Difference between revisions of Astigmatism

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As with myopia, astigmatism should be tackled in small steps when selecting lenses for [[differential]] or [[normalized]] glasses. If only a small amount of cylinder correction is present, say 0.25 [[diopters]], the cylinder correction can be dropped, with no other changes. Otherwise, cylinder should be reduced in small increments. If sphere is being reduced, cylinder should not be changed at the same time, and conversely, if cylinder is being reduced then sphere should not be changed. The only time that both sphere and cylinder should be changed, is when converting to the spherical equivalent.
As with myopia, astigmatism should be tackled in small steps when selecting lenses for [[differential]] or [[normalized]] glasses. If only a small amount of cylinder correction is present, say 0.25 [[diopters]], the cylinder correction can be dropped, with no other changes. Otherwise, cylinder should be reduced in small increments. If sphere is being reduced, cylinder should not be changed at the same time, and conversely, if cylinder is being reduced then sphere should not be changed. The only time that both sphere and cylinder should be changed, is when converting to the spherical equivalent.


The link between astigmatism strength and visual acuity is weak.  How your eyes and [[visual cortex]] respond to astigmatism is a greater factor in visual acuity than the number of dipoters.<ref>{{Cite journal |last=Remón |first=Laura |last2=Tornel |first2=Marta |last3=Furlan |first3=Walter D. |date=2006-05 |title=Visual Acuity in Simple Myopic Astigmatism: Influence of Cylinder Axis |url=https://journals.lww.com/optvissci/Abstract/2006/05000/Visual_Acuity_in_Simple_Myopic_Astigmatism_.11.aspx |journal=Optometry and Vision Science |language=en-US |volume=83 |issue=5 |pages=311–315 |doi=10.1097/01.opx.0000216099.29968.36 |issn=1538-9235}}</ref>  If the standard advice for correcting astigmatism does not work for you, you may need a more gradual reduction.
The link between astigmatism strength and visual acuity is weak.  How your eyes and [[visual cortex]] respond to astigmatism is a greater factor in visual acuity than the number of dipoters.<ref>{{Cite journal |last=Remón |first=Laura |last2=Tornel |first2=Marta |last3=Furlan |first3=Walter D. |date=2006-05 |title=Visual Acuity in Simple Myopic Astigmatism: Influence of Cylinder Axis |url=https://journals.lww.com/optvissci/Abstract/2006/05000/Visual_Acuity_in_Simple_Myopic_Astigmatism_.11.aspx |journal=Optometry and Vision Science |language=en-US |volume=83 |issue=5 |pages=311–315 |doi=10.1097/01.opx.0000216099.29968.36 |issn=1538-9235}}</ref>  If the standard advice for correcting astigmatism does not work for you, you may need a more gradual reduction.
 
The average person with medium-to-high myopia should wait until having reduced norms/diffs twice each before reducing cylinder for the first time.  Then wait a minimum of 8 weeks before introducing the next spherical reduction, and wait 6 months before introducing the next cylinder reduction.


Regardless of how the myope reduces their lenses, the goal of each reduction is to have a small amount of "useful blur", to be cleared up with [[active focus]] and good habits.
Regardless of how the myope reduces their lenses, the goal of each reduction is to have a small amount of "useful blur", to be cleared up with [[active focus]] and good habits.