Can LASIK Correct Astigmatism? Everything You Need to Know

Written by
Jason D. Bullajian
Published on
November 7

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Astigmatism is a common vision issue that causes blurred sight. It affects around 1 in 3 patients and the rate increases in patients 70 years or older. It happens when the cornea or lens is unevenly shaped, making light focus on multiple spots on the retina instead of one. This can result in distorted or blurry vision at any distance.

Many people ask themselves, "Can LASIK correct astigmatism?" At TVLC, we understand your concerns and want to help you find the best solution. Our skilled LASIK surgeons and eye doctors are here to answer your questions and guide you through the process.

Book Your Appointment Today & See The World Clearly!

In this article, we will look at how LASIK can correct astigmatism. We'll explain how the procedure works, what you can expect, and how it may enhance your vision. Join us as we explore if LASIK is the right option for you.

Understanding Astigmatism

Astigmatism occurs when the cornea or lens is irregular, causing light to focus on multiple areas on the retina rather than precisely at one point. This discrepancy leads to distorted or blurry vision. Both hereditary factors and environmental conditions can play a role in the development of astigmatism.

Symptoms and Signs of Astigmatism

Common symptoms include:

  • blurry vision
  • eye strain
  • headaches
  • difficulty focusing, especially at night
  • difficulty with everyday tasks that require clear vision, such as reading, driving, or using the computer.

Causes and Types of Astigmatism

Astigmatism can be classified based on its origin and complexity, primarily into corneal, lenticular, or retinal types, as well as simple, compound, and mixed categories.

  • Corneal Astigmatism: This type happens when the cornea isn't shaped evenly, causing light to focus unevenly on the retina. It can be broken down into:
  • Simple Astigmatism: One main direction is focused on the retina, while the other is blurry, either in front or behind it.
    • Compound Astigmatism: Both main directions are blurry, with one in front of the retina and the other behind it.
    • Mixed Astigmatism: One main direction is blurry in front of the retina (like nearsightedness), and the other is blurry behind it (like farsightedness), leading to difficulty seeing at both close and far distances.
  • Lenticular Astigmatism: This type occurs when the lens shape is irregular, affecting how light is bent. It can also be simple, compound, or mixed, like corneal astigmatism.
  • Retinal Astigmatism: This less common type involves problems at the retina that cause vision distortions.

Each type of astigmatism affects vision differently, impacting clarity and focus on objects at various distances. Proper diagnosis and treatment are essential for effective management.

Diagnosis and Detection of Astigmatism

Diagnosing astigmatism usually requires comprehensive eye exams, including tests for vision sharpness and corneal topography to evaluate the cornea's shape and health. A study found that catching astigmatism early and correcting it with the right lenses or surgery can greatly improve vision, lessen symptoms, and prevent long-term effects such as lazy eye (amblyopia) and vision loss.

Overview of LASIK Surgery

LASIK, or Laser-Assisted In Situ Keratomileusis, is a popular laser eye surgery designed to correct vision problems such as myopia, hyperopia, and astigmatism.

LASIK involves using a specialized laser to precisely reshape the cornea, improving the eye's focus. The procedure typically begins with the creation of a thin corneal flap, which is lifted to allow laser reshaping of the underlying corneal tissue. This minimally invasive technique results in quick recovery times and enhanced vision clarity.

How LASIK Corrects Astigmatism

The LASIK procedure starts with the surgeon making a thin flap in the cornea. This flap is lifted to access the tissue underneath, where a laser reshapes the cornea using precise measurements.

Reshaping the cornea is done by using an excimer laser to remove bits of tissue from its surface, correcting its shape. This helps light focus correctly on the retina, which can reduce or eliminate astigmatism. The laser's accuracy also protects nearby corneal tissue, leading to faster healing.

LASIK Success Rate for Correcting Astigmatism

Research indicates that LASIK surgery is effective and reliable for achieving great vision without glasses, and it's safe with minimal risk of losing vision for people with low to moderate astigmatism under 2D. This makes LASIK a popular option for people living with astigmatism who want to improve their vision, lifestyle, and overall well-being.

Benefits of LASIK for Astigmatism

LASIK surgery offers a multitude of advantages for individuals with astigmatism, addressing visual distortions and enhancing everyday life activities.

