Should You See an Eye Doctor for Increased Astigmatism? - Ophthalmology

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Increased astigmatism?


On April 22, the refraction showed that the right eye had astigmatism of 3.25 (axis 180) and the left eye had astigmatism of 2.75.
During the follow-up exam, the right eye's astigmatism increased to 4.25 (axis 5) and the left eye's astigmatism was 3.00.
I would like to ask the doctor if it is necessary to see an ophthalmologist for further examination due to the increase of 1.00 diopter in astigmatism in the right eye and the change in axis over the course of a month?

Shiuan, 20~29 year old female. Ask Date: 2024/06/06

Dr. Gao Pilin reply Ophthalmology


Hello: Changes in astigmatism degree and axis can be caused by various factors, including alterations in corneal shape, fluctuations in intraocular pressure, or other underlying eye health issues.
Particularly, if these changes occur in a short period, it is essential to be vigilant.
It is recommended that you visit an ophthalmologist for an examination as soon as possible to rule out any potential problems and ensure your eye health.
An ophthalmologist can determine the cause of the astigmatism changes through a detailed examination and provide you with appropriate treatment or correction recommendations.

Reply Date: 2024/06/06

More Info


When it comes to increased astigmatism, particularly with a significant change in your prescription over a short period, it is indeed advisable to consult an eye doctor for a comprehensive evaluation. Astigmatism occurs when the cornea or lens of the eye is irregularly shaped, leading to blurred or distorted vision. An increase in astigmatism, especially with a change in the axis (angle) of the astigmatism, can indicate underlying issues that may need to be addressed.


Why You Should See an Eye Doctor
1. Changes in Vision: A change in your astigmatism of 100 degrees in just over a month is notable. Such changes can affect your overall vision quality and may indicate that your eyes are undergoing changes that need to be monitored.
2. Underlying Conditions: Increased astigmatism can sometimes be associated with conditions such as keratoconus, where the cornea becomes progressively thinner and more conical in shape. Other potential issues could include corneal scarring or other refractive errors. An eye doctor can perform tests to rule out these conditions.

3. Comprehensive Eye Exam: A comprehensive eye exam will not only assess your current prescription but also evaluate the health of your eyes. This includes checking for any signs of eye diseases, assessing the health of the retina, and ensuring that your cornea is healthy.

4. Updated Prescription: If your astigmatism has indeed increased, you may need an updated prescription for glasses or contact lenses. Wearing the correct prescription is crucial for optimal vision and can help alleviate symptoms such as eye strain, headaches, and fatigue.


What to Expect During Your Visit
When you visit an eye doctor, you can expect a thorough examination that may include:
- Visual Acuity Test: To determine how well you see at various distances.

- Refraction Test: To measure your exact prescription for glasses or contact lenses.

- Keratometry: To measure the curvature of your cornea, which is essential for diagnosing astigmatism.

- Topography: This may be performed to map the surface of your cornea and identify any irregularities.

- Pupil Dilation: This allows the doctor to examine the retina and optic nerve for any potential issues.


Preparing for Your Appointment
To make the most of your appointment, consider the following:
- Document Changes: Keep a record of any changes in your vision, including when they started and how they affect your daily life.

- List Symptoms: Note any symptoms you may be experiencing, such as blurred vision, headaches, or eye strain.

- Bring Previous Prescriptions: Having your previous prescriptions on hand can help the doctor understand your vision history.


Conclusion
In summary, given the increase in your astigmatism and the change in the axis, it is prudent to see an eye doctor for further evaluation. Early detection and treatment of any underlying issues can help maintain your eye health and ensure that you have the best possible vision. Remember, proactive eye care is essential, especially when you notice changes in your vision. Don’t hesitate to reach out to an eye care professional for guidance and support.

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