“The small pupil is a big problem for cataract surgeons, increasing the risk of complications that include iris trauma, capsular rupture, vitreous loss, and inflammation,” said Boris D. Malyugin, MD, PhD.
At the 2017 ASCRS meeting, Dr. Malyugin was honored for his pioneering innovation and other contributions by being selected as the recipient of the Binkhorst Medal. His lecture, which was titled “Cataract surgery in small pupils: building the bridge over troubled waters,” provided a review of strategies for small pupil management.
“Given a square and a circle with the same diameter, the square exerts more stress on the surrounding tissue because it has a longer periphery,” Dr. Malyugin explained. “This brings us to the story of the rings.”
Dr. Malyugin described the second generation Malyugin Ring 2.0 that became available in 2016. Compared with the original version, the Malyugin Ring 2.0 is made of a thinner material, 5-0 polypropylene vs. 4-0 polypropylene, is more flexible and used with a new injector. It is easier to insert, able to pass through a smaller, 2.0 mm incision, and gentler to the iris.