Visual Distortion in One Eye: Is It Astigmatism? - Ophthalmology

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Monocular distortion of letters, astigmatism?


Hello, Doctor Gao: When looking at computer text with both eyes, the image appears as bright and clear as when viewed with the left eye alone.
However, when using only the right eye, the text becomes faint, and there is some distortion from the upper left to the lower right.
Could this be due to insufficient astigmatism correction, incorrect axis, or other possible reasons? If there are no abnormalities in binocular vision at present, should I not be concerned? The right eye has a prescription of -6.75 for myopia and -1.25 for astigmatism, with corrective lenses of -6.25 and -1.00.
The left eye has a prescription of -6.50 for myopia and -1.00 for astigmatism, with corrective lenses of -6.00 and -0.75.

Anan, 40~49 year old female. Ask Date: 2023/03/16

Dr. Gao Pilin reply Ophthalmology


Hello: Your symptoms may be caused by astigmatism.
Astigmatism is a visual condition that makes it difficult for the eyes to focus light in all directions, thereby affecting the quality of vision.
The degree and axis of astigmatism need to be examined and corrected by an ophthalmologist.
Based on the prescription information you provided, your astigmatism has been addressed, but it may not have been adjusted accurately enough, which could explain why text appears faint when viewed with the right eye alone, and why text from the upper left to the lower right appears somewhat distorted.
It is recommended that you visit an ophthalmologist for further examination to confirm whether your astigmatism degree and axis meet the standards, and to determine if you need a new prescription or adjustments to your current glasses.
If left unaddressed, prolonged activities such as computer use or reading may lead to eye strain, dryness, blurriness, and could increase the risk of other eye conditions.

Reply Date: 2023/03/16

More Info


Hello! Thank you for your detailed question regarding the visual distortion you're experiencing in your right eye. Based on the symptoms you've described, it seems that you may be dealing with a combination of factors that could be contributing to the visual distortion, particularly astigmatism and possibly other refractive errors.

Astigmatism occurs when the cornea (the clear front surface of the eye) is irregularly shaped, causing light to focus on multiple points rather than a single point on the retina. This can lead to blurred or distorted vision, especially when looking at fine details, such as text on a computer screen. The fact that you notice a difference in clarity and brightness when using your right eye compared to your left eye suggests that there may be an issue with the refractive correction in your right eye.

Your current prescription indicates that your right eye has a significant degree of myopia (nearsightedness) at -6.75 diopters and astigmatism at -1.25 diopters. The prescription for your right eye is slightly lower than your actual refractive error (-6.25 for myopia and -1.00 for astigmatism), which could explain the visual distortion you are experiencing. If the astigmatism is not corrected adequately, it can lead to the distortion of straight lines, making them appear wavy or bent, particularly in certain orientations, such as from the upper left to the lower right as you described.

Additionally, the fact that your left eye has a slightly better correction and is functioning well could also contribute to the perception of distortion when you rely solely on your right eye. The brain often relies on input from both eyes to create a unified visual perception, and if one eye is not providing clear images, it can lead to confusion or distortion in the visual field.

It's also worth noting that visual distortion can sometimes be a symptom of other underlying conditions, such as retinal issues or neurological problems. However, since you mentioned that your vision is clear when using both eyes together, it is less likely that there is a serious underlying condition at play.

Regarding your question about whether you should be concerned if your vision appears normal when using both eyes, it is always a good idea to monitor any changes in your vision. If the distortion persists or worsens, or if you experience any new symptoms such as flashes of light, sudden vision loss, or increased floaters, you should seek further evaluation from an eye care professional.

In summary, the visual distortion you are experiencing in your right eye is likely related to astigmatism and possibly an insufficient correction in your glasses. It would be advisable to have a comprehensive eye exam, including a refraction test, to determine if your prescription needs to be updated. Regular eye exams are essential, especially for individuals with high myopia and astigmatism, to ensure that any changes in vision are promptly addressed. If your vision remains stable and clear with both eyes, you may not need to worry excessively, but staying vigilant about any changes is key to maintaining your eye health.

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