How is astigmatism in children treated?
Jun 29, 2022
Source: Cainiu Health
Dr. Chen You
Introduction
Treatment of astigmatism in children generally depends on its underlying cause. For patients with regular astigmatism and myopia, corrective eyeglasses are typically prescribed. Irregular astigmatism is difficult to correct with standard lenses; however, it can often be managed effectively with contact lenses. For patients aged 3 to 18 years with myopic astigmatism, corneal refractive surgery may be considered after thorough evaluation and confirmation of surgical eligibility.
Myopia is a common eye condition among children. If detected early, appropriate interventions can help restore normal vision. However, if parents are unaware of this condition, they may fail to seek timely and active medical treatment—even when their child exhibits obvious symptoms—potentially causing significant long-term harm to the child’s visual development. So, how is astigmatism treated in children?
How Is Astigmatism Treated in Children?
Treatment for childhood astigmatism varies depending on its underlying cause. For regular astigmatism associated with myopia, corrective eyeglasses are typically recommended. Irregular astigmatism, however, is difficult to correct with standard lenses and is often managed effectively with rigid gas-permeable or specialty soft contact lenses. Children aged three years and older, up to age 18, who meet specific eligibility criteria after thorough ophthalmic evaluation, may be candidates for corneal refractive surgery—including excimer laser (e.g., LASIK or PRK) and femtosecond laser procedures. In cases of high myopic astigmatism where corneal refractive surgery is unsuitable, implantable collamer lens (ICL) surgery—a type of phakic intraocular lens implantation—may be considered.
Developing and maintaining healthy visual habits is the most effective way to prevent or minimize astigmatism progression. First, proper posture is essential. While studying, children should sit upright in an ergonomically appropriate and comfortable position, with the center of the book or screen aligned horizontally with the midpoint of the chest. The distance between the eyes and the screen or book should be maintained at approximately 40 cm, and an adjustable-height chair is strongly recommended. During prolonged visual tasks, frequent blinking and periodic eye closure for brief rest intervals are encouraged.
Finally, ocular hygiene—especially for children—must be emphasized and actively promoted to foster lifelong healthy habits. We hope this information proves helpful.
