They probably put the optical centers in the wrong place, installed
the lens wrong in an oval or circular frame, or screwed up the
astigmatism or progressive correction.

It is possible to install your own lenses, even in plastic frames,
though most people don't want the hassle of this kind of do-it-
yourself. With metal frames, you need jewelers screwdrivers. Half
decent jeweler sets don't cost too much.With plastic frames, I found
that holding them under the hot water tap will expand the frame enough
to allow you to pop out the lens. Then install the new lens while the
water is running over the frame. You should be able to replace the
lens with a reasonably moderate amount of force. (I think they use hot
beads or sand in the optical lab.)

Most frames are asymmetrical enough to make the lens alignment
obvious. With circular and oval frames, there's more than one angle
the lens can have and fit into the frame, but usually only one correct
angle.

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