Modified Malyugin ring iris expansion technique in small-pupil cataract surgery with posterior capsule defect
Accepted 21 January 2008.
We describe a simple technique involving modification of iris expansion with the Malyugin ring (MicroSurgical Technology) in nondilating small-pupil cataract surgery with preexisting posterior capsule defect or intraoperative posterior capsule tear. A 6-0 polyglactin suture is placed in the leading scroll of the Malyugin ring, and the end of the suture is secured at the main port incision. This prevents the iris expander from inadvertently dropping into the vitreous during intraoperative manipulation.
From Dr. Agarwal's Eye Hospital and Eye Research Centre (Amar Agarwal, Athiya Agarwal, Kumar, Jacob), Chennai, India; the Department of Cataract and Implant Surgery (Malyugin), S. Fyodorov Eye Microsurgery Complex State Institution, Moscow, Russia; and MicroSurgical Technology (Laks), Redmond, Washington, USA
Corresponding author: Amar Agarwal, MS, FRCS, FRCOphth, Eye Research Centre and Dr. Agarwal's Group of Eye Hospitals, 19 Cathedral Road, Chennai, India.
Dr. Malyugin and Mr. Laks have a financial interest in the Malyugin ring; no other author has a financial or proprietary interest in any material or method mentioned.
ABSTRACT