Does astigmatism require corrective lenses?
Hello, doctor.
My left eye has a prescription of -4.75 with astigmatism of -0.75, and my right eye has a prescription of -5.75 with astigmatism of -2.25.
I got glasses a year ago, but I didn't get astigmatism correction for my left eye, and for my right eye, I only got astigmatism correction of -1.50 (as recommended by the optician), saying that this would make my eyes feel more comfortable and prevent worsening vision and astigmatism.
Is this correct?
I found conflicting opinions online.
Currently, my left eye is fine, but whenever I focus on the computer screen for half an hour, the astigmatism in my right eye gradually worsens (causing double vision).
If I continue to look at the screen for more than two hours, I can't handle it anymore and feel that my eyes desperately need a break, which takes about half an hour to return to normal.
(Due to work, I need to look at the screen for eight hours.) In general, I have no issues in daily life, but I can't stare at the screen for too long.
Should I consider getting new glasses or undergo further examination? Thank you.
Mr. Hsu, 30~39 year old female. Ask Date: 2016/04/25
Dr. Wang Zhishun reply Ophthalmology
It is recommended to visit an ophthalmologist for refraction and glasses fitting after using a ciliary muscle relaxant, and to compare the results with regular refraction for adjustments.
Reply Date: 2016/04/25
More Info
When it comes to astigmatism, the need for glasses largely depends on the severity of the condition and how it affects your daily life. Astigmatism is a common refractive error caused by an irregular shape of the cornea or lens, leading to blurred or distorted vision. In your case, with a left eye measurement of -4.75 and astigmatism of -0.75, and a right eye measurement of -5.75 with astigmatism of -2.25, it is clear that you have a significant degree of astigmatism that could benefit from corrective lenses.
Your experience of discomfort and visual disturbances, especially when staring at a computer screen for extended periods, is not uncommon among individuals with astigmatism. The symptoms you describe, such as ghosting or double vision after prolonged screen time, suggest that your current prescription may not be adequately addressing your astigmatism, particularly in your right eye. The fact that you feel the need to rest your eyes after a short period of screen use indicates that your eyes are straining to compensate for the uncorrected astigmatism.
It is essential to have an accurate and comprehensive eye examination conducted by an optometrist or ophthalmologist. During this examination, they can assess not only your refractive error but also the overall health of your eyes. If your current glasses do not provide sufficient correction for your astigmatism, it may be necessary to update your prescription. This is particularly important if you are required to work on a computer for long hours, as proper correction can significantly reduce eye strain and improve visual comfort.
In terms of your current glasses, the recommendation to not correct the astigmatism in your left eye and to only partially correct it in your right eye may not be the best approach. While some individuals may feel comfortable with a lesser degree of correction, it is generally advisable to correct astigmatism fully to achieve the best possible visual acuity. Wearing glasses that do not fully correct your astigmatism can lead to increased eye strain, headaches, and discomfort, especially during tasks that require prolonged focus, such as computer work.
Additionally, consider the importance of taking regular breaks while working on the computer. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice can help alleviate eye strain and fatigue.
In summary, given your symptoms and the nature of your astigmatism, it would be prudent to seek a re-evaluation of your glasses prescription. A comprehensive eye exam will help determine the most appropriate corrective lenses for your needs, ensuring that both your vision and comfort are optimized during your daily activities. If necessary, your eye care professional may also discuss additional options, such as specialized lenses for computer use or other visual aids that can enhance your visual experience while working.
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