【Purpose】To compare the rotation of toric intraocular lenses (T-IOLs) on the day following surgery between eyes with normal axial length and those with long axial length. 【Subjects and Methods】Comparisons were made between 56 eyes of 35 cases (mean (± standard deviation) age, 74.7 ± 5.5 years) who had undergone insertion of an AcrySof ® IQToric SN6AT3-9 inserted between January 2013 and June 2015 with normal axial length (22.00-24.50 mm) and 19 eyes of 13 cases (mean age, 71.1 ± 10.0 years) with long axial length (>24.50 mm). The day after operation, the pupil was dilated and the axis of the T-IOL was measured. Difference from the target axis was then calculated. Naked and corrected visual acuity, subjective and objective spherical power, and subjective and objective cylindrical power were compared between preoperatively and 1 week postoperatively. 【Results】The mean difference between axial rotation after surgery and the target axis was 3.86 ± 3.04° in the normal axial length group and 3.47 ± 2.06° in the long axis group. No significant difference between groups was evident (p=0.55). At 1 week postoperatively, no significant differences were seen in naked and corrected visual acuity, subjective and objective spherical power, or subjective and objective cylindrical power. 【Conclusion】No significant differences in rotation of the T-IOL or in postoperative results were evident between normal and long axial length groups.
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