Astigmatism is a common refractive error that causes blurred or distorted vision because the cornea or lens has different curvatures in different directions, causing light to focus unevenly. The eye does not focus light uniformly onto a single point on the retina; instead, it focuses it at different points, leading to blurred vision.
Timely treatment matters because it provides clear, comfortable vision and can reduce eye strain, headaches, and difficulty seeing at night. In children, early detection matters because significant, untreated astigmatism can interfere with normal visual development and may contribute to amblyopia (lazy eye). Regular eye exams can identify astigmatism early and determine the best vision correction.
Causes
Risk Factors
Refractive surgery: Refractive surgery can treat astigmatism, depending on type and severity. Some of the surgical techniques are
LASIK (Laser-assisted in-situ keratomileusis) : In this procedure, an eye surgeon makes a thin, hinged flap in the cornea, uses an excimer laser to sculpt the cornea's shape, and then repositions the flap.
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LASEK (laser-assisted subepithelial keratectomy): The surgeon loosens the corneal surface (epithelium), which is a thin cover on the cornea. Utilizes an excimer laser to alter the curvature of the cornea and then repositions the loosened epithelium over the cornea.
PRK (Photorefractive keratectomy): This procedure is similar to LASEK, except the surgeon removes the epithelium. The epithelium regenerates to form the new corneal shape. You may need a bandaged contact lens for a few days after surgery.
Epi-LASIK: This is an adapted version of LASEK. The surgeon uses a special mechanised blunt blade to separate a very thin sheet of epithelium. Then, the surgeon reshapes the cornea using an excimer laser and replaces the epithelium.
SMILE (small incision lenticule extraction): This newer type of refractive surgery reshapes the cornea by using a laser to make a lens-shaped bit of tissue (lenticule) below the cornea's surface. The surgeon then extracts the lenticule through a very small incision.
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Pragun Gupta is a Doctor of Pharmacy (Pharm. D.) professional from Teerthanker Mahaveer University with hands-on experience in clinical pharmacology, clinical research, and evidence-based medical writing. Through her clinical and research exposure, she has developed a strong interest in pharmacoeconomics, pharmacology, therapeutics, and pharmacovigilance.
As a medical writer, she works on medical and scientific research articles, patient education materials, and healthcare-focused content. Her clinical research and evidence-based writing experience enables her to translate complex medical information into clear, accurate, patient-friendly content while maintaining scientific credibility and medical accuracy. Her primary aim is to make healthcare information accessible and easy for patients and general readers to understand.
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Last Reviewed - January 2026