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Astigmatism causes difficulties in seeing fine detail. Astigmatism can be often corrected by glasses with a lens that has different radii of curvature in different planes (a cylindrical lens), contact lenses, or refractive surgery. Astigmatism is quite common. Studies have shown that about one in three people suffers from it.
Astigmatism may be corrected with eyeglasses, contact lenses, or refractive surgery. Glasses are the simplest and safest, although contact lenses can provide a wider field of vision.
Low order aberrations include Myopia (positive defocus), hyperopia (negative defocus), and regular astigmatism. Other lower-order aberrations are non- visually significant aberrations known as first order aberrations, such as prisms and zero-order aberrations (piston).
Sample prescription. A prescription of −1.00 +0.25 × 180 describes a lens that has a horizontal power of −1.00 D and a vertical power of −0.75 D. Only ophthalmologists write prescriptions in + cylinder. An optometrist would write a prescription in - (minus) cylinder.
Aberration of axial points (spherical aberration in the restricted sense) Aberration of elements, i.e. smallest objects at right angles to the axis. Aberration of lateral object points (points beyond the axis) with narrow pencils — astigmatism. Aberration of lateral object points with broad pencils — coma.
The major components of the phoropter are the battery of spherical and cylindrical lenses, auxiliary devices such as Maddox rods, filtered lenses, prisms, and the JCC (Jackson cross cylinder) used for astigmatism measurement. The prismatic lenses are used to analyze binocular vision and treat orthoptic problems.