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What does this report says Make it simple to understand me Don't use your common sense Only interpret true and research based studies
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astigmatism AND refractive error
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American Academy Ophthalmology astigmatism eyeglass prescription cylinder axis patient information
This is mainly an eye-glasses prescription / eye check report.
What the doctor wrote
- Complaints: headache and blurred vision.
- Anterior segment clear: the front part of both eyes looked clear on examination. This is a reassuring examination note, but it does not assess every part of the eye.
- Glasses prescription appears to be:
| Eye | SPH | CYL | Axis |
|---|---|---|---|
| Right eye (OD) | 0.00 / no sphere | -1.75 | 100° |
| Left eye (OS) | 0.00 / no sphere | -1.75 | 90° |
| Pupillary distance | 61 mm |
Simple meaning
You have astigmatism in both eyes. Astigmatism means the eye surface has different curves in different directions, which can make vision blurry or strained. The CYL number shows the amount of astigmatism, and Axis shows its direction. This matches the explanation from the American Academy of Ophthalmology.
- There is no meaningful near-sighted or far-sighted spherical power written in the final glasses table.
- The intended correction is mainly for astigmatism.
- The report does not state cataract, glaucoma, infection, retinal disease, or any emergency condition.
Important difference on the paper
The small machine printout measures:
- Right: 0.00 / -2.25 × 98
- Left: -0.25 / -2.25 × 88
The handwritten glasses prescription appears lower at -1.75 cylinder for each eye. These can differ because the machine gives an automatic measurement, while the clinician may adjust the final prescription after testing vision and comfort. The handwritten prescription is usually the one used to make glasses, but confirm the exact numbers with the clinic or optician before ordering because the handwriting is partly unclear.
What this report cannot prove
It records headache and blurred vision, but it does not prove that astigmatism is the cause of the headache. It also does not include vision-test results, eye pressure, dilation/fundus examination, or a confirmed diagnosis for the headaches.
A current systematic review found that astigmatism is a real refractive characteristic with genetic and corneal-curvature contributions, but it does not mean every headache is caused by astigmatism: systematic review, PMID 39216595.
If blurred vision suddenly worsens, there is eye pain, flashes, many new floaters, or a curtain-like shadow, seek urgent eye care.
What's the solution for this astigmatism
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American Academy Ophthalmology astigmatism treatment eyeglasses contact lenses LASIK
For the astigmatism shown on your prescription, the usual solution is properly prescribed glasses.
Best first option for you
Get glasses made using the clinician’s final handwritten prescription, which appears to be:
- Right eye: CYL -1.75, Axis 100°
- Left eye: CYL -1.75, Axis 90°
- PD: 61 mm
These lenses are made to correct astigmatism and should make distance vision clearer. Wear them as advised by your eye doctor, particularly for driving, watching screens, studying, or whenever vision feels blurred.
Other evidence-based options
-
Toric contact lenses
Soft toric contacts can correct astigmatism. Rigid gas-permeable lenses can sometimes give sharper correction, especially when the cornea is irregular. Contacts need an eye-care professional’s fitting and hygiene advice. The American Academy of Ophthalmology contact-lens guidance confirms that toric lenses are designed for astigmatism. -
Laser refractive surgery, such as LASIK or PRK
This can reduce dependence on glasses or contacts by reshaping the cornea. It is not the first necessary step. It requires a detailed eye examination, stable prescription, and corneal testing to determine whether you are suitable. LASIK is used for astigmatism, but suitability varies; see the AAO’s LASIK information.
What does not correct it
- Eye drops, vitamins, or eye exercises have not been shown to remove ordinary astigmatism.
- Do not buy ready-made glasses. Astigmatism needs the correct cylinder and axis, not only lens strength.
Practical next steps
- Take this prescription to a reliable optician.
- Ask them to confirm the handwritten values with the eye clinic before making the lenses, because the handwritten cylinder differs from the automatic machine reading.
- Use the glasses for about 1 to 2 weeks. Mild adjustment discomfort can occur initially.
- Return to the eye doctor if vision stays blurred with glasses, headaches persist, or you develop eye pain, sudden loss of vision, flashes, or many new floaters.
Astigmatism is commonly a refractive focusing issue. Glasses and contact lenses correct the blurred vision, while laser surgery may reduce the need for them.
Reasons of this condition
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American Academy of Ophthalmology astigmatism causes cornea lens genetics
Astigmatism happens when the front surface of the eye, called the cornea, or less commonly the lens inside the eye, is curved unevenly. Instead of being evenly round, it has different curves in different directions. Light then does not focus at one sharp point on the retina, causing blur or shadowing.
Most likely reason in your case
Your report shows a similar amount in both eyes. This pattern is commonly a normal anatomical variation and often has a genetic or family tendency. It is not necessarily an eye disease. The medical textbook states that ordinary, regular astigmatism is usually a variation in eye anatomy rather than a pathological condition.
Goldman-Cecil Medicine International Edition, “Astigmatism”
Goldman-Cecil Medicine International Edition, “Astigmatism”
A 2025 systematic review and meta-analysis also found evidence that corneal shape and astigmatism have inherited genetic influences: genetics review, PMID 39216595.
Other proven causes, but not shown by your report
Astigmatism can also occur after:
- An eye injury
- Previous eye surgery
- A corneal scar or corneal disease
- Less commonly, keratoconus, where the cornea becomes thinner and cone-shaped, leading to irregular astigmatism
Your photographed report says the front of the eyes was clear, but it does not include corneal mapping or other tests that could confirm or exclude all of these possibilities.
Things that do not cause astigmatism
Research-based eye guidance says it is a myth that these cause or worsen astigmatism:
- Reading in dim light
- Using a phone or computer
- Sitting close to a television
- Studying a lot
If your glasses power changes quickly, one eye becomes much worse than the other, or vision remains poor even with correct glasses, ask an ophthalmologist about corneal topography to check for irregular astigmatism or keratoconus.
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