Many patients with myopia have some degree of astigmatism, or ovalness to their corneas. It is the most common refractive condition, and occurs to some extent in most eyes. Astigmatism occurs when the cornea is shaped more like a football/rugby ball than a basketball. With astigmatism, different parts of the cornea have different focusing powers. In the diagram to the left this is shown by lines A and B having different length. As a result, patients with astigmatism experience distortion or tilting of images because of unequal bending of light rays entering the eye. Patients with high degrees of astigmatism have blurred vision not only for distant objects, as with myopia, but for near objects as well.

Astigmatism is measured in diopters. Of all myopic people, 50% or more have astigmatism as well. Most of these people have corrections of less than 1 diopter.

Up to about 2.5 diopters of astigmatism can be corrected at the time of cataract surgery using special relaxing incisions on the cornea. The table below shows the categories of severity for astigmatism:  Back