Finding the Right Glasses for High Astigmatism: A Patient's Dilemma - Ophthalmology

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Orthodontic issues


I have been regularly monitoring my eye issues.
At a major hospital, the examination showed no significant problems, but recently I have been troubled by the need for vision correction.
The ophthalmologist mentioned that there are no major diseases like cataracts, but I do have high astigmatism.
However, after an eye exam at a general clinic, they were unable to provide a prescription that would correct my vision to 1.0.
I am now confused about where to get my glasses and what the reason for this might be.

Liu Shanmu, 30~39 year old female. Ask Date: 2022/02/05

Dr. Chen Anping reply Ophthalmology


Mr.
Liu, hello.
If astigmatism is too severe, it may lead to amblyopia, making it impossible to achieve a visual acuity of 1.0.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2022/02/05

More Info


Finding the right glasses for high astigmatism can indeed be a challenging process, especially when you have already been through various examinations and consultations without finding a satisfactory solution. High astigmatism, which is a common refractive error, occurs when the cornea or lens of the eye is irregularly shaped, causing blurred or distorted vision. This condition can significantly affect your quality of life, making it essential to find the right corrective lenses.

Firstly, it’s important to understand that not all optical shops or clinics have the same equipment or expertise when it comes to fitting glasses for high astigmatism. While some may have standard equipment that works well for mild prescriptions, they may lack the advanced technology required to accurately measure and fit lenses for more complex prescriptions. This could be why you have experienced difficulties in obtaining glasses that provide you with clear vision, particularly if your astigmatism is significant.

Given that your eye examinations at a major hospital have ruled out serious conditions like cataracts, it’s crucial to focus on the specifics of your astigmatism. High astigmatism often requires specialized lenses, such as toric lenses, which are designed to correct the uneven curvature of the cornea. These lenses can be more complex to fit than standard spherical lenses, and they may require precise measurements of your eye, including the curvature of your cornea and the position of your pupils.

Here are some steps you can take to find the right glasses for your high astigmatism:
1. Seek a Specialist: Consider visiting an optometrist or ophthalmologist who specializes in fitting glasses for patients with high astigmatism. They will have the necessary expertise and equipment to provide a more accurate prescription and fitting.

2. Request a Comprehensive Eye Exam: Ensure that your eye exam includes a thorough assessment of your astigmatism. This should involve not only measuring your visual acuity but also examining the shape of your cornea and how it affects your vision.

3. Discuss Lens Options: Talk to your eye care professional about the best lens options for your specific needs. Toric lenses are often recommended for astigmatism, but there are also other options, such as custom-made lenses that can provide better clarity and comfort.

4. Consider Contact Lenses: If glasses continue to be a challenge, you might explore contact lenses designed for astigmatism. Many patients find that toric contact lenses can provide clearer vision and greater comfort than glasses.

5. Trial and Adjustment: Once you receive your new glasses, give yourself time to adjust. It’s not uncommon for patients with high astigmatism to need a period of adaptation. If you still experience issues after a few days, return to your eye care provider for adjustments.

6. Regular Follow-Ups: Since your vision can change over time, regular follow-ups with your eye care provider are essential. This will ensure that your prescription remains accurate and that any changes in your vision are promptly addressed.

In conclusion, finding the right glasses for high astigmatism can be a complex process, but with the right approach and the help of a qualified eye care professional, you can achieve clearer vision. Don’t hesitate to advocate for your needs and seek out specialists who can provide the care and attention necessary for your specific situation. Remember, your vision is vital, and it’s worth the effort to find the right solution.

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