John Mark Jackson, OD, MS, FAAO
1. Rotation is not the same as axis misalignment. If possible, adjust the axis to remove misalignment, even with small amounts of rotation.
2. Modern toric lenses don't take very long to settle, no more than five to 10 minutes.
3. Higher astigmats you previously may have not attempted to fit are now very fittable with newer designs with better rotation control.