The eye is not shaped like a spherical tennis ball, but more like a football
The curves on the eye are different when measured up/down versus left/right
The Rx will need a different strength going up/down than it will need going left/right
We can correct this with eyeglasses, contact lenses or laser vision surgery
Astigmatism tends to be stable over the years
OD: H52.221
OS: H52.222
OU: H52.223