Decoding Your Astigmatism Prescription: What the Numbers Mean
Understanding your astigmatism prescription is the first step toward clearer vision and better eye health. At Poudre Valley Eyecare in Fort Collins, we’re all about making your vision care experience as comfortable and informed as possible. So, let’s break down those letters and numbers on your prescription so you know exactly what they mean and how they relate to your unique vision needs.

What Does an Astigmatism Prescription Look Like?
When you first glance at your eye prescription, it can seem like a string of random letters and numbers. But each part plays a crucial role in crafting the perfect lens for your eyes. Here’s a quick overview of the key components:
- Sphere (SPH): This number indicates whether you’re nearsighted or farsighted. A negative number (with a minus sign) means you’re nearsighted, while a positive number (with a plus sign) indicates farsightedness.
- Cylinder (CYL): This shows the degree of astigmatism, or how much your cornea or lens is shaped more like a football than a basketball. The higher the number, the more correction your lenses need to make.
- Axis: Measured in degrees (from 1 to 180), the axis number indicates the orientation of your astigmatism correction. It helps in aligning your lenses just right to correct your vision.
Breaking Down the Astigmatism Prescription
Now, let’s dive deeper into what each of these means for your vision.
- Sphere (SPH): Whether you’re struggling to read a book up close or recognize a friend across the street, the sphere value helps correct this by focusing the light correctly on your retina.
- Cylinder (CYL): This number is all about correcting that irregular curvature of your cornea or lens that causes blurry or distorted vision. The higher the cylinder number, the more astigmatism correction you’ll need.
- Axis: This number is crucial because it tells us where to place the corrective power on your lenses. Without it, the correction wouldn’t be oriented properly, and you’d still experience blurry vision.
Additional Components on Your Prescription
Your astigmatism prescription might also include some additional numbers and terms:
- Add (Near Addition): This is for those who need multifocal lenses, helping you switch focus from near to far effortlessly.
- Prism and Base: These are usually included if you have a binocular vision problem and need help aligning your eyes properly.
How Astigmatism Affects Your Vision
Astigmatism usually means that your eye’s curvature isn’t perfectly round. This irregular shape causes light to scatter rather than focus perfectly on your retina, leading to blurry or distorted vision. The numbers on your prescription directly correspond to how your lenses will correct this scattering of light.

Correction Options
At Poudre Valley Eyecare, we offer various correction methods for astigmatism, from glasses to contact lenses. Each option is customized to match your prescription and fit your lifestyle. If you’re more of a glasses person, our partnership with Eyemart Express ensures you get high-quality, custom lenses ready in as little as 30 minutes. Prefer contacts? We’ve got you covered with the latest in contact lens technology, including options specifically designed for astigmatism.
Why Understanding Your Prescription Matters
Being informed about your prescription empowers you to take control of your eye health. It ensures you get the right lenses, whether in glasses or contacts, and helps you communicate effectively with your eye doctor. Plus, knowing what the numbers mean can take the mystery out of your eye care, making you more confident about your choices.
Common Symptoms of Astigmatism You Might Be Overlooking
Blurry Vision at All Distances
Unlike typical vision problems, astigmatism makes things blurry whether near or far. Reading fine print or recognizing faces from across the room can become equally challenging.
Eyestrain and Frequent Headaches
Constant effort to refocus your eyes often leads to headaches and a persistent, uncomfortable eyestrain feeling—especially after tasks like reading or computer work.
Nighttime Vision Problems
If streetlights seem overly bright or driving at night has become a stressful experience due to glare and halos, astigmatism could be behind these difficulties.
Excessive Squinting
Without realizing it, you might squint constantly, trying to temporarily clear your vision, causing facial fatigue and discomfort.
Main Causes of Astigmatism (and How They Impact Your Vision)
Family History (Genetics)
Astigmatism often runs in families. If relatives have vision issues, your chances increase significantly. Regular eye check-ups are essential for early detection.
Eye Injuries and Trauma
Even minor eye injuries or constant rubbing can alter your corneal shape, causing astigmatism. Protecting your eyes in risky activities prevents damage.
Natural Age-Related Changes
Aging or conditions like keratoconus (a thinning cornea) can progressively distort your vision. Regular eye exams help detect these changes early, keeping you ahead of potential issues.
Astigmatism in Children: Why Early Detection Is Crucial
Children often can’t tell you they’re seeing things blurred. Subtle signs include frequent squinting, head tilting, or sitting unusually close to screens. Untreated astigmatism can negatively affect a child’s learning and development. Regular pediatric eye exams ensure astigmatism doesn’t silently impact your child’s academic and social growth. Glasses specifically designed for children comfortably correct astigmatism and can dramatically improve their confidence and performance in daily activities.
Astigmatism vs. Myopia and Hyperopia: What’s the Difference?
Understanding your specific vision issue helps you get the right correction quickly:
- Astigmatism causes distorted or blurry vision at every distance due to uneven corneal curvature.
- Myopia (Nearsightedness) makes distant objects blurry while nearby objects remain clear. It requires negative spherical lens correction.
- Hyperopia (Farsightedness) makes close objects appear blurry but distant objects clear. Positive spherical lenses correct this condition.
Many people have combinations of these issues. Your optometrist precisely diagnoses these mixed conditions and creates a customized prescription tailored specifically for your eyes.
Common Myths about Astigmatism—Debunked
- Myth: “Astigmatism means you’re doomed to thick glasses.”
- Fact: Modern lenses are thin, stylish, and highly effective.
- Myth: “Contacts aren’t comfortable for astigmatism.”
- Fact: Toric lenses specifically designed for astigmatism are now as comfortable and effective as regular contacts.
- Myth: “Astigmatism improves naturally.”
- Fact: Typically, it requires correction through lenses or surgery and rarely resolves without intervention.
Conclusion
Understanding your astigmatism prescription doesn’t have to be daunting. It’s all about knowing what each part means and how it helps improve your vision. At Poudre Valley Eyecare, we’re here to guide you every step of the way, ensuring your eyes get the care they deserve.
If it’s time for a new pair of glasses or you have questions about your current prescription, schedule an eye exam with us today. We’re ready to help you see the world clearly, one number at a time.
Astigmatism Prescription FAQs
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What do the letters and numbers mean on my glasses prescription for astigmatism?
The letters on your glasses prescription indicate the type of vision correction needed, such as “OD” for the right eye and “OS” for the left eye. The numbers represent the lens power needed in diopters to correct refractive errors, including astigmatism, which is often denoted by a cylindrical value.
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How can I read my eye prescription to understand my astigmatism measurements?
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What is the difference between a glasses prescription and a contact lens prescription?
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Do I need glasses if I have astigmatism symptoms?
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How does astigmatism affect my lens prescription?
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What is the lens power needed to correct my astigmatism?
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Can astigmatism be corrected with eye surgery?
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How can I tell if my prescription glasses are working for my astigmatism?
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What should I do if I can't read my glasses prescription?
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Are reading glasses effective for people with astigmatism?
Dr. Eric Torgerson
Owner at Poudre Valley Eyecare
Dr. Eric Torgerson is the owner of Poudre Valley Eyecare, and has been recognized for his contributions to optometry and his commitment to community health through various roles and accolades within the Northern Colorado Optometric Society and the Colorado Optometric Association.
Why Choose Us?
Our advanced technology and individualized care deliver results for patients of all ages. Our routine exams allow us to spot changes in your vision and allow us to treat those changes early. We have a comprehensive understanding of eye care, which means we can treat a wide range of conditions and chronic diseases. Our in-depth routine exams and customized treatment plans set us apart from the rest.

