Front surface toric lenses are indicated when corneal cylinder is less than 2.50D and residual astigmatism is greater than 0.75D.

• A. True
• B. False
• C. Cannot determine
• D. Not enough information

Answer: (A)

This scenario hinges on when to use a front-surface toric design to correct astigmatism. The idea is that if the corneal cylinder is small, most of the refractive correction can come from adding toricity on the front surface of the lens to address residual refractive astigmatism, rather than trying to compensate a larger corneal cylinder with the lens backside. When corneal cylinder is less than about 2.50 diopters, a front-surface toric can effectively neutralize any remaining astigmatic error that persists after basic spherical correction, provided that this residual astigmatism is clinically meaningful—typically greater than about 0.75 diopters. If the corneal cylinder were larger, the primary correction would target the cornea itself (often via back-surface toricity), and front-surface torics would be less ideal or predictable. So the indication described—low corneal cylinder with a notable residual astigmatism—fits the use of a front-surface toric lens.