Does Squinting in Adulthood Lead to High Astigmatism? - Ophthalmology

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Habitual squinting?


If an adult frequently squints while looking at things, will it lead to high astigmatism?

Li, 30~39 year old female. Ask Date: 2015/01/16

Dr. Gao Pilin reply Ophthalmology


Dear Li: Squinting can affect astigmatism because the eyelids exert pressure on the cornea.
Each individual's corneal elasticity varies, leading to different degrees of astigmatism.
Although resting initially may help restore vision, prolonged squinting can result in irreversible astigmatism.
Therefore, please try to avoid squinting when looking at objects.
The ophthalmology department at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2015/01/16

More Info


Squinting, or the act of narrowing the eyes to see better, is a common behavior that many people exhibit when they are trying to focus on something, especially if they have vision problems. However, the relationship between squinting and the development of high astigmatism is not straightforward.
Astigmatism is a refractive error caused by an irregular shape of the cornea or lens in the eye, which leads to blurred or distorted vision. It can occur in conjunction with other refractive errors like myopia (nearsightedness) or hyperopia (farsightedness). While squinting can temporarily improve focus by reducing the amount of light entering the eye and increasing depth of field, it does not cause or worsen astigmatism directly.

However, frequent squinting may indicate an underlying vision problem that could be related to astigmatism or other refractive errors. For instance, if an individual has uncorrected astigmatism, they may squint to try to compensate for the blurry vision. Over time, this behavior could lead to eye strain or discomfort, but it does not change the physical structure of the eye to create or increase astigmatism.

It's important to note that astigmatism is typically a result of genetic factors and the natural shape of the eye rather than a behavioral response like squinting. If someone finds themselves squinting frequently, it may be a sign that they need to have their vision checked. An eye care professional can perform a comprehensive eye exam to determine if there is a refractive error present, including astigmatism, and recommend appropriate corrective measures, such as glasses or contact lenses.

In summary, while squinting is a common response to vision difficulties, it does not directly lead to the development of high astigmatism. If you or someone you know is experiencing frequent squinting or other vision issues, it is advisable to consult with an eye care professional for a thorough evaluation and appropriate treatment options. Regular eye exams are crucial for maintaining good vision and addressing any potential issues before they become more serious.

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