Teatment of cylindrical refractive errors maybe threefold. The first is the use of spectacles. Typically, if the refractive error is properly corrected and the cylindrical axis is accurate, most patients do not have any discomfort with spectacles. Patient dissatisfaction may arise if there is a grossly unequal refractive error between both eyes in which case spectacles cause discomfort and the patient is unable to use glasses for an extended period. Contact lenses with a moderate to high cylindrical power have to be what are called Toric lenses to correct refractive error satisfactorily. Sometimes tolerance of contact lenses diminishes over time inspite of the patient using daily disposable lenses. The alternative is to consider LASIK or Laser in situ keratomileusis. This procedure is performed in patients between the ages of 18 and 40 years since this is when the refractive error is stable. However, the patient has to undergo various tests to check for suitability, mainly Topography of the cornea that maps the shape and thickness of this tissue since reshaping with laser is performed here. A basic test to check for level of tear secretion is also important. It is just as important to ensure the refractive error has been constant before this procedure and, in the case of astigmatism, there is no subtle sign of keratoconus. If all is fine, this procedure may be considered in your case.