Does Stye Cause Astigmatism Increase? Eye Health Insights - Ophthalmology

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Astigmatism and stye issues?


Hello Doctor: A while ago, I had a stye in my eye, which has since healed.
However, during my recent eye exam, I was informed that my astigmatism has increased.
I have heard that astigmatism in adults typically does not increase significantly.
Can having a stye lead to an increase in astigmatism? Additionally, if my glasses prescription for astigmatism is not updated promptly, could this lead to a worsening of my condition or other eye problems? Thank you, Doctor.

Nìmíng, 20~29 year old female. Ask Date: 2018/05/02

Dr. Cai Wenyuan reply Ophthalmology


Hello, does having a stye lead to an increase in astigmatism? Generally, it does not.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/02

More Info


Styes, or hordeola, are localized infections of the eyelid glands that can cause discomfort, swelling, and redness. They typically resolve on their own or with warm compresses and do not usually have long-term effects on vision. However, your concern about whether a stye can lead to an increase in astigmatism is valid, and it’s important to understand the relationship between eye health and refractive errors like astigmatism.

Astigmatism is caused by an irregular shape of the cornea or lens, leading to blurred or distorted vision. It is generally a structural issue rather than one that is directly influenced by infections like styes. While it is uncommon for a stye to cause a significant change in astigmatism, there are a few indirect ways it could potentially affect your vision temporarily:
1. Inflammation and Swelling: The presence of a stye can cause localized inflammation and swelling of the eyelid. This may lead to temporary changes in how light enters the eye, which could affect your vision. However, these changes are usually transient and resolve once the stye heals.

2. Eye Strain: If you experience discomfort or pain from a stye, you might unconsciously strain your eyes or squint to see better. This strain can lead to temporary visual disturbances, but it does not typically result in a permanent increase in astigmatism.

3. Changes in Tear Film: Styes can sometimes affect the tear film, leading to dry eye symptoms. An unstable tear film can cause fluctuating vision, which might be mistaken for changes in refractive error.

Regarding your question about whether not updating your glasses prescription could lead to worsening vision or eye disease, it’s essential to understand that wearing an incorrect prescription can lead to eye strain, headaches, and discomfort. However, it does not typically cause structural changes in the eye that would lead to conditions like cataracts or glaucoma.
If your astigmatism has increased, it may be due to natural changes in your eye over time rather than the stye itself. It’s important to have regular eye exams, especially if you notice changes in your vision. An eye care professional can help determine the cause of any changes in your prescription and recommend appropriate corrective lenses.

In summary, while a stye itself is unlikely to cause a permanent increase in astigmatism, the associated discomfort and inflammation can lead to temporary visual disturbances. If you notice significant changes in your vision, it’s advisable to consult with your eye care provider for a comprehensive evaluation. They can provide insights into your specific situation and help ensure that your eye health remains optimal. Regular check-ups are crucial for maintaining eye health and addressing any concerns promptly.

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