{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T08:40:08Z","timestamp":1771663208435,"version":"3.50.1"},"reference-count":16,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Patients with uveitis have a higher risk of developing glaucoma not only because of the disease by itself, but also because of the ongoing corticosteroid therapy. The pathogenesis of uveitic glaucoma is characterized by a complex of biochemical and cellular processes, as well as morphological changes in the trabecular meshwork. Treatment of secondary chronic glaucoma is challenging and often requires different approaches and solutions. Purpose: To present the \u201cab interno\u201d procedure of the Schlemm\u2018s canal (SC) performed with the help of TrabEx+ (MST, Redmond, WA, USA) in postuveitic glaucoma patients. Methods: The observed group included patients with postuveitic secondary glaucoma, which consisted of 12 pseudophakic patients (12 eyes). Patients are with intraocular pressure higher than 25 mmHg and on maximal local therapy. Due to insufficient conservative control on IOP, surgical solutions are needed. We describe a new, minimally invasive surgical procedure\u2013the technique of the operation, the postoperative results and complications. Results: We present the achieved intraocular pressure (on the first day, 2 weeks, 1 month, 6, 8 12 and 18 months). The morphology of the trabecular area was demonstrated by gonioscopy. The effects of the therapy on the glaucoma progression, was evaluated with perimetry and OCT. Discussion: The following procedure is a minimally invasive procedure and provides good control of intraocular pressure. Aqueous veins in the conjunctiva are significantly preserved compared to conventional filtration trabeculectomy. This potentially modulates the physiological outflow pathways by ablating trabeculum strip the cause of increased outflow resistance-the inner wall of the SC. Conclusion: Removal of the inner wall of the SC, using Trabex+ (MST, Redmond, WA, USA), demonstrates promising results in the selected patients with a minimally invasive nature.<\/jats:p>","DOI":"10.3390\/jpm13030456","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T02:28:17Z","timestamp":1677637697000},"page":"456","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u201cAb Interno\u201d Surgery of the Schlemm\u2019s Canal in Postuveitic Glaucoma Patients"],"prefix":"10.3390","volume":"13","author":[{"given":"Ivan","family":"Tanev","sequence":"first","affiliation":[{"name":"Eye Clinic \u201cZrenieto\u201d, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1712-9877","authenticated-orcid":false,"given":"Radina","family":"Kirkova","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, ENT and Maxillofacial Surgery, Medical University\u2014Pleven, 5800 Pleven, Bulgaria"},{"name":"Department of Ophthalmology, IRCCS HUMANITAS Research Hospital, 20089 Rozzano, Italy"},{"name":"University First Multiprofile Hospital for Active Treatment \u201cSt Joan Krastitel\u201d, 1000 Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.survophthal.2012.04.006","article-title":"Glaucoma Uveitis","volume":"58","author":"Siddique","year":"2013","journal-title":"Surv. 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Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Chen, D.Z., and Sng, C.C.A. (2017). Safety and efficacy of microinvasive glaucoma surgery. J. Ophthalmol., 2017.","DOI":"10.1155\/2017\/3182935"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Lavia, C., Dallorto, L., Maule, M., Ceccarelli, M., and Fea, A.M. (2017). Minimally-invasive glaucoma surgeries (MIGS) for open angle glaucoma: A systematic review and meta-analysis. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0183142"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.2147\/OPTH.S135316","article-title":"Micro-invasive glaucoma surgery (MIGS): A review of surgical procedures using stents","volume":"11","author":"Pillunat","year":"2017","journal-title":"Clin. Ophthalmol."},{"key":"ref_9","first-page":"189","article-title":"Minimally invasive glaucoma surgery: Current status and future prospects","volume":"10","author":"Richter","year":"2016","journal-title":"Clin. 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BMC Ophthalmol., 21.","DOI":"10.1186\/s12886-021-01895-6"}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/3\/456\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:44:38Z","timestamp":1760121878000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/3\/456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,28]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["jpm13030456"],"URL":"https:\/\/doi.org\/10.3390\/jpm13030456","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,28]]}}}