Astigmatism: Effects of Under-Corrected Glasses on Eye Health - Ophthalmology

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Dear Dr.
Gao,
Thank you very much for your professional response and advice in article #206774.
I have clearly understood my questions Q1 to Q4, and I truly appreciate your thoughtful replies and guidance.

Regarding Q5 about my astigmatism prescription not being sufficient, I would like to ask for your further advice.
Currently, my left lens has an astigmatism prescription of 100 degrees and my right lens has 50 degrees.
When I wear my glasses, I still feel a slight blurriness (or halo effect) around the text, although it is not very pronounced and does not affect my vision significantly.
Therefore, I believe my actual astigmatism prescription might need an additional 25 degrees, making it 125 degrees for the left lens and 75 degrees for the right lens, which would be more suitable.
Here are my questions for you, Dr.
Gao:
Q1.
If I wear glasses with an astigmatism prescription that is "25 degrees under-corrected," will this lead to discomfort and visual fatigue in the long term?
Q2.
As mentioned above, I do not experience any particular discomfort with my current glasses, even though the astigmatism prescription may be under-corrected by 25 degrees.
In your opinion or recommendation, should I replace my glasses with a fully corrected astigmatism prescription? Or, if I do not have any significant discomfort, can I continue to wear my current glasses with the 25-degree under-correction?
Q3.
In your previous response, you mentioned: "If your glasses' astigmatism prescription is under-corrected, even if the difference is small, it may lead to discomfort and visual fatigue over time..." Could you please elaborate on the impacts of wearing glasses with an under-corrected astigmatism prescription? Besides the discomfort and visual fatigue you mentioned, are there any other adverse effects on the eyes (such as corneal distortion, glaucoma, or macular degeneration)?
Thank you, Dr.
Gao.

Kris, 40~49 year old female. Ask Date: 2024/03/22

Dr. Gao Pilin reply Ophthalmology


Hello: I am glad to assist you again.

Q1.
If astigmatism is undercorrected by 25 degrees, is it possible to experience discomfort and visual fatigue over time? The answer is yes.
Astigmatism refers to an uneven curvature of the cornea or lens, causing light to focus improperly on the retina, resulting in blurred vision.
When astigmatism is undercorrected, the eyes must continuously work harder to focus clearly, leading to eye strain, soreness, and headaches.
Q2.
Should you change your glasses if your current astigmatism prescription is undercorrected? This depends on your personal experience.
If you are currently wearing glasses and do not feel significant discomfort, you may continue using them.
However, if your astigmatism is undercorrected by 25 degrees, it could lead to discomfort and visual fatigue over time.
Therefore, it is recommended to have regular eye examinations to monitor your eye condition.
If you notice that your discomfort is becoming more pronounced, you should consider updating your glasses to match the correct astigmatism prescription.
Q3.
Besides discomfort and visual fatigue, are there other adverse effects on the eyes from an undercorrected astigmatism prescription? According to current research, undercorrected astigmatism can lead to additional negative effects, including:
1.
Amblyopia: In children, undercorrected astigmatism may lead to amblyopia, affecting visual development.
2.
Worsening myopia: Studies have indicated that undercorrected astigmatism may contribute to the progression of myopia.
3.
Headaches: Undercorrected astigmatism can also lead to headaches.

Therefore, it is advisable to ensure that your astigmatism prescription is accurate to prevent adverse effects on your eyes.
I hope this information helps you.

Reply Date: 2024/03/22

More Info


Hello! Thank you for your detailed questions regarding astigmatism and the effects of under-corrected glasses on eye health. It's great to see you taking an active interest in your eye care. Let's address your concerns one by one.


Q1: Long-term Effects of Under-Corrected Astigmatism Glasses
Wearing glasses that are under-corrected for astigmatism can indeed lead to discomfort and visual fatigue over time. When the prescription does not adequately correct the astigmatism, your eyes may have to work harder to focus, which can lead to symptoms such as eye strain, headaches, and blurred vision. This is because the brain is trying to compensate for the lack of proper correction, which can lead to fatigue in the eye muscles. While you may not experience immediate discomfort, prolonged use of under-corrected glasses can contribute to chronic issues, including visual fatigue.


Q2: Should You Change Your Glasses?
If you feel that your current glasses are not causing significant discomfort, you might be tempted to continue using them. However, if you suspect that your astigmatism is under-corrected by about 25 degrees, it would be advisable to consult with your optometrist or ophthalmologist about getting a new prescription. Even if you are not experiencing severe discomfort, having the correct prescription can enhance your visual clarity and reduce the risk of long-term eye strain. It’s always better to have the most accurate correction to ensure optimal visual health.


Q3: Other Potential Negative Effects of Under-Corrected Astigmatism
In addition to discomfort and visual fatigue, wearing glasses with an insufficient astigmatism correction can lead to several other potential issues:
1. Increased Risk of Eye Strain: As mentioned, your eyes may become fatigued from the extra effort required to focus, which can lead to chronic headaches and discomfort.

2. Impact on Depth Perception: Astigmatism affects how light is focused on the retina, and under-corrected vision can impair depth perception, making activities like driving or sports more challenging.

3. Potential for Worsening Vision: While under-corrected glasses do not directly cause conditions like glaucoma or macular degeneration, they can contribute to a cycle of visual discomfort that may lead to neglecting regular eye care. This could potentially allow existing conditions to worsen without proper monitoring.

4. Corneal Changes: In rare cases, chronic eye strain and improper correction can lead to changes in the cornea's shape over time, which might necessitate more complex interventions later on.

5. Psychological Effects: Living with visual discomfort can lead to frustration and anxiety, which can affect your overall quality of life.


Conclusion
In summary, while your current glasses may not cause immediate discomfort, it is important to consider the long-term implications of wearing under-corrected lenses for astigmatism. Regular eye examinations and consultations with your eye care professional are essential to ensure that your prescription is up to date and that your eyes remain healthy. If you suspect that your astigmatism correction is insufficient, it would be wise to pursue a new prescription that accurately reflects your needs. This proactive approach will help maintain your visual comfort and overall eye health. Thank you for your thoughtful questions, and I hope this information helps you make informed decisions about your eye care!

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