What should I do if I experience astigmatism after surgery?

Astigmatism is a common eye condition unfamiliar to few people. It is an ocular disorder frequently co-occurring with myopia. So, what should one do if astigmatism persists or develops after refractive surgery? Below, we address this question.

What to Do If Astigmatism Persists After Surgery

If astigmatism occurs following surgery, the most common initial management is prescription of appropriate spectacles. Many ocular surgeries—particularly corneal procedures—can result in corneal irregularities, leading to postoperative astigmatism. Without correction, this may significantly impair visual acuity and adversely affect overall visual function.

For regular astigmatism, properly prescribed spectacles are usually effective. For irregular astigmatism, custom-fitted contact lenses—especially rigid gas-permeable (RGP) or specialty soft lenses—are often recommended. In adulthood, refractive surgery may also be considered for correction, yielding favorable outcomes. However, prior to any such intervention, a comprehensive ophthalmologic evaluation is essential to assess the specific ocular condition and determine whether the patient meets all surgical eligibility criteria and falls within the safety parameters. Refractive surgery technology has advanced rapidly, with current standards including all-laser small-incision lenticule extraction (SMILE). If medically indicated and deemed safe, SMILE or other suitable refractive procedures may be performed. Importantly, maintain good ocular hygiene and avoid prolonged near-vision tasks.

The above outlines key considerations for managing postoperative astigmatism. We hope this information proves helpful.