Blog Hero

Astigmatism vs Myopia: What’s The Difference?

Book Appointment
A woman undergoes an eye exam.

When it comes to eye health, terms like astigmatism and myopia might sound similar but refer to entirely different vision problems. Astigmatism causes blurry vision at all distances due to an irregular cornea or lens, while myopia (nearsightedness) makes distant objects blurry because the eyeball is too long or the cornea too curved.

Understanding the differences can guide you toward better vision care and help you make informed decisions about your eye health. Advanced Eye Care Center is here to help. 

What Is Astigmatism?

Astigmatism is a refractive error caused by an irregularly shaped cornea (the clear, dome-shaped surface of the eye) or, in some cases, the lens inside the eye. Instead of a perfectly round shape, a cornea or lens with astigmatism resembles more of a football. This irregularity prevents light from focusing evenly on the retina, leading to blurry or distorted vision.

Causes of Astigmatism

Astigmatism is often hereditary, meaning many people are born with it. However, it can also occur after an eye injury, surgery, or certain diseases that affect the corneal shape, such as keratoconus. Contrary to popular belief, factors like reading in poor light or sitting too close to the TV do not cause astigmatism.

Symptoms of Astigmatism

People with astigmatism may experience:

  • Blurry or distorted vision at all distances
  • Eye strain or discomfort
  • Headaches, especially after reading or focusing on a screen for a long time
  • Difficulty seeing fine details

Often, these symptoms are mild, and many people don’t realize they have astigmatism until they get an eye exam.

Treatment Options for Astigmatism

Thankfully, astigmatism can be easily corrected. Treatment options include:

  • Corrective lenses (glasses or contact lenses): Glasses with special cylindrical lenses can compensate for the uneven curvature of the cornea or lens. Similarly, toric contact lenses are designed to correct astigmatism.
  • Orthokeratology (ortho-k): This involves wearing special rigid contact lenses overnight to reshape the cornea temporarily.
  • Laser surgery: Procedures like LASIK or PRK can reshape the cornea permanently, offering clearer vision.

What Is Myopia?

Myopia, commonly known as nearsightedness, is another type of refractive error. It occurs when the eyeball is too long or the cornea is too curved. This causes light to focus in front of the retina instead of directly on it, making distant objects appear blurry while close objects remain clear.

Causes of Myopia

The exact cause of myopia isn’t fully understood, but genetics and environmental factors both play a role. If one or both parents are nearsighted, there’s a higher chance their children will develop myopia. Factors like long hours of close-up work (e.g., reading or using digital devices) and insufficient time spent outdoors have also been linked to the condition.

Symptoms of Myopia

Some common signs of myopia include:

  • Blurry vision when looking at distant objects (like road signs or leaves on trees)
  • Difficulty seeing clearly in school or work settings
  • Squinting to see better
  • Eye strain or headaches
  • Children may sit too close to the TV or complain of trouble seeing the board in class

Treatment Options for Myopia

Corrective options for myopia include:

  • Prescriptive glasses or contact lenses: These redirect light to focus directly on the retina.
  • Myopia management programs: Treatments like orthokeratology, specialized contact lenses, and atropine eye drops are used to slow the progression of myopia, particularly in children.
  • Laser surgery: Like with astigmatism, LASIK and similar surgical procedures can correct myopia.

How Astigmatism & Myopia Differ

While both astigmatism and myopia are refractive errors that result in blurry vision, they differ in how they affect your sight:

  • Nature of vision problems: Myopia specifically causes distant objects to appear blurry, while close-up vision remains clear. Astigmatism, on the other hand, can blur vision at all distances.
  • Cause: Myopia occurs due to the eyeball’s shape being too long or the cornea’s curve being too steep. Astigmatism is caused by an irregular curvature of the cornea or lens.
  • Correction: Though glasses, contact lenses, and laser surgery can correct both conditions, the specific type of lenses or surgical approach will differ. For example, toric lenses are necessary for correcting astigmatism, while standard lenses suffice for myopia.

Are Astigmatism & Myopia Related?

Interestingly, it’s not uncommon for people to have both myopia and astigmatism simultaneously. This is because myopia affects how light focuses in terms of distances, while astigmatism adds distortion due to the irregular curvature of the eye. Anyone with symptoms of vision problems should schedule a comprehensive eye exam to assess their unique situation.

A young boy undergoes an eye exam.

Common Misconceptions

There are several myths surrounding astigmatism and myopia. For instance:

  • “Astigmatism always gets worse over time.” Not necessarily. Astigmatism can remain stable for many years, though changes in eye health due to aging or disease might alter it.
  • “Myopia means you’ll eventually go blind.” While severe or progressive myopia can increase the risk of certain eye conditions (like retinal detachment or glaucoma), routine eye care can help manage these risks effectively.

Practical Tips for Healthy Vision

While corrective options are essential, you can take steps to support good eye health:

  • Spend more time outdoors, especially for kids, as it may help slow myopia progression.
  • Take frequent breaks from screens to reduce eye strain.
  • Schedule regular eye exams to keep prescriptions up-to-date and monitor any changes in your vision.

Clearer Vision for a Better Life

Both astigmatism and myopia are manageable with the right care. By understanding the unique nature of these conditions, you empower yourself to seek solutions that work best for your lifestyle and vision needs. 

Remember, seeking professional help is the first step toward better eye health. If you’re noticing symptoms or simply want a thorough eye checkup, consider booking an appointment at Advance Eye Care Center. Our expertise in myopia management, dry eye care, and advanced diagnostic techniques can help you achieve sharper, healthier vision.

Dr. Myles Bokinac smiling in his optometry office.

Written by Dr. Myles Bokinac

After graduating with honours from the University of Waterloo School of Optometry, Dr. Bokinac was excited to return to his home province of Saskatchewan. Dr. Bokinac brings a wealth of experience to the practice as a recipient of the College of Optometrists in Vision Development’s Award for Excellence in Vision Therapy, as well as the Ocular Sciences’ Contact Lens Award for Excellence in Contact Lens Care.

Dr. Bokinac participates in volunteer eye care missions to Mexico, and is active in the Saskatchewan Association of Optometrists as an assessor of the Jurisprudence Exam and as an appraiser for the Standards of Practice Committee. When he’s not at work, you can find Dr. Bokinac spending time with his wife and 2 children, or volunteering with the Grand Coulee Volunteer Fire Department.

More Articles By Dr. Myles Bokinac
instagram facebook facebook2 pinterest twitter google-plus google linkedin2 yelp youtube phone location calendar share2 link star-full star star-half chevron-right chevron-left chevron-down chevron-up envelope fax