Astigmatism Surgery in Kansas City, MO


At Discover Vision Centers in Kansas City, MO, we offer many solutions for correcting astigmatism. Astigmatism is a common eye condition that causes blurry vision, resulting in headaches and eye strain. While glasses and contact lenses provide relief, astigmatism laser eye surgery offers a permanent solution.

What Is Astigmatism?

Astigmatism is a common eye condition where the cornea, the front surface of the eye, or the crystalline lens , inside the eye, lens are shaped asymmetrically or “out of round“. This causes light to focus on multiple points rather than a single point on the retina, or the back surface of the eye, resulting in blurred vision. Astigmatism, like nearsightedness or farsightedness, causes refractive error in vision. People with uncorrected astigmatism view the world around them with distorted vision.

What Is Astigmatism
what does astigmatism look like

What Are The Types of Astigmatism?

For astigmatic eyes, light comes to two focal points, rather than one. The power of the eye is based on the curvature of the horizontal and vertical meridian, and is divided into the following:

Myopic Astigmatism: when one or both of the eye’s meridians are myopic and focus light in front of the retina

Hyperopic Astigmatism: one or both meridians are farsighted or focus light behind the retina.

Mixed Astigmatism: one meridian is farsighted and the other is nearsighted.

Corneal astigmatism: Rather than being uniformly curved, the cornea is irregular in shape.

Lenticular astigmatism: Due to an irregular shape of the lens in the eye, rather than uniformly curved.

Astigmatism Symptoms & Signs

Symptoms of astigmatism include:

  • Double vision
  • Halos around lights
  • Starburst
  • Eyestrain
  • Difficulty driving at night
  • Difficulty seeing at a distance. 

Some children who have astigmatism may struggle to see the blackboard at school or in sports, due to impaired distance vision.

If you suspect you may have astigmatism, be sure to schedule an appointment with an eye doctor Discover Vision Centers to get a proper diagnosis and treatment plan.

Astigmatism Symptoms

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Astigmatism Causes

What Causes Astigmatism?

Astigmatism is a relatively common refractive error that is usually present at birth. Most people do not have a perfectly rounded eye shape, resulting in astigmatism. Astigmatism may worsen or improve over time, regardless of how we use our eyes such as reading habits or screen use. There are some commonly accepted causes and risks for astigmatism:

  • Hereditary;
  • Orbital and lid anatomy;
  • Aging changes to the intraocular lens;
  • Following an eye injury or eye surgery;
  • A rare condition called keratoconus in which the cornea becomes progressively weaker and irregular.

Who Is at Risk for Astigmatism?

Astigmatism is a refractive error that affects nearly 1 in 3 people.

  • A family background marked by astigmatism or other ocular disorders like keratoconus, involving corneal degeneration.
  • Corneal scarring or thinning.
  • Notable nearsightedness causes distant objects to appear blurry.
  • Pronounced farsightedness leads to unclear close-up vision.
  • A record of specific eye surgeries like cataract surgery involving the removal of a clouded lens.
Who Is at Risk for Astigmatism
How Is Astigmatism Diagnosed

How Is Astigmatism Diagnosed?

If you suspect that you have astigmatism, an eye care specialist can diagnose astigmatism with a comprehensive eye exam. Your doctor will perform a series of tests that will help the doctor measure the degree of refractive error. 

Some of the tests for astigmatism may include the following:

  • Visual acuity test: A visual acuity tests how well you see using a wall chart of letters or symbols and a handheld chart during an eye exam.
  • Refraction: Your eye doctor will measure your prescription or the amount of refractive error.
  • Keratometry: measures the curvature of the cornea or the front surface of the eye.
  • Corneal Topography/Tomography: Topography/Tomography is a computerized system to digitally measure the curvature of the cornea.  It can also be used to plan the treatment of astigmatism.
  • Slit lamp exam: A slit lamp is a special microscope that uses a light beam to examine the eye externally and internally.

Astigmatism Vision Correction Options We Provide in Kansas City

How Is Astigmatism Treated?

