Updated on  November 7, 2024
2 min read

What to Know About Astigmatism After LASIK

9 sources cited
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Can You Develop Astigmatism After LASIK? 

Although more than 90 percent of LASIK beneficiaries achieve 20/20 vision without complications, residual astigmatism can develop after the procedure. Residual astigmatism is a type of astigmatism that persists after laser surgery. 

It may occur due to inaccurate preoperative measurements, incorrect corneal markings, posterior corneal curvature, or other surgical mistakes. To minimize the risk of complications, visit a qualified and experienced ophthalmologist. 

diagram showing eye with normal vision vs astigmatism

How Long Does Astigmatism Last After LASIK?

Most people who get LASIK realize a difference in their astigmatism immediately after surgery. Schedule a follow-up appointment 24 to 48 hours after LASIK. 

This way, your doctor can monitor the healing process closely. They can also detect and correct any issues before they worsen.

If you develop astigmatism after surgery, you may benefit from LASIK enhancement. However, you may have to wait until you fully recover from your first surgery (usually 3 to 6 months).

How to Treat Astigmatism After LASIK

Treatment for astigmatism may vary depending on various factors. However, the main goal is to improve vision and ease discomfort.

Notable treatment options include:

  • Eyeglasses. Helps focus light on the retina, improving visual acuity. Some lenses are specifically designed to correct astigmatism and other forms of refractive errors.
  • Contact lenses. Some examples of contacts for astigmatism include disposable lenses, rigid contact lenses, and toric lenses.
  • Orthokeratology (ortho-k). Involves wearing a rigid gas-permeable contact lens designed to reshape the cornea over time.
  • Lens replacement. A permanent solution to astigmatism that involves removing your natural eye lens and replacing it with an artificial one.
  • Refractive surgery. Laser surgery such as photorefractive keratectomy (PRK) and LASIK can treat severe astigmatism.
  • Phakic intraocular lenses (IOLs). Involves placing an artificial lens in front of your eye’s natural lens to improve focus.

Can LASIK Correct Astigmatism?

LASIK surgery involves reshaping the cornea. It does so by using laser technology to correct refractive errors, including astigmatism. The effect of LASIK is permanent.6

Typically, a normal cornea has zero diopters of astigmatism.7 People with more than 1.5 diopters are likely to use glasses and/or contact lenses.

LASIK surgery offers a permanent solution and eliminates the need for glasses and/or contacts. Severe astigmatism often affects the cost of LASIK due to the likelihood of LASIK enhancement.

How Much Does LASIK for Astigmatism Cost?

LASIK for astigmatism is considered an elective procedure. Therefore, insurance does not cover it.

In the United States, the average cost of LASIK is around $2,500 per eye. This includes the consultation and follow-up care fees.

However, this price may change depending on the type of astigmatism, the clinic’s location, the technology used, and the surgeon’s expertise. Before making a decision, speak to your ophthalmologist about pricing. Some surgeons offer payment plans.

Updated on  November 7, 2024
9 sources cited
Updated on  November 7, 2024
  1. Teus et al. “Ocular residual astigmatism's effect on high myopic astigmatism LASIK surgery.” Eye (Lond), 2014.
  2. Boyd K. “What Is Astigmatism? Symptoms, Causes, Diagnosis, Treatment.”  American Academy of Ophthalmology, 2022.
  3. Retinal Disorders.” National Library of Medicine, 2016.
  4. Boyd K.“Farsightedness: What Is Hyperopia?”  American Academy of Ophthalmology, 2014.
  5. Hashemi et al. “The prevalence of astigmatism and its determinants in a rural population of Iran: the “Nooravaran Salamat” mobile eye clinic experience.” National Center for Biotechnology Information (NCBI), 2014.
  6. Moshirfar et al. “Laser In Situ Keratomileusis (LASIK).” Treasure Island (FL): StatPearls Publishing; 2023.
  7. Brennan K. “Astigmatism: How Low Can You Go?” Review of Ophthalmology, 2018.
  8. What Is the LASIK Success Rate?” Refractive Surgery Council, 2021.
  9. McKinney, S. “Before Enhancing Post-LASIK Patients.” Review of Ophthalmology, 2020.
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