High Astigmatism: Do You Need Contact Lenses? - Ophthalmology

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When it comes to managing high astigmatism, especially in the context of your specific eye conditions, there are several important considerations to keep in mind. Given your history of a retinal tear, which has been treated, and your current astigmatism measurements (right eye at over 200 degrees and left eye at 150 degrees), it’s crucial to approach the use of contact lenses with caution and informed decision-making.


Understanding Astigmatism and Contact Lenses
Astigmatism occurs when the cornea (the front surface of the eye) is irregularly shaped, causing blurred or distorted vision. In your case, with a significant degree of astigmatism, you may benefit from specialized contact lenses designed to correct this condition. There are two primary types of contact lenses that can be considered:
1. Toric Contact Lenses: These are specifically designed for astigmatism and can help correct the uneven curvature of the cornea. They come in various prescriptions and can provide clearer vision than standard spherical lenses.

2. Scleral Lenses: For individuals with more complex eye conditions, such as a history of retinal issues or severe astigmatism, scleral lenses may be a good option. These lenses are larger and vault over the cornea, resting on the white part of the eye (the sclera). They can provide a stable fit and are often more comfortable for those with irregular corneal shapes.


Risks and Considerations
Given your history of a retinal tear, it’s essential to consult with your eye care professional before making any decisions about contact lenses. Here are some key points to consider:
- Regular Monitoring: Since you have a history of retinal issues, regular eye examinations are crucial. Your eye doctor will monitor the health of your retina and assess any changes in your vision or eye structure.

- Potential for Increased Astigmatism: If your astigmatism worsens, it could lead to further complications. However, simply having astigmatism does not directly cause retinal detachment or other retinal issues. It’s important to maintain open communication with your eye care provider about any changes in your vision.

- Comfort and Fit: If you decide to try contact lenses, ensure that they are fitted correctly. Poorly fitted lenses can lead to discomfort, irritation, and even exacerbate existing eye conditions.

- Hygiene Practices: Proper hygiene is vital when using contact lenses. Always wash your hands before handling lenses, and follow your eye care provider’s instructions for cleaning and storing them to reduce the risk of infections.


Conclusion
In summary, while contact lenses can be a viable option for correcting astigmatism, your specific circumstances—particularly your history of a retinal tear—necessitate a careful and informed approach. It is advisable to consult with your eye care professional to discuss the best options for your vision correction, considering both the benefits and potential risks associated with contact lens use. Regular follow-ups and monitoring will be essential to ensure the ongoing health of your eyes and to address any changes in your vision promptly.