Eyeglasses and contact lenses are easy, non-surgical ways to compensate for astigmatism. While corrective lenses for astigmatism can help in the short term, eyeglasses, and contact lenses are not a permanent correction of astigmatism. A downside of toric contacts is that they are ballast-weighted so gravity affects them. As you blink they rotate on the eye and transiently blur vision.

If you wear glasses for astigmatism, you may experience blurry vision at the edges of the lenses. Glasses for astigmatism have an optical distortion in the periphery of the lenses, which does not occur with astigmatism corrective surgery.

Eyeglasses and contact lenses for astigmatism

Can Laser Eye Surgery Fix Astigmatism?

While glasses or contacts can provide vision correction, they do not alter the shape of your eye. Laser eye surgery for astigmatism, on the other hand, employs lasers to address and rectify various vision issues.


The trained ophthalmologists at Discover Vision Centers offer the LASIK procedure as a safe and effective astigmatism correction surgery. LASIK surgery is short for laser-assisted in-situ keratomileusis and involves the use of a laser to reshape the surface of the cornea, thus smoothing the irregular surface of the eye and resolving the refractive error to treat astigmatism.


The newer SMILE laser eye surgery for astigmatism involves corneal reshaping using a laser to create a lens-shaped piece of tissue (lenticule) just beneath the cornea’s surface. This lenticule is subsequently extracted through a minute incision. Currently, the SMILE procedure, which stands for Small Incision Lenticule Extraction, is approved for addressing mild and moderate  astigmatism.


Photorefractive keratectomy (PRK), also known as advanced surface ablation (ASA), is an effective laser eye surgery for astigmatism. PRK can be a great alternative for patients who are not candidates for other forms of laser eye surgery, such as LASIK or SMILE. PRK has a similar outcome to LASIK and SMILE, but this laser vision correction is slightly different, as PRK does not involve the creation of a flap on the surface of the eye.

Intraocular Lens Implant (IOL)

Another astigmatism laser eye surgery is the intraocular lens implant, also known as an IOL. An IOL is an artificial lens that replaces the eye’s natural lens during cataract surgery or refractive lens replacement/exchange. IOLs can correct astigmatism with toric IOL or the light adjustable lens.

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Complications Associated With Astigmatism

What Are The Complications Associated With Astigmatism?

Untreated astigmatism can give rise to various complications. For instance, if not corrected, it can lead to amblyopia or a “lazy eye”, especially when one eye has more severe astigmatism than the other. Moreover, uncorrected astigmatism may cause persistent eye strain and headaches.

However, even with laser eye surgery, there are potential risks associated with surgical intervention. Temporary side effects post-surgery include dry eyes, light sensitivity, and nighttime vision issues. In some cases, more lasting complications like vision loss or regression to the pre-surgery visual state can also occur.

How Can I Prevent Astigmatism?

Astigmatism generally cannot be prevented, as it is often present from birth or develops naturally over time as the eyes undergo changes. If you have astigmatism, there is a possibility that your children might also inherit or develop a similar refractive error.

When Should I Have My Eyes Examined?

Regular eye examinations are essential to promptly identify and address potential vision issues. The frequency of these exams varies based on age and individual needs. Here’s a general guideline:

  • Children: Pediatrician eye checks during well-child visits until school-age, and then every one to two years.
  • Adults under 40: Every five to ten years.
  • Adults aged 40-54: Every two to four years.
  • Adults over 55: Every one to three years.

However, certain circumstances may require more frequent checks:

  • Individuals using glasses, contacts, or other visual aids.
  • People with diabetes, who need more frequent monitoring.

Consulting an eye care specialist is crucial to determine the optimal exam schedule for your specific situation.

How Can I Prevent Astigmatism?

Preparing for Your Appointment

Preparation is key for your upcoming eye appointment, regardless of the specialist you’re seeing. Here’s what you can do:

  • List the symptoms you’re experiencing, even if they appear unrelated to your primary reason for the appointment.
  • Note any significant personal information, recent life changes, or sources of stress.
  • Create a comprehensive list of all medications, supplements, and vitamins you’re taking, along with their dosages.
  • Compile a set of questions to ask your doctor during the appointment. This could cover topics like your specific condition, potential treatment options, and lifestyle changes to improve eye health.

