As you look at the program directory and websites at SFMatch.org, you will be able to tell some of the programs that are not as strong. They don't have full time faculty in all sub specialties, don't have nice new eye buildings, or their surgical numbers aren't quite as high. (don't take these as absolutes, but you'll get the feel. There are plenty of good programs without brand new facilities, and poor ones with new ones). Once you start comparing programs you'll get a rough sense of how desirable they seem. I really suggest trying to do aways at better known programs. While you may not have a great shot at matching there it does a couple of things for you. First, you can get a letter from someone who may be better known in the academic ophthalomogy world. There will be more people around who can give you solid advice about applying and mathcing as well. Second, if you shine you may get your foot in the door. Since you feel that you wouldn't have gotten an interview there without the rotation, isn't it worth at least bustin' your tail for a month to try to get one?