{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:50:41Z","timestamp":1791960641305,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,1,15]],"date-time":"2015-01-15T00:00:00Z","timestamp":1421280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In this study, a conjunctival\u2010sparing ab interno approach for circumferential trabeculotomy, termed micro\u2010invasive suture trabeculotomy (<jats:styled-content style=\"fixed-case\">MIST<\/jats:styled-content>) and its preliminary results are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective case\u2010series in a university setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 31 patients with open\u2010angle glaucoma with history of canaloplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A conjunctival\u2010sparing ab interno approach for circumferential trabeculotomy, termed <jats:styled-content style=\"fixed-case\">MIST<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Mean decrease of intraocular pressure (<jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>) and number of pressure\u2010lowering medications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean decrease of <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> was 11.1\u2009mmHg (standard deviation [<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>], 9.9\u2009mmHg) at 6 months, 12.1\u2009mmHg (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 10.5\u2009mmHg) at 12 months and 13.5\u2009mmHg (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 11.4\u2009mmHg) at 24 months. The average percent lowering of <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> was 36.7% (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 32.8%) at 6 months, 41.4% (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 35.9%) at 12 months and 44.6% (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 37.7%) at 24 months. The number of pressure\u2010lowering medications decreased by 1.1 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 1.3) at month 6, by 1.2 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 1.5) at month 12, and by 1.3 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>, 1.6) at month 24.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">MIST<\/jats:styled-content> is a promising approach for the treatment of open\u2010angle glaucoma, which is insufficiently controlled with canaloplasty. The procedure achieved significant and sustained lowering of the intraocular pressure and demonstrated an excellent safety profile. 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