Whether children with astigmatism need lifelong glasses or not depends on the specific situation, and cannot be generalized. Generally, astigmatism below 75 degrees is lighter, and after the eyes adjust themselves, seeing things will not be affected and will not interfere with vision, so glasses are generally not needed. When the astigmatism is high, the child’s vision will be blurred, and he or she will be prone to visual fatigue, dizziness, and distortion, so glasses are needed for life. However, the prescription does not have to be the exact amount of astigmatism, as long as the child feels comfortable and does not get dizzy. If the astigmatism is relatively large, above 300 degrees, a corneal topography is required. Children with cone corneas also need to wear hard contact lenses for life to prevent continuous vision loss, and corneal transplantation can be performed when symptoms are particularly severe. Some eligible patients can be cured of astigmatism through laser surgery after they reach the age of 18, and thereafter do not need to wear glasses. Parents should take their children for regular eye examinations when astigmatism is detected. Children should be advised to pay attention to eye protection and avoid bad habits such as prolonged eye use and lying down to read books.