Can astigmatism wear orthokeratology lenses?

Written by Wang Hui Zhen
Ophthalmology
Updated on February 12, 2025
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Astigmatism below 300 degrees generally can be corrected with orthokeratology (OK) lenses. Astigmatism is a type of refractive error where the eye has different refractive powers in different meridians, causing parallel light rays passing through the eye's refractive system to refract improperly and form two focal lines instead of a single focal point on the retina, resulting in a blurred image. Astigmatism can be categorized into regular astigmatism and irregular astigmatism. Regular astigmatism can be corrected using cylindrical lenses or glasses, while irregular astigmatism may require correction with corneal contact lenses, OK lenses, or surgical correction. Common symptoms of astigmatism include blurred vision, reduced visual acuity, and easy eye fatigue, and sometimes may also present with symptoms such as head tilting and headaches. Therefore, it is advisable to seek consultation in the ophthalmology refractive department if astigmatism symptoms appear.

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Can myopia surgery correct astigmatism?

Myopia surgery can also remove astigmatism. Both myopia and astigmatism are common ophthalmological diseases, and they are different types of refractive errors that can occur simultaneously. Currently, there are various surgical methods to correct myopia, such as excimer laser surgery, full femtosecond laser surgery, half femtosecond laser surgery, and posterior chamber intraocular lens implantation for phakic eyes. Whatever the type of surgery mentioned, it can correct and treat myopia while simultaneously removing the patient's astigmatism. Prior to surgery, a detailed optometric examination and ocular examination are required. Based on the patient's eye condition and specific degrees of myopia and astigmatism, a corresponding surgical plan is designed.

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Can you wear contact lenses with 200 degrees of astigmatism?

Astigmatism of 200 degrees or less can be corrected by wearing regular contact lenses. However, when purchasing lenses, one needs to divide the astigmatism diopter by two and incorporate it into the prescription for myopia during the fitting process. If a patient's astigmatism exceeds 200 degrees, they typically are not suitable for regular contact lenses. Instead, they may opt for custom contact lenses with astigmatism correction or use rigid corneal contact lenses for correction. Patients with astigmatism should promptly visit an ophthalmology department at a hospital for an optometry examination to accurately determine their astigmatism and undergo vision correction tests. Following this, a doctor will issue a prescription for fitting contact lenses.

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Will astigmatism cause the pupils to enlarge?

Astigmatism of the eye is a type of refractive error caused by an uneven curvature of the cornea's surface, resulting in different refractive powers along different axes. Once astigmatism occurs, particularly with a high degree of astigmatism, there can be a noticeable decrease in vision, distortion in sight, or in severe cases, significant eye fatigue. However, it generally does not lead to pupil dilation. Pupil dilation is caused by the paralysis of the ciliary muscle due to internal and external factors, resulting in enlarged pupils. Therefore, if symptoms of astigmatism appear, it is advisable to visit a hospital promptly for accurate diagnosis and appropriate treatment.

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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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What should I do if I have astigmatism in my eyes?

Astigmatism should be corrected by wearing astigmatic lenses. Astigmatism is a type of refractive error where the refractive power of the eye varies along different axes, resulting in a refractive abnormality. Particularly with high degrees of astigmatism, there may be symptoms such as blurred vision, distorted vision, or even eye fatigue. Therefore, once astigmatism is detected, it is important to visit a hospital for a medical eye examination promptly. It is recommended that astigmatism of 50 to 75 degrees or more should be timely corrected with glasses, otherwise prolonged uncorrected astigmatism can lead to severe eye fatigue. Additionally, if adult patients have other refractive errors such as myopia along with astigmatism, they could also consider undergoing laser surgery for myopia correction.