Your eye has two structures with curved surfaces that bend (refract) light onto the retina, which makes the images:
- The cornea, the clear front surface of your eye along with the tear film
- The lens, a clear structure inside your eye that changes shape to help focus on near objects
In a perfectly shaped eye, each of these elements has a round curvature, like the surface of a smooth ball. A cornea and lens with such curvature bend (refract) all incoming light to make a sharply focused image directly on the retina, at the back of your eye.
A refractive error
If either your cornea or lens is egg shaped with two mismatched curves, light rays aren't bent properly, causing a refractive error. This makes a blurry image. Astigmatism is a type of refractive error.
Astigmatism occurs when your cornea or lens is curved more steeply in one direction than in another. You have corneal astigmatism if your cornea has mismatched curves. You have lenticular astigmatism if your lens has mismatched curves.
Either type of astigmatism can cause blurred vision.
Astigmatism may be present from birth, or it may develop with age.