The cause of astigmatism is unknown. Astigmatism is often associated with myopia or hyperopia, and it usually is present from birth. It may be hereditary, or it may be caused by factors such as pressure on the cornea, incorrect posture, or increased use of the eyes for “near work.”
Mild astigmatism usually does not need to be corrected. Eyeglasses, contact lenses, or refractive surgery can correct moderate to high degrees of astigmatism.