Can astigmatism in myopia be reversed?

Jun 29, 2022 Source: Cainiu Health
Dr. Chen You
Introduction
If the eyes simultaneously have myopia and astigmatism, it is impossible to restore them to a state without myopia or astigmatism. What is essential is to slow the progression of both myopia and astigmatism, prevent high myopia and high astigmatism, and avoid severe declines in visual acuity and visual function. Therefore, it is crucial to seek medical attention at a hospital as soon as possible—where appropriate prescription eyeglasses or orthokeratology (ortho-k) lenses can often be prescribed.

Regularly reading or watching TV while lying down places uneven stress on the eye’s suspensory ligaments, leading to inconsistent lens curvature and potentially causing myopia and astigmatism. If the eye’s accommodative tissues are underdeveloped, uneven lens indentation may result in hyperopic astigmatism. Whether myopic or hyperopic astigmatism is present, both are associated with reduced visual acuity. So, can myopic astigmatism be reversed?

Can Myopic Astigmatism Be Reversed?

If an individual has both myopia and astigmatism simultaneously, it is not possible to fully restore vision to a state free of either condition. Instead, the goal is to slow the progression of both myopia and astigmatism, prevent high myopia and high astigmatism, and avoid severe declines in visual acuity and overall visual function. Therefore, prompt medical evaluation at a hospital is essential. In many cases, appropriately prescribed eyeglasses or orthokeratology (ortho-k) contact lenses can be effective; refractive surgery is another option—but only for patients who meet strict surgical eligibility criteria.

In daily life, patients must prioritize ocular health. Avoid prolonged near-vision tasks—such as extended smartphone use or gaming—and refrain from staying up late. These habits impose significant strain on the eyes and often lead to rapid worsening of both myopia and astigmatism. Nutritionally, patients should avoid picky or unbalanced eating habits, ensure comprehensive nutrient intake, and maintain adequate, high-quality sleep—all of which are critically important.

Patients are advised to avoid overusing their eyes, eliminate late-night activities, and incorporate regular rest periods into their routine. We hope this information proves helpful.