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The Eye Clinic
Eye Conditions

Astigmatism

Astigmatism is one of the most common reasons vision is a little blurry — an entirely normal variation in the shape of the eye. Most people have at least some, it's easily corrected, and it doesn't mean there's anything wrong with your eyes.

What it is

In an eye with astigmatism, the cornea (the clear front window of the eye) or the lens inside is shaped a little more like a rugby ball than a perfectly round one. Light then focuses at more than one point, so vision can look slightly blurred or stretched at both near and far distances.

It very often sits alongside short-sightedness or long-sightedness, and most people have a small amount. It usually stays fairly stable, though it can shift slowly over the years.

What you might notice

  • Blurred or slightly stretched vision at all distances
  • Eye strain or tiredness after focusing
  • Headaches after close work
  • Squinting to see clearly
  • Streaks or glare around lights at night

Recognise these? Book a consultation and we'll help you get to the bottom of it.

What causes it

It's almost always simply the natural shape of your cornea or lens — usually something you're born with.

Occasionally it can change after an eye injury, surgery, or with certain corneal conditions.

How we help

For everyday vision, astigmatism is easily corrected with glasses or contact lenses, usually through your optometrist — most people never need anything more.

Where it matters to us is during eye surgery: if you're having cataract surgery, a toric (astigmatism-correcting) lens can address both the cataract and the astigmatism at once, reducing how much you rely on glasses afterwards. Dr Leong can talk through whether that's an option for you.

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Common questions

Is astigmatism a disease?
No — it's simply a very common variation in the shape of the eye, not an illness. Most people have at least a small amount, and having it doesn't mean anything is wrong with your eyes.
Can astigmatism be corrected?
Yes, easily — usually with glasses or contact lenses through your optometrist. If you're also having cataract surgery, a toric lens can correct the astigmatism at the same time.
Does astigmatism get worse over time?
It's usually fairly stable, though it can shift slowly over the years, which is why the occasional prescription update helps. A sudden change is worth having checked.
Can astigmatism be fixed during cataract surgery?
Often, yes. A toric intraocular lens is designed to correct astigmatism as part of cataract surgery, so you get clearer vision with less reliance on glasses. Dr Leong will advise whether it suits your eyes.

This page is general information, not medical advice, and doesn't replace a consultation. For anything specific to your own eyes, call us for advice or to book an appointment with Dr Leong on 04 470 7663.

Ready to see clearly?

Book a consultation with Dr Leong, or call the clinic to talk it through. We're here to help you see your very best.