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FREMONT, CA: Surgery centers must take on a variety of factors, ranging from clinical and financial benefit to the impact on practice flow and logistics when deciding on whether to introduce new surgical techniques. In one such example, the pros and cons of various mydriasis approaches were evaluated during cataract surgery by administrators and surgeons. Keeping the tone and the size of the pupil and therefore a proper view of the operative field is important during the entire procedure to reduce the risk of capsules, vitreous loss, iris damage, and other possible operating problems. Challenges exist, as the surgeon seeks to achieve this goal, including a rising number of patients who have a history of systemic medications (known and unknown) that contribute IFIS and unpredictable dilation.