To kick things off, astigmatism is not a serious health issue.
This is a refractive defect where light is not correctly focused inside your eye to create a good point of focus.
The main cause of astigmatism is due to an uneven curvature in the cornea or sometimes in the lens of the eye. These irregularities are distinguished by an asymmetry in the cornea or the crystalline lens. As opposed to being spherically symmetrical, one side is more curved than the other.
This means the eye is shaped more like a rugby ball than say a football and effects how light is refracted (bent) towards the retina within the eye.
Astigmatism is considered a genetic trait inherited from your parents.
Astigmatism in children and adults accounts for 47% of the UK population. It is a very common condition and is typically more predominant in one eye than the other.
Comparatively, other bodily characteristics such as the ears and nose are equally as likely to be asymmetric.
When you think about it, this makes this uneveness seem pretty normal...
The symptoms of astigmatism typically include;
During your eye test, your optometrist will go through a series of ocular assessments.
The primary test for astigmatism (retinoscopy) is also used for detecting near-sightedness and far-sightedness. To assess this, a series of lenses are separately introduced using what is called a phoropter.
This ubiquitous instrument contains a carousel of optical lenses which are placed over your eyes in front of a bright light. As the light is shone into your eye through the various phoropter-lenses, the optometrist can establish if you have any refractive defects in your eye-lens or cornea.
Progressing through the phoropter-lenses, you’re able to verbally describe which dioptre of lens gives you the best visual focus. Looking at the eye test chart at the opposite side of the examination room, this process of elimination defines your prescription lenses, if indeed you require them.
If you already wear glasses, you’ll notice a section on your astigmatism prescription paper called "CYL."
This figure quantifies your required cylindrical correction in your lenses to correct your “rugby ball” cornea/s. Your CYL is measured as an angle which compensates for the asymmetry in your cornea.
Depending on your specific astigmatism, this angle can be anywhere within 180 degrees.
Eg: 090, 120, 010
Astigmatism can be rectified in three different ways.
This can be done via contact lenses, prescription glasses or refractive surgery.
Your lifestyle and personal preference will play a role in how you’d like to correct your astigmatism. Generally, prescription glasses are the most popular solution as they are less difficult to wear than contact lenses and less costly than refractive surgery.
Astigmatism shouldn’t necessarily be viewed as ‘curable’ as asymmetry is present is many other bodily aspects. This refractive issue is a structural defect and shouldn’t be considered as a disease or transmittable condition.
Good quality eyeglasses are by far the simplest solution for an astigmatism cure.
The side effects of astigmatism effects your ability to correctly focus the light that enters your eye.
As the light passes through your cornea, it becomes distorted from improper refraction. This scatters the light before it reaches the retina at the back of your eye which creates an imperfect retinal signal. This signal is then passed on to the brain giving a poor interpretation of what is in front of you.
As seen in the illustration above, the light is entering the eye and becoming fragmented. Depending on what you are looking at and at what distance, this fragmentation results in blurred vision, making it difficult to focus properly.
Astigmatism glasses are a good way to resolve this issue by correcting this refractive defect. Lenses with a CYL will compensate for the asymmetry in your cornea.
Image of fashion designer Margaret Howell, taken by Lucy Brook for Cereal Magazine
Unfortunately, astigmatism is known to change throughout your life and can deteriorate with age.
Unusual injuries to the eye such as blunt trauma or the disease keratoconus are known to induce or worsen astigmatism. These are generally the only external circumstances that can make this eye condition worse.
There are various myths that surround astigmatism, one of which concerns whether or not wearing your glasses can have an effect. This myth is simply not true and has no detrimental influence at all.
Other myths include squinting too often or reading in poorly lit environments. Neither of these can cause astigmatism to worsen and are more likely to be a cause of annoyance or headaches.
Jamie Bartlett: co-founder
Ultimately, the best advice to combat astigmatism is by wearing correctly prescribed eyeglasses.
By default, it's far more comfortable to wear your prescription glasses to improve daily visual tasks. Activities such as reading, writing, driving and watching the TV are abundantly easier if you can see correctly.
I hope this article was useful and clears up any questions you had about astigmatism.
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