It was reported that surgeon has a patient with unexpected refractive outcome in the left eye, status post uncomplicated phaco with a toric posterior chamber intraocular lens placement, and subsequent exchange with another toric lens.The patient had irregular astigmatism.Initial surgery was performed on (b)(6) 2020 and lens was noted to be in alignment during immediate post-operative course.Post-op day 30, the patient was found to have toric misalignment and surgeon¿s repositioning revealed that a higher power toric was indicated.Patient agreed to lens replacement and the lens exchange was performed without complication in secondary surgical procedure on (b)(6) 2020.Resultant uncorrected vision was poor, and refraction reveals high post-operative cylinder requirement.No corneal or macular edema or evidence of neuropathy or inflammation.Additional information was received and it was learnt that patient was also experiencing halos, blurry vision, and glare after the initial surgery.There was also age related nuclear cataract observed.There was tecnis toric rotation of more than 10 degrees.Patient was also prescribed eye drops.No further information provided.
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