Dr. Clarke also observed that some rapidly expanding IOLs may become “locked into” a Malyugin ring during surgery, making it difficult for the surgeon to separate the two and correctly position the lens.
“This is a better product in the long run and it will do more for the entire problem of floppy iris,” Dr. Clarke said. “This keeps everything flat and out of the way. It gives you a nice round pupil; there are no stress points on the iris.”
As of June, the horseshoe-shaped dilator was not yet on the market pending finalization of distribution agreements; it is expected to be available later this year. An FDA 510(k) exemption has been applied for. The reusable injector will be sold separately.