Astigmatism 500 degrees is more serious because it can cause serious complications such as amblyopia. Astigmatism 500 degrees because of the higher degree, can seriously affect the patient’s vision, the patient may appear blurred vision, but also prone to eye fatigue. If in the visual development period, can affect the child’s visual development, resulting in refractive error amblyopia, serious damage to the child’s vision. Therefore, if the astigmatism of 500 is more serious, the patient needs to consult the doctor in time to avoid damage to the vision. Patients with astigmatism can wear glasses and refractive surgery in order to correct astigmatism and improve vision. It is recommended that patients with astigmatism seek timely medical attention to assess their condition and follow the doctor’s instructions to choose the appropriate treatment.