astigmatism can be corrected with cylindrical lenses in eyeglasses; while irregular astigmatism generally requires correction with contact lenses. Additionally, after reaching 18 years of age, astigmatism can also be corrected through refractive surgery. Generally, mild astigmatism does not impact vision and does not require special treatment; however, moderate to severe astigmatism, if uncorrected, might lead to amblyopia and other vision impairments. Strabismus means that when one eye is focusing, the visual axis of the other eye deviates from being parallel, presenting an abnormal eye position. It is generally recommended to start treatment immediately after diagnosing strabismus. If there is significant refractive error, glasses should be prescribed first. If glasses cannot correct the condition, surgery might be necessary.

doctor image
home-news-image
Written by Hu Shu Fang
Ophthalmology
47sec home-news-image

Astigmatism refers to a type of refractive error in which the eye does not focus light evenly onto the retina, often due to an irregular shape of the cornea or lens.

Astigmatism is a type of refractive error. Because our eyes are not a perfect sphere, they are more like an egg shape, with different meridians having different refractive powers. Thus, after imaging, the axial images may form in front of or behind the retina, rather than forming a focal point on the retina. Normally, astigmatism of some small degrees and with good axial alignment may not significantly affect vision. However, high degrees of astigmatism, especially irregular astigmatism, will definitely impact visual quality and require the prescription of special lenses to correct the astigmatism.