Sandoval HP, Lane S, Slade S, et al. - Using either slit lamp evaluation or image-processing software, researchers conducted this prospective unmasked randomized clinical trial to assess the rotational stability of a toric extended depth of focus (EDOF) intraocular lens (IOL). Patients presenting for routine cataract surgery who were interested in improved near vision received toric EDOF lenses (TECNIS Symfony® Toric) in both eyes. In total, 150 eyes had IOL orientation data available. Image analysis revealed mean absolute lens orientation changes from 1 day to 1 month and 3 months of less than 2 degrees. The percentage of lenses showing rotation of ≤ 5 degrees between any measured time points was 97% or higher. Outcomes were comparable when IOL orientation was measured at the slit lamp, but significantly more variable. The toric EDOF lens assessed here showed rotational stability that surpassed the previous ANSI standard. The best approach for evaluating changes in IOL's orientation was by analyzing images.