Astigmatism of over 200 degrees is more serious, as higher degrees of astigmatism can significantly affect a patient’s vision. Astigmatism is one of the most common types of refractive error in clinical practice. Generally speaking, the higher the astigmatism, the more obvious the impact on the patient’s vision. Astigmatism of more than 200 degrees is a more serious condition because it can affect the patient’s quality of vision. Over 200 degrees of astigmatism can have a significant impact on the patient’s vision and quality of vision, and the patient may experience discomfort such as blurred vision, double vision, and may be more prone to visual fatigue. Astigmatism can be corrected with frames, keratoplasty or laser surgery to improve vision. It is recommended that patients with significant astigmatism should seek medical attention to evaluate their condition and follow the doctor’s instructions for treatment.