• I-Ring for Small Pupil in Rock Hard Cataract. Dr. Ashraf Armia Description: A male Patient 88 years old on Flomax (Tamsulosin). Rock Hard Cataract with small pupil and no red reflex. Pupil expander (I-Ring from BVI) was used to dilate the pupil and make this challenging case be safe. Subspecialty: Cataract / Anterior Segment Level: Advanced Uploaded By: Ashraf Balamoun