Children with astigmatism do not have to wear glasses. Whether or not glasses are needed depends on the degree of astigmatism and its impact on the patient’s vision. Generally speaking, low astigmatism of less than 50 degrees will not affect the patient’s vision, and even if the patient does not wear glasses to correct the astigmatism, he or she can still see normally, and it will not affect his or her normal life and work, so he or she can not wear glasses. However, a high degree of astigmatism can lead to decreased visual acuity, double vision and other uncomfortable symptoms, patients can not see normally, affecting normal life and learning, and may even lead to amblyopia in children at a young age. In this case, the patient needs to wear glasses to correct astigmatism and improve vision. It is recommended that children with astigmatism consult a doctor in a timely manner to assess their condition and follow the doctor’s instructions to choose the appropriate treatment.