When dealing with patients who have small pupils or floppy iris tissue, we need to take extra caution. Even then there is no guarantee that even an experienced surgeon will have a perfect outcome because the results are also dependent on the patient’s tissues and anatomy. In this case, we see the iris prolapse via the paracentesis inacision and that causes iatrogenic damage. Should you repair this at the same time as the cataract surgery or come back another day? What would be your approach and advice to deal with this tough case? Would you have started with iris hooks or a pupil expansion ring? Please give helpful advice in the comments below.
