Toric lens cataract surgery led to increased and still increasing astigmatism

[royster]

(A) With Surgery day as Day 0, and using the Negative cylinder convention, these are some data points for  Sphere, Cylinder and Axis for  my LEFT eye :
1.  Day negative 45, from Long standing optometrist :   :   -9.50   -2.25  162
2.   Day  +8 from Surgeon : :  +1.75  -3.25  170
3.  Day +12 from long standing optometrist ::   +2.50   -4.00   164
4.  Day +16 from USC Eye Clinic :    +2.50  -4.25  165
5.  Today  Day +20, With the right eye completely covered or closed, I see multiple visions when trying to read
through my left eye, and all ranges of over the counter reading glasses fail.
(B)  Day Zero surgery   Acry Sof iQ TORIC  via  Alcon
       Model  SN6AT5   POWER :  7.0 D   3.00 CYL
      Length 13.0 mm   Optic  6.00 mm
      UV With Blue Light Filter .  
(C)  The surgeon's staff seems very reluctant to  provided me with their Pre- and Post-opt  measurements,
Please help me understand  what happened here, and my options for this LEFT eye, with the RIGHT eye to follow
Many Thanks  

[royster]

I am considering replacing the volatile toric lens with the tried and tested monofocal with a mild nearsightedness, and then use prescription to also address astigmatism etc. Surely this outcome will be more predictable than another toric lens replacement..????
CBCT..the doctor worked wonders for some close friends currently not available
  I will also seek a second opinion from a closer source like USC.
Many Thanks to All for your feedback.

[CBCT]

Yikes stripes!   65 miles by cab!  Where do you live?  Perhaps there is alternative transport that is cheaper?  Let me know and I will research.  Sometimes there are services for seniors (not sure if you qualify) or other medical or social services. Or, you might offer to pay a neighbor.

[royster]

Follow up comments
As far as I can see, no pun, the left eye has been healing very nicely, no swelling or other worrisome symptoms.
My next visit to the surgeon is on Wednesday 4/29 or Day 23, 3 days from now, some 65 miles away by cab

[royster]

Thank you, SoftwareDeveloper.

For my right eye, the values on Day negative 45 and Day 12 were both  -8.50 -3.00 170, but on Day 16 at USC the right eye values were -7.25 -3.75 165.

I have never worn contact lenses nor had Lasik or any type of eye surgery. On Day 16 the USC personnel suggested that in addition to the prescription for the Left eye, I could also have a contact lens on the right eye. But since I have never worn contacts and I expect my repaired left eye with prescription to further dominate the right eye, I opted for the dummy right eye vanity lens. I will be very cautious driving during this interim period.
Many Thanks..

[SoftwareDeveloper]

Have they mentioned how far the lens is rotated, if they plan to rotate it to where it should be  or what they suggest doing about it and when?  Since you give the lens power I'm guessing you got the wallet card for the lens  and it seems likely you got the lens they intended   (given how far off you are, that just made me wonder if you got the wrong one).

I don't know offhand if any sort of post surgery issue like swelling can lead to some of the added astigmatism.
  
Obviously even aside from the astigmatism, the lens power was off, which suggests caution before the lens power is chosen for the other eye. In the case of highly myopic people the IOL power  formulas may not work well as well as they do for most people. You don't indicate whether the other eye is also myopic, but usually both eyes are if one is. This cataract surgeon has a page talking about the problem and the ways they attempt to correct for that

http://www.doctor-hill.com/iol-main/extreme_axial_myopia.htm

I also see that apparently Dr. Hill will consult for other surgeons on lens power choices. I wish I had been aware of that before my surgery, though I only wound up slightly off in what used to be my more myopic eye, +0.5, it would have been nice to have gotten the power right to get a bit more near vision from that eye (the other eye is plano).

re: " am following up on a great suggestion to further the domination of the left repaired eye via a bifocal prescription for Far and Near, with a dummy vanity lens over the right eye. "

Given your left eye was myopic (though I can't tell how much of that might have been due to the cataract since it was from only 45 days preop, I had a large myopic shift due to my cataract), I would have guessed that your right eye would be rather  myopic as well since usually (not always) there isn't too much difference between them.

If so, it isn't clear why you say a dummy "vanity lens" over that eye, seeming to imply it won't have a lens power. Are you just hoping to tune out that eye and ignore it until surgery perhaps? Or are you wearing a contact lens in the right eye perhaps and the glasses over top? In that case you could still opt for a bifocal lens in the glasses so the eyes match. (though I'm guessing you don't wear contacts or you'd just use contacts in both eyes, multifocals perhaps).

If you are  +2.5 in your left eye and rather myopic in your right, it isn't clear that glasses will work well, due to the different powers in each eye providing images of very different   sizes (anisometropia) which usually (if the lenses are a few diopters difference) leads  to problems with your brain not able to merge the images well (aniseikonia).

[CBCT]

You're welcome.  Best wishes for a happy resolution.