A toric contact lens has an oval shaped correction in addition to the spherical correction and the lens is weighted so the lens will rotate to the correct position in the first minute after you put them in to put the toric correction on the correct axis. As said above, eye glasses can do a similar job up to a point. Contact lenses do it much more accurately and with a slightly different depth of field. I'm not an eye doctor, but I was a test mule for an eye doctor who also was part of a development team that designed contact lenses for over 20 years and I picked up a few tips and busted a few myths. I had Lasik 11 years ago, so I no longer keep up with that stuff.