Case Description: This man is being treated with Rapaflo because of partial urinary obstruction as a result of benign prostatic hypertrophy, and the drug has caused the iris to become extremely floppy. The video demonstrates several techniques that minimize the chance of iris damage and/or prolapse. A method of toric IOL positioning at the correct meridian in the presence of a miotic pupil is also demonstrated, as are several methods that can be used to maintain pupil dilation in this situation.
An eye with pseudoexfoliation exhibits moderate zonular laxity and a small pupil that requires enlargement. The options (capsule tension ring, capsule retractors, or a manual