If you’ve been told you have astigmatism, you may have wondered, “Can I still wear contact lenses?” The short answer is: Yes, you absolutely can! But like many things in life, it depends on the type and severity of your astigmatism, as well as what kind of contact lenses you’re using.
In this article, we’ll break everything down in simple, easy-to-understand language. Whether you’re new to contact lenses or thinking about switching from glasses, we’ll help you understand your options.
What is Astigmatism?
Let’s start with the basics. Astigmatism is a very common eye condition. In fact, most people have at least a small degree of it. It happens when the cornea (the clear front part of your eye) or the lens inside the eye isn’t perfectly round.
Think of a basketball and a football. A basketball is round in all directions—like a normal eye. But a football is longer in one direction—like an eye with astigmatism.
Because of this uneven shape, light entering the eye doesn’t focus evenly on the retina (the back of the eye). This causes blurry or distorted vision. You might have trouble seeing clearly both near and far. You may also notice headaches, eye strain, or trouble seeing at night.
So, Can You Wear Contacts with Astigmatism?
Yes, you can wear contact lenses if you have astigmatism, but not just any contact lenses. You’ll need lenses that are specifically designed to correct the irregular curve of your cornea or lens. These are called toric contact lenses.
Toric lenses have a special shape that helps them stay in the right position on your eye and correct the blurry vision caused by astigmatism. They’re different from regular spherical lenses, which are used to correct nearsightedness or farsightedness.
What Are the Options for Contact Lenses with Astigmatism?
There are several types of contact lenses available for people with astigmatism:
1. Toric Soft Contact Lenses
These are the most common and comfortable option for most people with mild to moderate astigmatism. Toric lenses are made from soft, flexible materials that conform to the shape of your eye. They come in daily, bi-weekly, and monthly options.
Pros:
- Comfortable
- Easy to get used to
- Available in disposable options
Cons:
- Can rotate out of place and cause blurry vision (though most are designed to minimize this)
2. Gas Permeable (GP) Lenses
These are rigid lenses that keep their shape on your eye, providing sharper vision than soft lenses. They can be great for people with more severe astigmatism.
Pros:
- Excellent vision correction
- Long-lasting
Cons:
- Takes time to adjust
- Not as comfortable at first as soft lenses
3. Hybrid Lenses
These combine the best of both worlds: a gas-permeable center (for clear vision) and a soft outer ring (for comfort). They are especially helpful for people who can’t tolerate GP lenses alone.
Pros:
- Clear vision
- Comfortable fit
Cons:
- More expensive
- May take longer to get fitted
4. Scleral Lenses
These are large gas-permeable lenses that cover the white part of your eye (the sclera). They vault over the cornea, making them great for people with irregular corneas or severe astigmatism.
Pros:
- Excellent for irregular corneas
- Stable fit and clear vision
Cons:
- More complex to fit
- More costly
What About Colored or Daily Contact Lenses?
Yes, you can also get colored toric lenses, though they are less common and may be more expensive. If you prefer the convenience of daily disposable lenses, many brands now offer daily toric lenses for astigmatism too.
Your eye doctor can help you find the perfect pair that fits your lifestyle and your prescription.
How Do I Know Which Lens is Right for Me?
That’s where your eye care professional comes in. They’ll do a special exam to measure your astigmatism and suggest the best lens type for your eyes.
Things your eye doctor will consider:
- The shape of your cornea
- The severity of your astigmatism
- Your lifestyle (daily wear, sports, screen time)
- Your comfort and vision needs
- Your budget
It may take a few tries to find the perfect fit. Sometimes, you might need a custom lens, especially if you have a high or irregular astigmatism.
Tips for Wearing Contacts with Astigmatism
If you’re thinking about making the switch, here are a few helpful tips:
- Be patient: Toric lenses may take a few minutes to “settle” into the correct position on your eye.
- Keep them clean: Always follow the cleaning and replacement instructions.
- Stick to your schedule: Don’t over-wear your lenses—replace them as recommended.
- Regular check-ups: Visit your eye doctor regularly to make sure your lenses still fit well and your eyes are healthy.
Pros and Cons of Wearing Contacts with Astigmatism
Pros:
- Clear, natural-looking vision
- No more foggy glasses
- Good for sports and active lifestyles
- Available in many types and styles
Cons:
- May take time to adjust
- Can rotate on the eye (causing temporary blur)
- Can be more expensive than standard contacts
- Requires more care and maintenance
Final Thoughts
So, can you wear contacts with astigmatism? Yes—you definitely can! And with today’s technology, you have more choices than ever before. From soft toric lenses to high-tech hybrid and scleral lenses, there’s something for everyone.
The key is to talk with your eye doctor. They’ll help you understand your options and find a lens that fits your eyes, your vision, and your lifestyle. Whether you’re tired of glasses or just want to try something new, contacts can be a comfortable, clear, and convenient option—even with astigmatism.
5 Frequently Asked Questions (FAQs)
1. Are toric lenses uncomfortable to wear?
Not at all! Most people find toric lenses just as comfortable as regular contact lenses. They might take a little getting used to, but once they settle, you likely won’t even notice them.
2. Can I sleep in toric contact lenses?
Only if your lenses are specifically designed for extended wear. Most toric lenses are not meant to be worn overnight, so it’s important to follow your doctor’s instructions.
3. How much do toric lenses cost?
Toric lenses can cost a bit more than regular contacts. Daily disposable toric lenses, for example, may cost more per box. However, many people find the improved vision and comfort worth the extra cost.
4. Can I wear colored contacts with astigmatism?
Yes, but colored toric lenses are less common and might require a special order. Ask your doctor if they are available in your prescription.
5. Do I need a special prescription for astigmatism contacts?
Yes. Your prescription for toric lenses includes extra details, like axis and cylinder values, which aren’t needed for regular lenses. An eye doctor will measure these during your eye exam.