Use of Malugin Pupil Dilator in the Intraoperative Floppy Iris Syndrome

Introduction Severe iphis syndromes are characterized by prolapse of the iris through the intraoperative section as well as progressive intraoperative miosis. It has been demonstrated earlier that when these IFIS events are not known and do not expect or experience a risk of complications in terms of damage to iris or rupture of the capsule it is expected. From 2005, when the existence of this IFIS syndrome was first introduced, Since then, many strategies have been used to modify it satisfactorily. IPIS almost always occurs in patients receiving Tamsulosin. Purpose Use of the Malugin Ring or Pupil Dilator in patients receiving Tamsulosin that have developed an intraoperative flipper iris syndrome in their cataract surgery. Method 5-0 polypropene Malugen ring used in 20 eyes, in 18 patients, in 11 tamsulosin patients who had cataracts. Pupil diameter is measured at the begging and end of surgery. Intraoperative and postoperative complications were observed. Results Male patients aged 65 to 90 years follow. In our results none of the operated eyes had no Iris prolapse, through a phaco cut. In all eyes corrected visual acuity was at least 8.0. We have superior protection of endothelial cells, as well as reduction of hyphaemas, fibrinoid reactions and the onset of postoperative hypertension in the Malyugin ring group Conclusion Malignant Pupilar Ring is highly effective in the spread of myotic pupils in the eyes of IFIS and is a highly effective solution for preventing iris prolapse through surgery. This prevents damage to the iris in the sense of its rupture, the transillumination and unconscious abnormal losses of the anterior chamber in the iris prolapse through the surgical cut of 2.6 mm.