We recently featured a similar case here where a resident surgeon perform’s the first pupil expansion ring of the career. The goal is not to compare this case to the previous one done by a different resident, but rather to learn the little pearls that make surgery easier and safer. When you first look at this case, you may not think that a pupil ring is needed since the dilation was about 5 mm. But perhaps this patient has floppy iris syndrome from tamsulosin use and the resident is being pro-active. Also it helps to learn these techniques on more routine cases before the very challenging case presents. What advice do you have to offer this young surgeon? Please comment below.