One of the comments I hear from patients in my office, or even people I meet in public, is "I am not a laser vision correction candidate because I have an astigmatism." I have heard this for 20 years and it just never seems to go away through patient education. A colleagueof mine told me that people look at astigmatism almost as a disease(like rheumatism!) when, in fact, it is just the way the cornea is shaped. In fact, our customized corneal analysis has gotten so sensitive over the past ten years that itis difficult to find a patient that does'nt have an astigmatism. The excimer lasers have gotten so good that very high levels of astigmatism can be treated. I have treated as high as 6 diopters of astigmatism and routinely(weekly) perform LASIK or PRK on patients with 4 diopters of astigmatism. So, hopefully, the misinformation will cease, but just know that modern lasers are good enough(great!) to easily treat most patients with an astigmatism.