University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Small Pupil Management

Objectives

  • Demonstrate ability to insert and remove a Malyugin ring
  • Discuss when iris hooks would be appropriate during cataract surgery and how to place them.

Reading

  • Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
  • Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
    • Question 20: What is the Best Way to Manage Intraopertive Floppy Iris Syndrome?
    • Question 21: My patient has a Small Pupil. What are my Options for Expansion?

Videos

Malyugin Rings

Malyugin ring insertion and removal
Watch on YouTube

 

Nice malyugin ring insertion and removal
Watch on YouTube

 

Malyugin ring tips
Watch on YouTube

 

Malyugin ring our first time
Watch on YouTube

 

Nice placement of malyugin ring
Watch on YouTube

 

Malformed malring
Watch on YouTube

 

Malyugin ring issues
Watch on YouTube

 

Ring removal Cinci style
Watch on YouTube

 

Late placement of malyugin ring
Watch on YouTube

 

Cohen easy pull technique
Watch on YouTube

 

A hook and a ring
Watch on YouTube

Iris Hooks

Iris hooks (Placing Hooks)
Watch on YouTube

 

IFIS with hooks
Watch on YouTube

 

Iris hooks in a diamond configuration
Watch on YouTube

 

So many paracenteses
Watch on YouTube


Simulation

EYE MODEL


EQUIPMENT

Malyugin ring

Iris hooks

Sideport blade

keratome

Angled tying forceps

Kuglen hook


Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/

last updated: 07/01/2021