
If you’ve ever been told you have astigmatism;
The term might bring to mind words like “stigma” or “stigmata,” suggesting something unusual or marked. But in reality, astigmatism is very common and simply refers to a type of glasses prescription caused by the shape of the eye’s front surface being more like a rugby ball than a football.
What Is Astigmatism?
Astigmatism is a refractive error, meaning it affects how light enters and focuses in the eye. In an eye without astigmatism, the cornea (the clear front part of the eye) is round, allowing light to focus evenly onto the retina, producing a clear image. In an eye with astigmatism, the cornea is more curved in one direction than the other; similar to a rugby ball. This shape causes light to focus unevenly on the retina, resulting in blurry or distorted vision at various distances.

What Causes Astigmatism?
Astigmatism can be present from birth or develop over time. The exact cause isn’t fully understood, but genetics often play a role, so if you have astigmatism, there’s a chance your children might as well. Other factors can also influence astigmatism, such as eye injuries, surgeries, or conditions that change the cornea’s shape.
Most people with astigmatism also have other refractive errors, like myopia (shortsightedness) or hyperopia (farsightedness). Astigmatism is common enough that many people don’t realize they have it until they have an eye test, as mild cases can go unnoticed or be mistaken for general blurriness.
How Is Astigmatism Corrected?
Astigmatism is easily corrected with glasses or contact lenses designed to compensate for the unique curvature of the eye. In recent years, special contact lenses known as toric lenses have become more widely available, offering improved comfort and clearer vision for those with astigmatism. In some cases, laser eye surgery may also be an option to reshape the cornea and correct vision.

Why Changes in Astigmatism Matter
While astigmatism itself is common, treatable, and not serious, a change in astigmatism can sometimes indicate underlying eye conditions. For example:
Cataracts: As the lens inside the eye becomes clouded, it can change the eye’s refractive power, sometimes altering the level of astigmatism.
Keratoconus: This condition causes the cornea to thin and bulge outward, leading to progressive and often irregular astigmatism, which can make regular glasses or contacts less effective.
Regular eye exams are essential for monitoring prescription changes and overall eye health. If you notice a sudden change in vision or discomfort with your usual prescription, it’s wise to get it checked, as this could be an early sign of changes in eye health.

The Takeaway
So, while “a stigma,” “stigmata,” and “a rugby ball” may all come to mind when patients recall their eye condition, the truth is that astigmatism is simply a common, correctable condition caused by the eye not being perfectly round. With a range of correction options and regular monitoring, there’s no need for concern. Stay on top of routine eye exams to keep your vision clear and comfortable, and remember that changes in astigmatism can sometimes signal other changes in eye health worth noting.

