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To investigate factors related to the rotational stability of an acrylic toric intraocular lens (IOL). Four ophthalmic surgical sites in Japan. Prospective case series. Subjects were 120 eyes of 120 patients undergoing phacoemulsification and implantation of a toric IOL (AcrySof IQ, Alcon Laboratories, Inc.). At 1 hour after surgery, the area of continuous curvilinear capsulorrhexis (CCC) was measured, and the state of anterior capsule coverage on the IOL optic (total on or partial on) was recorded. The toric IOL axis orientation was asse