We always want to perform a minimally invasive and minimally traumatic cataract surgery. We want to be safe, efficient, and meticulous. In some cases, however, predisposing issues such as floppy iris syndrome can give the iris a tendency to want to prolapse from the incision. And we know that the iris is a delicate tissue with an important job, so we want to avoid damage to it. This is particularly true in patients with blue eyes because the cosmetic defect from iatrogenic corectopia is visible from a meter or two away from the patient. With a dark iris, the cosmetic defect is not as visible to others.
click below to learn the maneuvers that we use to avoid iris damage: