Can People with Astigmatism Wear Contact Lenses?

by May 23, 2025

Can People with Astigmatism Wear Contact Lenses? Here’s What You Need to Know

Astigmatism is a common vision condition caused by an irregularly shaped cornea or lens, which leads to blurred or distorted vision. Many people with astigmatism wonder if they can wear contact lenses and whether these lenses will provide clear vision and comfort. The good news is that people with astigmatism can wear contact lenses, but certain types of lenses are specifically designed to address this condition.

 

Understanding Astigmatism

Astigmatism occurs when the cornea or lens has an uneven curvature, causing light rays to focus at multiple points on the retina rather than a single point. This irregular shape results in blurred or wavy vision at all distances. Astigmatism is often present along with nearsightedness or farsightedness. 

The severity of astigmatism varies from mild to high. Symptoms can include headaches, eye strain, and difficulty seeing clearly.

 

Contact Lens Options for Astigmatism

Not all contact lenses correct astigmatism because they must compensate for the eye’s irregular curve. Special contact lenses called toric lenses are designed to correct astigmatism. These lenses have different powers in different meridians to correct for the uneven shape of the cornea or lens. 

Toric soft lenses are made from flexible materials and are popular due to their comfort and ease of adaptation. They come in disposable, daily, weekly, and monthly wear options. These lenses have features that keep them stable on the eye and oriented correctly for clear vision. 

Rigid gas permeable (RGP) lenses are another option. These firmer lenses maintain their shape on the eye, providing sharper vision by creating a smooth optical surface over the irregular cornea. They may require longer adaptation but often offer superior clarity. 

Hybrid lenses combine a rigid center with a soft outer skirt, providing both sharp vision and comfort. Scleral lenses, which are larger rigid lenses that vault over the cornea and rest on the white of the eye, are used for more severe or irregular astigmatism cases.

 

Benefits of Using Contact Lenses for Astigmatism

Contact lenses sit directly on the eye’s surface, providing a wider field of vision compared to glasses. They eliminate the distortion or magnification that glasses may cause, especially in higher prescriptions. 

Modern toric lenses correct astigmatism effectively and provide clear, stable vision throughout the day. Many lens designs also include features to enhance comfort and moisture retention. 

Contact lenses allow for physical activities and sports without the inconvenience or insecurity that glasses may introduce.

 

Challenges and Considerations

Wearing contact lenses for astigmatism requires proper fitting by an eye care professional. Because toric lenses must remain correctly oriented on the eye, factors such as eye shape, blinking patterns, and tear film quality influence their performance. 

Some people may experience initial discomfort or adaptation difficulties. Regular follow-ups and lens adjustments help optimize fit and comfort. 

Cleaning and maintenance of contact lenses are essential to prevent infections and complications. Following recommended hygiene and wearing schedules is important for eye health. 

Not all astigmatism is suitable for every lens type. High astigmatism or irregular corneas may require specialized lenses that an eye care provider can recommend.

 

Who Should Avoid Contact Lenses for Astigmatism?

Patients with severe dry eye, active eye infections, allergies, or certain medical conditions may not be good candidates for contact lenses. In such cases, glasses or other vision correction methods may be safer and more comfortable. 

An eye care professional evaluates overall eye health, lifestyle, and vision needs before prescribing lenses.

 

Steps to Get Contact Lenses for Astigmatism

A comprehensive eye exam includes measuring the degree of astigmatism and assessing the tear film and corneal shape. Trial lenses are often used to determine the best fit and vision quality. 

Patients receive training on lens insertion, removal, and care. Education about the importance of compliance and scheduled follow-ups is provided to ensure success.

 

Our eye doctors at Wilmington Family Eye Care in Wilmington, DE excel in the prescription of glasses, contact lenses and the diagnosis of a variety of eye diseases. Call our optometrists at 302-299-1286 or schedule an eye exam appointment online if you would like to learn more about whether people with astigmatism can wear contact lenses and which options are best for your vision needs. Our eye doctors, Drs. Daniel Baruffi, Amy Quan, and Joseph Goldberg provide the highest quality optometry services and eye exams in Wilmington, Delaware and its surrounding areas.

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