How do you manage iris intra- operative iris prolapse during cataract surgery?

Carefully: This is usually from what is termed "floppy iris". The iris stays in place for most cataracts but in this case will flop out of the incision. Many can be handled with special instruments to re-insert the iris. The pressure relations on the surgical instruments are adjusted and sometimes adjunctive aids are used. This rarely affects the final vision but can cause iris damage.

Iris prolapse: If iris floppiness or prolapse is encountered during cataract surgery, the iris is returned to the eye and then a malyugin ring or iris hooks are utilized. Rarely, a surgical iridectomy may be needed. It is generally not too big of issue and does not typically affect visual outcome.

Difficult to answer: Without ophthalmologist surgical background this may be difficult to understand. First, if you expect a floppy iris that may prolapse, you may alter your incision site or use a different dispersive viscoelastic. You may also consider iris hooks or a malyugin ring. If you encounter iris prolapse, alter irrigant bottle height, instrument flow/ vacuum settings, viscoelastic type. Experience helps.