What are your best strategies for managing intraoperative floppy iris syndrome during cataract surgery when the iris becomes incarcerated in the paracentesis immediately after anterior wound construction?

Look for sources of posterior pressure—lid speculum, patient positioning, breath holding, etc.

Remake the paracentesis higher on the cornea.

For the main wound, use a longer tunnel and place it higher on the cornea. Try to end the wound at or over the papillary margin.

Use Omidria or epi in the bott...