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    Why I Prefer Ab-Interno Trabeculotomy: Top-3 Surgical Pearls

    By Sameh Mosaed, MD
    Annual Meeting 2013

    Benefits of the ab-interno approach:

    • No external filtration means no bleb, no blebitis, no bleb leaks, no choroidals or overfiltration.
    • No foreign body is implanted.
    • No implant-related complications
    • Only novel MIGS trabecular bypass procedure approved for congenital, juvenile, and adult OAG and for phakic or pseudophakic eyes
    • Can be performed as a stand-alone procedure or in conjunction with cataract extraction
    • Longest-term follow-up of all novel MIGS bypass procedures
    • Sustained IOP lowering with very few complications
    • Does not preclude standard filtering surgery or tube shunt placement
    • Does not impact outcome of trabeculectomy