Why is astigmatism more serious than nearsightedness?

Written by Tao Yuan
Ophthalmology
Updated on September 29, 2024
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Astigmatism and myopia are both common eye diseases and are two different types of refractive errors. Under the same degree of refractive error, astigmatism can cause more damage to visual function than myopia. This is because patients with astigmatism usually experience abnormal development of the cornea, leading to different refractive powers in different directions. As a result, when light passes through the cornea and enters the eye, it cannot converge to form a single focus, but instead forms a line intersection, which greatly affects the quality of vision. On the other hand, myopia is caused by an overly long eye axis or excessive corneal refractive power. When light passes through the cornea and enters the eye, although it cannot focus accurately on the retina, it can still form a focus. Therefore, the impact on vision is less severe than that of astigmatism.

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Written by Tao Yuan
Ophthalmology
46sec home-news-image

Will nearsightedness and astigmatism lead to blindness?

Myopia and astigmatism are common eye diseases and belong to two types of refractive errors, which can occur together. Myopia combined with astigmatism can lead to a decrease in vision, but it will not cause blindness. For patients with myopia and astigmatism, there are various methods to correct and treat these conditions, such as wearing frame glasses, rigid corneal contact lenses, undergoing laser surgery, or implanting artificial lenses to restore vision. In daily life, it is also important to develop good eye habits, avoiding using eyes in dim and shaking environments, and reducing the time spent on smartphones, TVs, and computers to prevent and delay the progression of myopia and astigmatism.

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Written by Hu Shu Fang
Ophthalmology
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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.

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Written by Tao Yuan
Ophthalmology
54sec home-news-image

Why is astigmatism more serious than nearsightedness?

Astigmatism and myopia are both common eye diseases and are two different types of refractive errors. Under the same degree of refractive error, astigmatism can cause more damage to visual function than myopia. This is because patients with astigmatism usually experience abnormal development of the cornea, leading to different refractive powers in different directions. As a result, when light passes through the cornea and enters the eye, it cannot converge to form a single focus, but instead forms a line intersection, which greatly affects the quality of vision. On the other hand, myopia is caused by an overly long eye axis or excessive corneal refractive power. When light passes through the cornea and enters the eye, although it cannot focus accurately on the retina, it can still form a focus. Therefore, the impact on vision is less severe than that of astigmatism.

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Written by Tao Yuan
Ophthalmology
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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.

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Written by Wu Ben Rong
Pediatrics
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What will happen if children's astigmatism is not treated?

If children with astigmatism do not receive treatment, the specific consequences will depend on the severity of the astigmatism. If a child has only mild astigmatism and does not exhibit any other clinical symptoms, treatment might not be necessary, and it will not impact the child's vision. However, if the astigmatism is severe, it is necessary to wear corrective lenses for astigmatism; otherwise, it may lead to a decrease in both far and near vision. This is especially true for compound and mixed astigmatism, which can cause a significant decline in a child's vision, and often results in visual fatigue. Children may exhibit symptoms such as eye pain, orbital pain, monocular diplopia, or tearing. Additionally, there may also be occurrences of compensatory head tilting and torticollis.