In against the rules astigmatism, where is the steepest corneal meridian typically located?

In against the rule astigmatism, the steepest corneal meridian is typically located at or near 180 degrees. This alignment indicates that the vertical meridian is steeper than the horizontal meridian.

Understanding the positioning of the steepest meridian is crucial for contact lens fitting, as it impacts the design and orientation of the lenses used. For patients with against the rule astigmatism, lenses need to be aligned correctly to provide the optimal visual correction and comfort. In this condition, the difference in curvature can result in distinct variations in visual acuity, making this detail essential in clinical practice.

Options indicating other meridian placements, such as 90°, 45°, or 135°, do not reflect the typical characteristics of against the rule astigmatism, which is characterized by increased steepness in the horizontal plane (180°) instead.