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Why Choose Discover Vision for Astigmatism Eye Surgery?

When you’re considering laser eye surgery for astigmatism, it’s important to seek out reputable and experienced surgeons like those at Discover Vision Centers. Our doctors are located in Kansas City, Leawood, Blue Springs, Lees Summit, Independence, Raymore, Harrisonville, Olathe, and The Legends. Our eye care experts will answer your questions and help you weigh all your options to discern which surgery for astigmatism is right for you and your lifestyle. Discover Vision is a full refractive and astigmatism treatment center.

John Doane, MD

John Doane, MD

Dr. John Doane is fellowship-trained in refractive surgery. He is actively involved in FDA clinical trials related to emerging intraocular lens implant technologies. He specializes in laser vision correction surgeries ( SMILE, LASIK, PRK ), Intraocular Contact / Collamer Lens and intraocular implant surgery with Light Adjustable Lens or Toric lenses for astigmatism correction.

Randy T. Jackson, MD

Randy T. Jackson, MD

Dr. Randy Jackson is a board-certified ophthalmologist who specializes in refractive surgery, including LASIK Laser Vision Correction, Photorefractive Keratectomy (PRK), Full Focus® Vision Correction, and cataract surgery.


I can’t believe I see this well it is truly a miracle and they made it happen at Discover Vision Center. I had an astigmatism and -6.0 in one eye and -6.5 in the other eye and now I see at 20/20 with no corrective lenses. To be able to wake up and not reach for glasses or have to put contacts in every morning is amazing. Dr. Doane and his staff were incredible and they made me feel comfortable thru the whole process. Thank you so much and I will refer you to my friends and family.
Brian Jaimes

I recently completed a follow up appointment with Dr. Brundige at the North Kansas City Discover Vision office. My eyes are a bit of a mess (glaucoma, astigmatism and cataract surgery on both eyes). Dr. Brundige has managed to pull everything together and given me stable vision for the past four or five years. I highly recommend him and Discover Vision for any of your vision needs.
Larry Tomlin

Everyone was very professional & personable! They do their jobs to make sure that you are out of there in no time! My doctor is caring & answers my questions in a way that I feel is so I lightning.
JoAnn Dicapo

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How common is astigmatism?

Astigmatism is a common vision condition where the cornea or lens of the eye is asymmetrically  shaped, causing blurred or distorted vision. According to the American Academy of Ophthalmology, it is estimated that about 1 in 3 people have some degree of astigmatism. It can occur at any age, and it may be present alone or with other refractive errors such as nearsightedness or farsightedness. Astigmatism can be corrected with eyeglasses, contact lenses, or refractive surgery. At least 70% of those undergoing laser vision correction will have astigmatism corrected.

How does astigmatism affect vision?

Astigmatism can affect vision by causing images to appear blurry or distorted. The irregular shape of the cornea or lens of the eye can cause light to be focused unevenly on the retina, leading to vision problems. Instead of being a sphere or like a tennis ball the shape is more like an American football.  This can cause symptoms such as blurred vision at all distances, difficulty seeing fine details or reading small print, eye strain or fatigue, headaches, and distorted or wavy vision.

Is astigmatism hereditary?

Astigmatism can be hereditary, meaning that it can be passed down from parents to their children. Environmental factors can also play a role in the development of astigmatism, such as eye trauma, eye surgery, excessive eye-rubbing, or other eye conditions. It is important to have regular eye exams to monitor vision and detect any changes in visual acuity or eye health, particularly if there is a family history of eye conditions like astigmatism.

Can astigmatism get worse?

Astigmatism can worsen over time, particularly during childhood and adolescence when the eyes are still developing. In some cases, astigmatism may progress to a more severe degree, leading to increasingly blurry vision or other visual symptoms that likely would need to be corrected for adequate functioning.

How much does astigmatism surgery cost?

Astigmatism correction surgery cost can vary widely depending on factors such as the type of laser eye surgery, location, and individual patient needs. On average, it can range from a few hundred to several thousand dollars per eye. It’s best to consult with an eye care specialist to get a personalized estimate based on your situation.

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