Performing is a pleasure but it can also be stressful, particularly when we run into challenging cases such as this patient with floppy iris syndrome. While the case started out with good dilation, it was evident early on that there was a lot of iris floppiness. As the iris billows and starts to prolapse, what would be your approach? Our guest surgeon does a great job of managing this tough case and finishing the surgery successfully. Please give us your best words of advice in the comments below.
Buzzing the iris as you put the phaco tip in isn’t a great omen for what is to follow. Stop and put iris hooks in. 2 minute investment will save your duodenal mucosa and your patient’s iris for the future.