 Whenever a Mal-Yugan ring is used, the insertion of an implant can be just a little trickier. Make sure you put adequate OVD or epithelmic viscoelastic device to inflate the bag and coat the eyelids or the scrolls of the Mal-Yugan ring to prevent any damage or scratching of the implant. Then insert the implant like you normally would, delivering the distilled haptic right into the bag, and then tuck the proximal haptic into the bag. It's only after both haptics are in the bag do I remove the Mal-Yugan ring. Here as you can see I'm tucking the distilled and proximal haptics into the bag.