Can Astigmatism Improve with Correct Glasses? Eye Care Insights - Ophthalmology

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Astigmatism issues?


Doctor, I have been wearing glasses with the wrong prescription for about two years, so my myopia is -4.25 in the right eye and -5.00 in the left eye, with astigmatism of approximately -3.75 in both eyes.
I would like to ask if there is a way to reduce astigmatism.
Will wearing the correct glasses reduce both astigmatism and myopia? Additionally, I would like to know how much the prescription typically increases each year after wearing the correct glasses.

Wu Yan, 20~29 year old female. Ask Date: 2021/08/25

Dr. Gao Pilin reply Ophthalmology


Hello: The prescription cannot be reduced, but since you are already 20 years old, if you take good care of your eyes, the prescription should not increase too quickly, and it may remain stable.

Reply Date: 2021/08/25

More Info


Astigmatism, a common refractive error, occurs when the cornea or lens of the eye is irregularly shaped, leading to blurred or distorted vision. Many people with astigmatism also have myopia (nearsightedness) or hyperopia (farsightedness). The good news is that while astigmatism itself cannot be "cured," it can be effectively managed with the correct prescription glasses or contact lenses.

When you wear the correct prescription glasses, they help to compensate for the irregular shape of your cornea or lens, allowing light to focus more accurately on the retina. This can lead to clearer vision and a reduction in the symptoms associated with astigmatism, such as blurriness, eye strain, and headaches. However, it’s important to note that wearing the correct glasses will not physically change the shape of your cornea or lens; it simply allows your visual system to function more effectively.

Regarding your specific situation, wearing incorrect glasses for an extended period can lead to visual discomfort and may exacerbate the perception of astigmatism. Once you switch to the correct prescription, you may notice an improvement in your vision quality. However, the degree of improvement can vary from person to person. In some cases, individuals report a significant reduction in visual disturbances, while others may still experience some level of blurriness, especially if their astigmatism is more pronounced.

As for whether the astigmatism and myopia can decrease with the correct glasses, it is unlikely that the actual measurements of astigmatism will decrease. However, consistent use of the correct prescription can help prevent further deterioration of your vision. Regular eye examinations are essential, as they allow your eye care professional to monitor any changes in your vision and adjust your prescription as needed.

In terms of how much your prescription may change annually, this can vary widely among individuals. Some people may experience stable vision for years, while others may see gradual changes. On average, a change of 0.25 to 0.50 diopters per year is common, but this can be influenced by factors such as age, overall eye health, and lifestyle. For instance, if you spend a lot of time on digital devices, you may experience more eye strain, which could lead to changes in your prescription.

It's also worth noting that astigmatism can be influenced by various factors, including genetics, age, and environmental conditions. If you have a family history of refractive errors, you may be more prone to developing or worsening astigmatism. Additionally, conditions such as keratoconus, where the cornea thins and bulges, can also affect astigmatism levels.

In conclusion, while astigmatism cannot be eliminated, wearing the correct prescription glasses can significantly improve your visual experience. Regular check-ups with your eye care professional will help ensure that your prescription remains accurate and that any changes in your vision are promptly addressed. If you have concerns about your vision or the progression of your astigmatism, don't hesitate to reach out to your eye care provider for personalized advice and treatment options.

Similar Q&A

Does Inadequate Astigmatism Correction Worsen Your Vision?

Will not wearing the appropriate prescription for astigmatism cause the degree of astigmatism to worsen? Can acquired astigmatism be corrected by wearing glasses? (For example, could it take one to two years to reduce astigmatism from 1.50 to 1.00?)


Dr. Gao Pilin reply Ophthalmology
Hello Joyce: Astigmatism will not decrease in severity due to wearing glasses. Insufficient correction will not worsen astigmatism either. However, if you do not wear the correct prescription and squint to see clearly, it can lead to an increase in astigmatism.

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Dr. He Jianxian reply Ophthalmology
Hello, Wan-Ting: We need to conduct an actual fitting for the glasses to determine the correct prescription; it cannot be inferred just from the description. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

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Dr. Gao Pilin reply Ophthalmology
Hello, Junjun: If your new glasses have a stronger prescription, you may experience blurriness when looking at distant objects after reading for a long time. Using a pair of glasses with a milder prescription for reading is a good approach. The ophthalmology department at Puzi Ho...

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