Choosing the Right Glasses for Astigmatism and Strabismus - Ophthalmology

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How to wear glasses for astigmatism and strabismus?


Dear Doctor: Both eyes have a steep astigmatism of 225 degrees, and the right eye has an eight-degree strabismus, with only one eye having a myopia of 75 degrees.
Should I wear myopia control lenses, or do I need prism lenses, or is it sufficient to just wear astigmatism lenses and blue light blocking lenses?

Ke Er, 10~19 year old female. Ask Date: 2021/08/09

Dr. Gao Pilin reply Ophthalmology


Hello, Ke'er: The decision on how to prescribe glasses requires a clinical examination.
It is best to correct both myopia and astigmatism.
As for strabismus, an assessment is needed to determine if prisms are necessary.
It is advisable to visit a hospital with a strabismus and amblyopia department for an evaluation.
Online responses can only serve as a reference; it is essential to seek care at a medical facility when necessary.
Gao Pilin

Reply Date: 2021/08/09

More Info


When it comes to choosing the right glasses for astigmatism and strabismus, there are several important factors to consider. Based on your description, you have astigmatism in both eyes, with a measurement of -2.25 diopters, and right eye strabismus (crossed eyes) with a slight nearsightedness of -0.75 diopters in one eye. Here’s how to approach your situation:
1. Understanding Astigmatism and Strabismus: Astigmatism occurs when the cornea or lens of the eye is irregularly shaped, causing blurred or distorted vision. Strabismus, on the other hand, is a condition where the eyes do not properly align with each other when looking at an object. This misalignment can lead to double vision or depth perception issues.
2. Choosing the Right Lenses: Given your astigmatism, you will need glasses with cylindrical lenses specifically designed to correct this condition. The prescription should address both the degree of astigmatism and the nearsightedness in your right eye.
3. Consideration of Prism Lenses: Since you have strabismus, prism lenses may be beneficial. Prism lenses can help align the images seen by both eyes, reducing double vision and improving comfort. The specific amount of prism needed would be determined by your eye care professional based on the degree of strabismus and how your eyes are aligned.

4. Nearsightedness Control: If your nearsightedness is mild (only -0.75 diopters), it may not be necessary to have a separate lens for controlling nearsightedness, especially if your primary concern is correcting astigmatism and strabismus. However, if your eye care provider believes that the nearsightedness could worsen, they might recommend lenses that help control myopia progression.

5. Blue Light Filtering: If you spend a lot of time in front of screens, blue light filtering lenses can be a good addition. These lenses can help reduce eye strain and discomfort associated with prolonged screen time, especially if you experience symptoms like dryness or fatigue.

6. Consultation with an Eye Care Professional: It’s crucial to have a thorough examination by an eye care professional who can provide a comprehensive assessment of your vision needs. They will consider your specific conditions, lifestyle, and visual demands to create a tailored prescription.
7. Trial and Adjustment: After receiving your glasses, it may take some time to adjust, especially if you are using prism lenses for the first time. If you experience discomfort or persistent issues, follow up with your eye care provider for adjustments.

In summary, for your situation, you will likely need glasses that correct for astigmatism, possibly with prism correction for strabismus. The inclusion of blue light filtering may also be beneficial depending on your daily activities. Always consult with your eye care professional to ensure that your glasses meet your specific visual needs and to address any concerns you may have about your vision.

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