june 2013 CataraCt & refraCtive Surgery today 19 AlAn S. CrAndAll, Md I would plan on using iris hooks to keep the iris from interfering with phacoemulsification, so I would create two extra paracenteses. If the astigmatism were regular, I would implant a toric IOL. If the astigmatism were irregular, I would not address it initially. Given the amount of trauma to the eye, my primary concern wou...