A method of measuring pantoscopic tilt of spectacles includes a) providing a spectacle frame comprising a spectacle frame front and temples; b) placing the spectacle frame on a user's face in a position of normal wear; c) providing an image recording apparatus which contains spatial orientation sensors; d) positioning the image recording apparatus to capture a side view image of the user wearing the spectacle frame; e) capturing an image of the user wearing the spectacle frame, wherein a profile of the spectacle frame front is visible, and recording spatial orientation data with the image recording apparatus; f) determining pantoscopic tilt of the spectacle frame.