Imagine you are a professor / attending / consultant who is supervising a resident who is performing a seemingly routine … More
Category: iris prolapse
2812: fixing iris prolapse during MSICS
In Manual Small Incision Cataract Surgery (MSICS), iris prolapse usually stems from a pressure gradient where fluid trapped behind the … More
2676: shallow AC with iris prolapse + MIGS
We have all been there to experience iris prolapse in the presence of a poorly dilating pupil, a floppy iris, … More
2655: eroding seton, iris prolapse, high IOP
This is a very tough case where a patient previously had an Ahmed Glaucoma Valve seton placed and it is … More
2578: the stress of floppy iris syndrome
Performing is a pleasure but it can also be stressful, particularly when we run into challenging cases such as this … More
2448: resident case 200 evaluation
This is cataract case 200 for this young surgeon in training and it is a pretty good procedure. Certainly there … More
2447: small pupil case becomes tough
When dealing with patients who have small pupils or floppy iris tissue, we need to take extra caution. Even then … More
2426: severe iris prolapse causes damage
Iris prolapse during cataract surgery is a complication that has happened to 100% of cataract surgeons. If you think that … More
2397: four fast clips of great surgical pearls
In this video we present four fast clips, each just 1 minute long, showing great surgical pearls. The first is … More
2191: Best of Cataract Coach: Case 5
Case 5. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More
2165: zonular loss and iris prolapse
Every surgeon encounters complications and often times these are out of the control of the surgeon. Imagine a patient who … More
2053: how can you fix this iris damage?
This patient had a terrible case of floppy iris syndrome and iris prolapse during the initial cataract surgery which was … More
1928: irido-corneal adhesions
This patient presents to you with the situation shown in the title picture. There is an inferior corneal leucoma with … More
1819: curriculum lesson 22: small pupil & iris prolapse
The next lesson in our 25 part curriculum series is focused on dealing with small pupils and iris prolapse. You … More
1802: when floppy iris syndrome gets ugly
As surgeons we must remember (and teach our patients) that the results of surgery are a combination of our surgical … More
1713: pars plana tap for aqueous misdirection
The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More
1705: recovering from iatrogenic iris damage
This is a very tough case and the iris prolapse and damage is considerable. This is the type of case … More
1572: solving iris prolapse in a small eye
Our guest today is Dr Mohamed Sayed (formerly in Miami, now in Dubai), a master surgeon who has taught us … More
1545: floppy iris syndrome management
Floppy iris syndrome is routinely encountered by all cataract surgeons and it can be quite challenging to effectively manage. This … More
1197: rescue this case of iris prolapse
This is a tough resident case and it all started to go downhill with a poorly constructed phaco incision. This … More
1002: Do not upset the iris!
There is a lot to learn from this resident cataract surgery. The case starts out with a reasonable pupil of … More
This sign means I need a pupil ring
this sign means that I need a pupil ring for cataract surgery
Playlist: Iris Prolapse
Iris prolapse is a relatively common issue in cataract surgery and its management is critical to the success of the … More
Bad Incisions lead to trouble
This anonymous resident starts the case with a poorly placed and poorly constructed incision. It ends up bleeding, allowing blood … More
Review: Management of Iris Prolapse
In this resident performed surgery, we encounter iris prolapse after too much hydro-dissection. This results in the iris prolapsing out … More
Fix this Iris Prolapse in 2 seconds
Really. This is not an exaggeration. If you understand the physics of why the iris is prolapsing through the incision, … More
Review: Surgical Peripheral Iridotomy
There are times when you will need to make a surgical iridotomy either during cataract surgery or as a stand-alone … More
Easy way to fix iris prolapse
We have all experienced it: the case is going well but then the iris starts to prolapse out of the … More
Cataract surgery in Nanophthalmos
Nanophthalmic eyes are very small with a short axial length of less than 20 mm. This makes the cataract surgery … More
Quiz: iris is prolapse & bleeding – now what?
Quiz time: This patient has floppy iris syndrome from tamsulosin use and you are experiencing iris prolapse during his cataract … More
Quiz: How to fix iris prolapse at the incision
The iris is a kinetic and flowing structure that moves during pupil constriction and dilation. But the iris can also … More
Quiz: Which eye do you fix first?
This patient needs surgery on both eyes. The right eye has a cataract which is limiting the vision to 20/80 … More
Avoiding Iris Prolapse & Damage in Blue Eyes
We always want to perform a minimally invasive and minimally traumatic cataract surgery. We want to be safe, efficient, and … More
Resident Case: Iris Prolapse during Cataract Surgery
When we encounter iris prolapse in a patient with a light-colored iris, we must be very careful because any iatrogenic … More
Ovoid Pupils in Cataract Surgery – What Happened?
What is happening in these cataract surgery patients with prior Flomax (tamsulosin) use? Why are the pupils ovoid in shape? … More
How to Tame Iris Prolapse at the Start of Surgery
When the iris prolapses through the incision, it is due to one principal issue: a gradient whereby the pressure behind … More
How to fix Iris Prolapse in Cataract Surgery
In this resident performed surgery, we encounter iris prolapse after too much hydro-dissection. This results in the iris prolapsing out … More
Guest Surgeon: Cataract with prior Trabeculectomy
This is a great video submitted by Dr. Mohammed Ghoneem from Alexandria, Egypt where he shows his method for successful … More