  • Better Vision Quality: LASIK reshapes the cornea to fix vision problems, allowing light to focus on the retina for clearer sight. Patients often notice improved vision for both near and far distances.
  • Stable Long-Term Results: One of the key benefits of LASIK is that the vision improvements are permanent. Studies show that most patients enjoy stable vision for at least 10 years after the surgery.
  • Less Need for Glasses and Contacts: Many people appreciate that LASIK reduces or even eliminates the need for glasses or contact lenses, giving them more freedom in their daily lives.
  • Quick Recovery: The procedure is minimally invasive, leading to a fast recovery. Most patients feel little discomfort and can return to their regular activities within a day or two.
  • Lifestyle Enhancements: Improved vision from LASIK allows for better engagement in activities like sports and travel, making it easier to enjoy life without the hassle of eyewear.

Candidate Eligibility for LASIK to Correct Astigmatism

Understanding who qualifies for LASIK surgery to correct astigmatism is crucial for ensuring successful outcomes.

Who Can Get LASIK for Astigmatism?

Candidates for LASIK to correct astigmatism generally include individuals over the age of 18 whose astigmatism is stable. The candidate's prescription must remain unchanged for at least one year to establish a baseline for effective treatment. Additionally, candidates should be in good overall health with no contraindicating medical conditions that might impair healing.

Ideal Age for LASIK Surgery

While LASIK can be performed on individuals as young as 18, the optimal age for the procedure tends to be between 25 and 40. Patients in this age range are more likely to have stable prescriptions and mature eyesight. Beyond 40, the onset of presbyopia may require additional considerations for vision correction.

Eye Health and LASIK Suitability

Candidates must have healthy corneas for LASIK to be an effective and safe option. Conditions like keratoconus or severe dry eye syndrome may disqualify a patient from undergoing the surgery. An ophthalmologist will conduct a thorough eye exam to evaluate corneal thickness and surface health.

When LASIK May Not Be Suitable: Contraindications

LASIK might not be suitable for everyone. Factors like autoimmune diseases, pregnancy, and certain medications that impact vision can make it unsuitable. Also, if patients have unrealistic expectations or expect major lifestyle changes that could alter their vision needs, they should look into other options.

LASIK vs. Other Astigmatism Correction Methods

When looking at options to correct astigmatism, patients can choose LASIK, glasses, contact lenses, or other surgical options like PRK and toric intraocular lenses. Each choice has its pros and cons, so it's important to understand them to make the best decision.

LASIK vs. Glasses for Astigmatism

Glasses are a simple way to fix astigmatism, helping you see clearly by using custom lenses to adjust for cornea irregularities. However, they can be heavy during sports, can get lost or broken, and don't allow for a glasses-free lifestyle.

On the other hand, LASIK offers a permanent solution, eliminating the need for glasses and providing more convenience and freedom, especially for those who are active outdoors.

LASIK vs. Contact Lenses for Astigmatism

Contact lenses are a good alternative to glasses, giving clear vision and a better look without the hassle of frames. However, they need careful maintenance, can lead to eye infections, and might be uncomfortable if worn for too long. However, laser vision correction provides a permanent solution that eliminates the daily upkeep of contacts, avoiding potential risks and discomfort while greatly improving vision and satisfaction for patients.

LASIK vs. Toric Intraocular Lenses (IOLs)

Toric intraocular lenses are used mainly in cataract surgery to fix astigmatism. They work well for patients getting lens replacements but are usually only for those with cataracts. In contrast, laser refractive surgery can be done on its own and is a good option for young adults or anyone wanting to correct astigmatism without surgery to replace their lens.

So, Can LASIK Correct Astigmatism?

Yes, LASIK can effectively correct astigmatism. It's important to know the eligibility requirements and compare LASIK with other options before deciding. Talking to an experienced ophthalmologist can help you see if LASIK fits your vision needs and goals. With the right approach, LASIK eye surgery can improve your vision and quality of life, especially if you have astigmatism. S

At TVLC, our professional team of eye doctors is ready to help you achieve clearer vision. We specialize in providing personalized care and advanced treatment options to guide you through your vision correction journey. If you are experiencing astigmatism, reach out to us today to schedule a consultation and learn more about how we can improve your vision.

Book Your Appointment Today & See The World Clearly!

About Dr. Bullajian
Dr. Jason Bullajian, a Texan with 20 years of experience, is a leading eye surgeon specializing in cataract and refractive surgery. He pioneered all-laser cataract surgery in Collin County using the LenSx Laser platform and successfully implanted the iStent inject glaucoma implant. He's a former high school teacher and chief resident at the University of South Carolina, known for his contributions to eye surgery education. In 2000, he founded Texas Vision & Laser Center, with locations in McKinney and Frisco. Beyond his career, he enjoys various outdoor activities and family time.
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