Should astigmatism be corrected with glasses?
Hello,
From elementary school to high school, my myopia progressed from none to over 200 degrees, seemingly without astigmatism.
I only wore glasses for distance vision.
After graduating from high school, my myopia decreased to just over 100 degrees, and my unaided vision improved from 0.6 to 1.2.
Later, when I got my glasses, the optometrist indicated that although my myopia was not severe, I had astigmatism of 150 degrees, which caused blurred vision.
They recommended that I wear glasses regularly.
However, I find that my vision is not blurry without glasses, and wearing them actually makes things appear more blurred.
Initially, I experienced eye fatigue, distortion of objects, and difficulty focusing, so I went back to the optometrist for a check-up, but my prescription was confirmed to be correct.
I have been wearing glasses full-time for over three weeks now, and my eyes no longer feel fatigued, but objects still seem somewhat distorted, and I lose focus when concentrating on a single point.
Without glasses, I do not experience these issues.
After researching online and considering the optometrist's advice, I initially intended to follow the recommendation to wear glasses all day.
However, my mother prefers that I only wear them when looking at distant objects, as the optometrist mentioned that myopia is irreversible, yet I have experienced a real reversal.
Therefore, I would like to ask a professional physician: with my myopia at over 100 degrees and astigmatism at 150 degrees, is it necessary for me to wear glasses all day, or is it sufficient to wear them only when I cannot see clearly? Thank you!
Xiao Ni, 20~29 year old female. Ask Date: 2023/01/19
Dr. Chen Anping reply Ophthalmology
Hello, Miss: Whether to wear glasses for astigmatism depends on the severity of the condition.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.
Reply Date: 2023/01/19
More Info
When it comes to astigmatism and mild myopia, the decision to wear glasses full-time or only when needed can depend on several factors, including the severity of the conditions, individual comfort, and lifestyle needs.
Astigmatism occurs when the cornea or lens of the eye is irregularly shaped, causing blurred or distorted vision. Mild myopia, or nearsightedness, means that distant objects appear blurry while close objects can be seen clearly. In your case, you mentioned having a mild myopia of around 100 degrees and astigmatism of 150 degrees. While these values are not extremely high, they can still affect your visual clarity, particularly at distances.
The recommendation from your optometrist to wear glasses regularly is based on the idea that consistent use can help your eyes function more comfortably and effectively. Wearing glasses can reduce eye strain, improve focus, and enhance overall visual clarity. However, you noted that when you first started wearing glasses, you experienced some discomfort, such as fatigue and distortion. This can happen as your eyes adjust to the new prescription, especially if the astigmatism is significant enough to require correction.
It's important to understand that while some people may adapt quickly to wearing glasses, others may take longer, and some may prefer to wear them only when necessary. If you find that you can see clearly without glasses and do not experience significant discomfort or strain, it may be acceptable to wear them only for specific activities, such as driving or watching a movie. However, if you are experiencing visual distortions or difficulties focusing while wearing glasses, it may be worth revisiting your optometrist for a follow-up examination. They can ensure that your prescription is accurate and that the lenses are appropriate for your needs.
In terms of your mother’s concerns about wearing glasses full-time, it is true that myopia can progress over time, and some believe that consistent use of corrective lenses can help manage this progression. However, the relationship between wearing glasses and the progression of myopia is complex and can vary from person to person. Some studies suggest that wearing glasses does not necessarily worsen myopia, while others indicate that it may help reduce eye strain and improve visual comfort.
Ultimately, the decision to wear glasses full-time or only as needed should be based on your comfort and visual needs. If you find that wearing glasses improves your vision and reduces strain, it may be beneficial to wear them consistently. On the other hand, if you feel comfortable and can see well without them, wearing them only when necessary might be a suitable option.
In conclusion, while your optometrist's advice is valuable, your personal experience and comfort should also play a significant role in your decision. Regular check-ups with your eye care professional can help monitor your vision and ensure that your prescription remains appropriate as your eyes change over time. If you continue to experience issues with your glasses, don't hesitate to seek further evaluation to ensure that your visual needs are being met effectively.
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