Toric IOL Rotated after cataract surgery

[saabin]

I am a healthy 50 year old who had cataract surgery in the right eye 2 weeks ago and in the left eye one week ago. The surgeon strongly recommended the Alcon Acysof Toric lens. The lens rotated about 30 degrees within 3 days after surgery in the right eye. As a result I can't see clearly near or far. The lens implanted in the left eye seems to be holding position. My post-op astigmatism in the eye where the IOL rotated is + 2.00 diopters. The surgeon suggests waiting several months for vision to stabilize and then "fixing" the astigmatism with laser surface treament (new non-LASIK method). My questions are: Should I ask to have the IOL fixed surgically? is there still time for this? what is the likelihood of the Toric lens rotating further and worsening my astigmatism? is the laser surface treatment a good option?  (the cost is $2000 in addition to the $1000 for the Toric IOL that did not work).

Thank you.

[saabin]

The main reason is that I had retina detachment in the other eye 9 years and am very mypic (-10 Diopters). My eye is 30 mm long. Taken together, the surgeon felt the risk of detachment in this eye is eye and not worth the effort.

Thank you.

[Michael J Kutryb, MD]

I am very surprised that the surgeon didn't just recommond re-positioning the IOL.  That seems to be the obvious thing to me and probably to you, right?  I'm  totally puzzled by what you have explained and suspect there must be more goinig on that you are telling me.  If the iol rotated 30 degrees, then it needs to be rotated back 30 idegrees to where it should have been in the operating room - at least that is my off the cuff take on this situation.  What is the doctor's reason for not doing this?  There must be more to this case.  Perhaps a very large amount of astigmatism that couldn't be totally corrected with the toric IOL anyway?
MJK MD