{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:03:45Z","timestamp":1790730225200,"version":"4.1.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess 1-year outcomes of the trabecular meshwork peeling technique of ab interno trabeculectomy in patients with glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study reviewed medical records of 117 eyes from 117 glaucoma patients who underwent trabecular peeling (TRAP) surgery alone or combined with cataract surgery (TRAP-CS) at a single eye center. All procedures were performed by a single surgeon between June 1, 2016 and December 31, 2019. The surgery involved ab interno removal of 120 to 360 degrees of the trabecular meshwork using microforceps. The primary postoperative outcomes evaluated included changes in intraocular pressure (IOP), use of anti-glaucoma medications (AGMs), complications, and surgical success over a 1-year follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean IOP reduced from a preoperative value of 21.58 \u00b1 7.20 mm Hg to 14.5 \u00b1 3.8, 14.9 \u00b1 3.4, 15.0 \u00b1 3.6, and 14.6 \u00b1 3.4 mmHg at 1 month, 3 months, 6 months, and 1 year after surgery, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The use of AGM significantly reduced from 2.47 \u00b1 1.01 before surgery to 0.50 \u00b1 0.9 at 1 year after surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The percentage reduction in IOP and AGM at 1 year postoperatively was 31.3% and 80.0%, respectively. The absolute and qualified success rates at 12 months after surgery were 56.0% and 75%, respectively (point success at 12 months: 68.5% absolute and 89.2% qualified). Two cases required resurgery. No significant complications were noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study shows that the TRAP technique of ab interno trabeculectomy is a safe and effective approach to reducing IOP in patients with glaucoma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_943_25","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T16:00:38Z","timestamp":1772035238000},"page":"409-415","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Trabecular meshwork peeling technique of ab interno trabeculectomy \u2013 A retrospective review"],"prefix":"10.4103","volume":"74","author":[{"given":"Ankush","family":"Mahajan","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Mahajan Eye Hospital, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay K","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Mahajan Eye Hospital, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rekha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Lab Director, Department of Pathology, Dr Rekha\u2019s Nidaan Pathlabs, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh K","family":"Sah","sequence":"additional","affiliation":[{"name":"Deparment of Biotechnology, Dr B. 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Ambedkar National Institute of Technology, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"R1-20260417","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/ICU.0b013e32831eef65","article-title":"Canal surgery in adult glaucomas","volume":"20","author":"Godfrey","year":"2009","journal-title":"Curr Opin Ophthalmol"},{"key":"R2-20260417","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1016\/j.ophtha.2007.02.005","article-title":"Utilization of various glaucoma surgeries and procedures in medicare beneficiaries from 1995\u20132004","volume":"114","author":"Ramulu","year":"2007","journal-title":"Ophthalmology"},{"key":"R3-20260417","doi-asserted-by":"crossref","first-page":"3665","DOI":"10.19082\/3665","article-title":"Canaloplasty versus viscocanalostomy in primary open-angle glaucoma","volume":"9","author":"Farid","year":"2017","journal-title":"Electron Physician"},{"key":"R4-20260417","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.ajo.2011.10.026","article-title":"Treatment outcomes in the tube versus trabeculectomy (TVT) study after five years of follow-up","volume":"153","author":"Gedde","year":"2012","journal-title":"Am J Ophthalmol"},{"key":"R5-20260417","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1097\/IJG.0000000000000956","article-title":"Gonioscopy-assisted transluminal trabeculotomy: An ab interno circumferential trabeculotomy 24 months\u2019 follow-up","volume":"27","author":"Grover","year":"2018","journal-title":"J Glaucoma"},{"key":"R6-20260417","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/01.ijg.0000196653.77836.af","article-title":"Ab interno trabeculectomy: Development of a novel device (Trabectome) and surgery for open-angle glaucoma","volume":"15","author":"Francis","year":"2006","journal-title":"J Glaucoma"},{"key":"R7-20260417","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1159\/000094616","article-title":"Efficacy and safety of ab interno excimer laser trabeculotomy in primary open-angle glaucoma: Two years of follow-up","volume":"220","author":"Babighian","year":"2006","journal-title":"Ophthalmologica"},{"key":"R8-20260417","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/BF02850004","article-title":"Initial clinical experience with the trabecular micro-bypass stent in patients with glaucoma","volume":"24","author":"Spiegel","year":"2007","journal-title":"Adv Ther"},{"key":"R9-20260417","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.jcrs.2007.03.051","article-title":"Canaloplasty: Circumferential viscodilation and tensioning of Schlemm\u2019s canal using a flexible microcatheter for the treatment of open-angle glaucoma in adults. Interim clinical study analysis","volume":"33","author":"Lewis","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R10-20260417","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1177\/112067210201200510","article-title":"Ab-interno trabeculo-canalectomy: Surgical approach and histological examination","volume":"12","author":"Ferrari","year":"2002","journal-title":"Eur J Ophthalmol"},{"key":"R11-20260417","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1016\/j.jcrs.2017.06.046","article-title":"Goniotomy with a single-use dual blade: Short-term results","volume":"43","author":"Greenwood","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R12-20260417","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1001\/archopht.1958.00940080541001","article-title":"Further studies on facility of flow through the trabecular meshwork","volume":"60","author":"Grant","year":"1958","journal-title":"AMA Arch Ophthalmol"},{"key":"R13-20260417","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1001\/archopht.1993.01090120075025","article-title":"Surgical effects of trabeculotomy ab externo on adult eyes with primary open-angle glaucoma and pseudoexfoliation syndrome","volume":"111","author":"Tanihara","year":"1993","journal-title":"Arch Ophthalmol"},{"key":"R14-20260417","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.ophtha.2013.11.001","article-title":"Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy: Technique report and preliminary results","volume":"121","author":"Grover","year":"2014","journal-title":"Ophthalmology"},{"key":"R15-20260417","first-page":"15","article-title":"Nylon filament trabeculotomy. Comparison with the results of conventional drainage operations in glaucoma simplex","volume":"21","author":"Smith","year":"1969","journal-title":"Trans Ophthalmol Soc N Z"},{"key":"R16-20260417","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1016\/j.jcrs.2004.10.050","article-title":"Combined clear corneal phacoemulsification and ab interno trabeculectomy: Three-year case series","volume":"31","author":"Ferrari","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"R17-20260417","doi-asserted-by":"crossref","first-page":"113","DOI":"10.17925\/EOR.2014.08.02.113","article-title":"The first decade of global trabectome outcomes","volume":"8","author":"Mosaed","year":"2014","journal-title":"Eur Ophthalmic Rev"},{"key":"R18-20260417","doi-asserted-by":"crossref","first-page":"4610","DOI":"10.3390\/jcm14134610","article-title":"Mid-term surgical outcomes of T-Hook, 360\u00b0 suture trabeculotomy, kahook dual blade, and tanito microhook procedures: A comparative study","volume":"14","author":"Chihara","year":"2025","journal-title":"J Clin Med"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_943_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:58:40Z","timestamp":1786647520000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_943_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_943_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,26]]},"assertion":[{"value":"2025-04-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}