Global survey trends reveal enthusiasm for the modality, along with considerable variability in preferences among countries and regions.

Study shows it diminishes image quality, including the rendering of capillaries and large vessels.

With-the-rule toricity shifted to against-the-rule, particularly in older individuals.

Changes from with-the-rule astigmatism in younger ages were three times more likely to pass through oblique astigmatism than sphere-only prescriptions towards against-the-rule in older ages, study shows.

Fully correcting or overcorrecting it at the time of cataract surgery may be wise to counteract future progression.