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Disease's > Refractive Errors > Astigmatism
If you experience a distortion
or blurring of images at all distances -- nearby as well as far
-- you may have astigmatism. Even if your vision is fairly sharp,
headache, fatigue, squinting and eye discomfort or irritation may
indicate a slight degree of astigmatism.
A thorough eye examination, including
tests of near vision, distant vision and vision clarity, can determine
if astigmatism is present. Astigmatism is not a disease nor does
it mean that you have "bad eyes." It simply means that you have
a variation or disturbance in the shape of your cornea.

Astigmatism is one of a group of
eye conditions known as refractive errors. Refractive errors cause
a disturbance in the way that light rays are focused within the
eye. Astigmatism occurs when the surface of the cornea is shaped
more like the back of a spoon rather than a perfectly round surface,
with greater curvature in one direction over the other.
Astigmatism, which often occurs
in combination with myopia
and hyperopia
causes multiple focal points with the eye resulting in a blurry
or distorted vision. Astigmatism affects your vision at both near
and far. Sometimes incorrectly called a "stigmatism," astigmatism
is a common refractive error, like myopia
and hyperopia.
An irregularly shaped cornea is called astigmatism.
Degrees of Astigmatism
| Mild Astigmatism |
<1.00 diopters |
| Moderate Astigmatism |
1.00 to 3.00 diopters |
| Severe Astigmatism |
2.00 to 3.00 diopters |
| Extreme Astigmatism |
>3.00 diopters |
Most people have some degree of
astigmatism. Astigmatism occurs when the front surface of your eye
(cornea) is slightly irregular in shape, resulting in vision being
blurred at all distances. Astigmatism is not a disease, but is actually
a vision condition that is quite common.
When the front of your eye is more
oval than round, light does not focus properly on the back of your
eye (retina). The causes of this irregular shape are unclear. In
some cases, it may be hereditary or it may result from such factors
as pressure of the eyelids on the cornea, incorrect posture or an
increased use of the eyes for close work.
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Right-hand image as seen
person with Astigmatism
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Astigmatism usually occurs when
the front surface of the eye, the cornea, has an irregular curvature.
Normally the cornea is smooth and equally curved in all directions
and light entering the cornea is focused equally on all planes,
or in all directions. In astigmatism, the front surface of the cornea
is curved more in one direction than in the other. With the cornea’s
shape more like that of an American football or rugby ball than
a basketball, the light hitting the more curved surface comes to
a focus before that which enters the eye through the less curved
surface.
Thus, the light is focused clearly
along one plane, but is blurred along the other so only part of
anything being looked at can be in focus at any time. This abnormality
may result in vision that is much like looking into a distorted,
wavy mirror. The distortion results because of an inability of the
eye to focus light rays to a point.

Why are corneas shaped differently?
Not all corneas are perfectly curved,
just as sets of teeth are seldom perfectly aligned. The degree of
variation determines whether or not you will need corrective eyewear.
If the corneal surface has a high degree of variation in its curvature,
light refraction may be impaired to the degree that corrective lenses
are needed to help focus light rays better. The exact reason for
differences in corneal shape remains unknown, but the tendency to
develop astigmatism is inherited. For that reason, some people are
more prone to develop astigmatism than others.
The retina is a paper-thin tissue
that lines the back of the eye and sends visual signals to the brain.
In the middle of the retina is a tiny area called the macula. The
macula is made up of millions of light-sensing cells that help to
produce central vision.
How does astigmatism affect sight?
The crystal clear cornea is situated
at the very front surface of the eye and enables light to enter
the eyeball. The cornea accomplishes about four-fifths of the refractive
work needed for clear vision, bending light rays toward one another
into a point. The lens, located behind the cornea, further refines
the refractive work begun by the cornea and directs the point of
light toward a precise location on the retina, known as the fovea.
If light is not focused into a fine
point on the fovea, the image that reaches the retina cannot be
clearly transmitted to the brain. When astigmatism is present, the
surface of the cornea is distorted instead of being spherical. It
is unable to focus light rays entering the eye into the fine point
needed for clear vision. At any time, only a small proportion of
the rays are focused and the remainder are not, so that the image
formed is always blurred. Usually, astigmatism causes blurred vision
at all distances.

Very mild astigmatism may not even
be noticed, or cause eye strain, headaches and slightly blurry vision.
Severe astigmatism produces blurred or distorted vision.

How is it diagnosed?
Astigmatism is diagnosed in the
course of a thorough eye examination. If the degree of astigmatism
is slight and no other problems of refraction, such as myopia
and hyperopia,
are present, corrective lenses may not be needed. If the degree
of astigmatism is great enough to cause eyestrain, headache, or
distortion of vision, prescription lenses will be needed for clear
and comfortable vision.
Correction
Your eye care professional will
recommend corrective eyewear to help the eye direct light in a more
effective manner. The corrective lenses needed when astigmatism
is present are called Toric lenses and have an additional power
element called a cylinder. They have greater light-bending power
in one axis than in others. Your eye care professional will perform
precise tests during your eye examination to determine the ideal
lens prescription.
Astigmatism may increase slowly.
Regular eye care can help to insure that proper vision is maintained.
You may have to adjust to wearing eyeglasses or contact lenses if
you do not wear them now. Other than that, astigmatism probably
will not significantly affect your lifestyle at all.
For more information of Astigmatism and its treatment/correction:
Source(s): All above information
& images are based on: an article on astigmatism at cvworld.com,
an article written by Gretchyn
Bailey, allaboutvision.com and an article at LaserSurgeryForEyes.com.
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Disclaimer: Any information displayed here is just for educational
purposes, and may not be taken as an expert advice and should not
be applied in life without consulting your eye doctor/specialist. We here
by take no responsiblity of the accuracy of the above content as they have
been taken from various sources.
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