We have all been there to experience iris prolapse in the presence of a poorly dilating pupil, a floppy iris, and a shallow anterior chamber. This patient has a complex situation and our guest surgeon does a great job of dealing with these challenges. In addition at the end of the cataract surgery a MIGS procedure is performed to help deal with the glaucoma issues. How do you handle this type of challenge where the iris wants to prolapse even through the tiny paracentesis incision? Please comment below.