For most of us a soft lens is our lens of first choice due to the fact that it is relatively easy to fit and is usually immediately comfortable. However, for the patient to see well a soft toric lens needs to sit in exactly the right position and not rotate much on blinking - if it does not conform then fitting becomes frustrating for both us and for the patient.
In the past, patients with significant astigmatism would have been fitted with rigid lenses, as rigid lenses correct corneal astigmatism directly due to the nature of the tear lens. However, rigid lenses have an uncomfortable adaptation period, which can be unpleasant for the patient.
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