Astigmatism is a condition in which an abnormal curvature of the cornea can cause two focal points to fall in two different locations - making objects up close and at a distance appear blurry. Astigmatisms may cause eye strain and may be combined with nearsightedness or farsightedness. Astigmatism can start in childhood or in adulthood. Some symptoms include headache, eye strain, and/or fatigue. Eye rubbing, lack of interest in school, and difficulty in reading are often seen in children with astigmatism. Depending upon the severity, eyeglasses or contact lenses may be required.