1/ Differentiating Myopia and Astigmatism Based on Optical Mechanism
| Factor | Myopia (Nearsightedness) | Astigmatism |
|---|---|---|
| Eyeball Structure | The eyeball is longer than normal, causing light to focus in front of the retina | Cornea is unevenly curved, causing light to focus at multiple points |
| Light Refraction Error | Light is focused too early, off-axis | Light is scattered across multiple axes, unable to converge at one point |
| Type of Optical Aberration | Single-axis defocus | Multiple-axis defocus |
| Visual Symptoms | Blurred distance vision, frequent squinting | Distorted, blurry, doubled images and light halos |
2/ Common Clinical Symptoms

Astigmatism at night – light scattering into halos and streaks, significantly reducing night vision
.
Myopia:
- Blurred vision when looking far away
- Difficulty driving at night
- Can read up close clearly without glasses
Astigmatism:
- Blurred or distorted text when reading
- Light sensitivity and glare around light sources
- Eye strain or headaches after reading or screen time
3/ Who’s at Risk?
- Children & students: more prone to myopia due to genetics and near-vision activities
- Adults: astigmatism may develop with age or after eye trauma/surgery
- People with thin corneas: require thorough screening before surgery
4/ Globally Recommended Treatment Options

Child wearing glasses – a common early sign of refractive errors like myopia or astigmatism, requiring regular eye exams.
1. Corrective Lenses:
- Eyeglasses: easy to use, but limited for sports or active lifestyles
- Contact lenses: better aesthetics and field of view, but may cause dry eyes or infections if not properly cared for
2. Refractive Surgery:
| Method | Recommended for | Key Features |
|---|---|---|
| LASIK | Thick corneas, mild-to-moderate myopia or astigmatism | Creates a corneal flap, reshapes corneal surface, fast recovery |
| PRK | Thin corneas, athletes | No flap, longer recovery time |
| Phakic ICL | High myopia, thin corneas, prefer no corneal cutting | Implantable Collamer lens behind the iris, removable, does not cause dry eyes |
| EVO TICL | Myopia with astigmatism from 1.0 – 4.0 D | Corrects both conditions in one procedure |
| ReLEx SMILE | Stable corneas, moderate myopia/astigmatism | Minimally invasive, fast healing, less dry eye symptoms |
5/ Why It’s Critical Not to Confuse Myopia and Astigmatism
- Misdiagnosis leads to incorrect lenses or axis alignment, worsening vision
- Wrong surgery choice may cause night glare or unresolved symptoms
- Always consult an eye specialist with comprehensive diagnostics
6/ Expert Advice from TD Eye
- Avoid buying off-the-shelf glasses or using outdated prescriptions
- Undergo detailed refraction and corneal analysis before surgery
- Phakic ICL or EVO TICL are ideal for patients with thin corneas, dry eyes, or high myopia/astigmatism
- FDA-approved, non-corneal-disruptive, and significantly improves night vision







