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Should we assume that the lens rotates nasally or temporally when we insert our first diagnostic lens, or should we just pick the axis closest to the spectacle Rx?

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Should we assume that the lens rotates nasally or temporally when we insert our first diagnostic lens, or should we just pick the axis closest to the spectacle Rx?

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You cannot assume that a soft toric lens will rotate at all. So your first diagnostic lens choice should be as close as possible to the spectacle Rx. Do not make any assumptions about a clockwise or counterclockwise rotation before inserting the first diagnostic lens.

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