The Toric IOL is known to be effective in correcting preoperative corneal astigmatism in cataracts, but long-term observations of IOLs are less common, and the problem is postoperative rotation. Professor Toshiyuki Miyake observed the long-term refractive effect and rotational stability after Toric IOL implantation and concluded that Toric IOL can correct preoperative corneal astigmatism and has good overall rotational stability. The results were shared in the October 2014 issue of J Cataract Refract Surg. IOL (Acrysof IQ toric SN6AT) implantation eyes in 302 patients. Patients with preoperative irregular astigmatism, history of glaucoma or retinal detachment, keratoconus, previous corneal or inner eye surgery, iris abnormalities, pupillary distortion, macular degeneration or retinopathy, neuro-ophthalmopathy, and history of ocular inflammatory disease were excluded from the study. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), columnar refractive error, and corneal astigmatism were recorded preoperatively, 1 day postoperatively, 1 week postoperatively, 3 months postoperatively, 1 year postoperatively, and 3 years postoperatively, and changes in the position of the Toric IOL were recorded using anterior segment photography. The average age of the 302 patients was 63.4 years, 378 eyes were reviewed at 1 week postoperatively, 322 eyes were reviewed at 3 months, 175 eyes were reviewed at 1 year postoperatively, and 73 eyes were reviewed at 2 years postoperatively. The average IOL rotation was 4.5° on the first postoperative day and decreased to 1° to 2° thereafter, with 6 eyes having a rotation of >20°. For the 6 eyes with rotation >20°, all eyes had an axial length >25 mm, and the preoperative corneal astigmatism was cis-regular, with 4 cases occurring within 1 day, 1 case within 1 day to 1 week, and 1 case within 1 week to 1 month postoperatively. Overall, the Acrysof IQ toric SN60AT IOL was effective in correcting preoperative corneal astigmatism and had good overall rotational stability over time. Significant IOL rotation occurred early in the postoperative period, especially in eyes with relatively long axes and cis-regular astigmatism.