Astigmatism in Children: Hope for Recovery and Eye Care Tips - Ophthalmology

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The astigmatism in young children can reach up to 150 degrees?


My son is seven years old.
Last year, I took him to the hospital for an examination after noticing that he was rubbing his eyes frequently.
It was found that he has astigmatism with a degree of 150.
He is currently wearing glasses for correction.
Is there hope for recovery? How should we take care of his eyes in the future? If there is no hope for recovery, will he need to wear glasses for the rest of his life?

luo-qi, 0~9 year old female. Ask Date: 2003/03/20

Dr. Wang Zhangji reply Ophthalmology


Hello! Actually, a cylindrical power of 150 degrees is not considered very high; many people have it.
The majority of cases are caused by congenital corneal shape.
As long as it does not lead to amblyopia, it is not a major issue.
However, unless laser surgery is performed, astigmatism cannot be eliminated.
Best wishes for health from Dr.
Wang Zhang-ji, Department of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/03/20

More Info


Astigmatism, a common refractive error in children, occurs when the cornea or lens of the eye is irregularly shaped, leading to blurred or distorted vision. In your son's case, with a measured astigmatism of 150 degrees, it is encouraging that he is already wearing corrective glasses. This is a crucial first step in managing his condition.


Understanding Astigmatism in Children
Astigmatism can develop in early childhood, and it is not uncommon for children to have varying degrees of this condition. The good news is that many children can experience improvement in their vision as they grow. The eye's shape can change over time, and some children may outgrow mild to moderate astigmatism. However, significant astigmatism often requires ongoing correction with glasses or contact lenses.


Recovery and Management
While complete "recovery" from astigmatism is not guaranteed, especially if it is due to structural issues in the eye, proper management can significantly improve your child's visual acuity and overall eye health. Here are some tips for maintaining eye health and managing astigmatism:
1. Regular Eye Exams: Ensure your child has regular check-ups with an eye care professional. This is crucial for monitoring changes in vision and adjusting prescriptions as necessary.

2. Corrective Lenses: Wearing prescribed glasses consistently can help your child see clearly and reduce eye strain. It is essential to encourage him to wear his glasses, especially during activities that require clear vision, such as reading or watching television.

3. Limit Screen Time: Prolonged screen time can lead to eye strain. Encourage breaks using the 20-20-20 rule: every 20 minutes, have your child look at something 20 feet away for at least 20 seconds.

4. Encourage Outdoor Activities: Studies suggest that spending time outdoors may help reduce the progression of myopia (nearsightedness) and could be beneficial for overall eye health.

5. Healthy Diet: A balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support eye health. Foods like carrots, leafy greens, fish, and nuts are excellent choices.

6. Eye Protection: Ensure your child wears sunglasses with UV protection when outdoors to protect their eyes from harmful rays.


Long-term Outlook
If your son's astigmatism does not improve significantly, he may need to wear glasses or contact lenses throughout his life. However, many children adapt well to wearing corrective lenses, and advancements in vision correction, such as orthokeratology (special contact lenses worn overnight to reshape the cornea), may also be options in the future.

In conclusion, while there may not be a definitive "cure" for astigmatism, with proper care and management, your son can lead a normal, active life with good vision. Regular follow-ups with an eye care professional will be essential in ensuring that his vision remains as clear as possible and that any changes in his condition are promptly addressed.

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