GLAUCOMA

Inami Glaucoma Instruments are hand-crafted by expert tradespeople of Tokyo, Japan

INAMI ORIGINAL SURGICAL INSTRUMENTS

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TMH Original

Developed by: Professor Masaki Tanito

Distributed by: Diamatrix Ltd

TMH Shoji Edition

Refined by: Dr. Takuhei Shoji

Distributed by: Diamatrix Ltd

Inami & Co., Ltd Instruments:M-2215S image

Inami & Co., Ltd Instruments:M-2215S

$379.00

TMH Ab Interno, Straight

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Original Tanito Micro Hooks

Available as a Set or as individual instruments (*Straight, Left, or Right)Key

TMH Left
M-2215S-Tip-416x416
Shoji Straight

Key Benefits:

Smooth, controlled incision through Schlemm’s canal

Maintains canal wall integrity with balanced depth control

Ideal for ophthalmologists focusing on precision and canal preservation

Explore the Original and Shoji Edition Version of the TMH

Modified Shoji edition TMH

Available as a Set or as individual instruments (*Straight, Left, or Right)

THM Shoji Straight
TMH Shoji Left
TMH Shoji Left

Key Benefits:

Enlarged incision area (+25%) for broader access

Slimmer bend for enhanced visibility, particularly for nasal approaches

Perfect for complex surgical fields requiring precise control

Inami & Co., Ltd Instruments:M-2220S image

Inami & Co., Ltd Instruments:M-2220S

$399.00

Hook Micro Trabeculotomy, ab interno, TANITO, Shoji Edition, Straight

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The Benefits

Original TMH and Shoji TMH Microhooks: Precision and Control in Glaucoma Management

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Effective Intraocular Pressure Reduction

"Significant IOP reductions post-surgery help manage glaucoma symptoms long-term, with a nearly 30% decrease observed in clinical studies, reducing the need for additional medications"

【Harano, A., et all., 2023】【Sugihara K, et al., 2023】

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Precision with Minimal Tissue Trauma

"Designed for controlled incisions that preserve Schlemm’s canal integrity, the TMH minimizes trauma, promoting rapid recovery and reducing surgical complications IOVS.

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Enhanced Accessibility and Visibility

Available in straight and angled options, the TMH and Shoji TMH provide optimal access to hard-to-reach anatomical angles, making complex procedures easier. MDPI

 

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Customizable Surgical Approaches

With customizable hook angles and an implant-free design, these tools provide flexibility, making them ideal for tailored glaucoma surgeries" MDPI.

Recent Publications

Microhook Ab Interno Trabeculotomy: A Novel Minimally Invasive Glaucoma Surgery
Published in Clinical Ophthalmology, 2018.

  • Summary: This paper introduces the microhook ab interno trabeculotomy (µLOT), a minimally invasive glaucoma surgery (MIGS) technique designed to reduce intraocular pressure (IOP) in glaucoma patients. Benefits include a wider trabeculotomy extent, shorter surgical time, and no need for expensive equipment.
  • Link: Access article

Midterm Results of Microhook Ab Interno Trabeculotomy in 560 Eyes with Glaucoma
Published in Journal of Clinical Medicine, 2021.

  • Summary: This study reviews the outcomes of µLOT, with significant findings showing 58% of patients achieving an IOP ≤ 18 mmHg after two years, with a 40% success rate for IOP ≤ 15 mmHg.
  • Link: Access article

Early Outcomes of Combined Phacoemulsification and Ab Interno Tanito Microhook Trabeculotomy in Open-Angle Glaucoma
Published in Ophthalmology Glaucoma, 2023.

  • Summary: This research highlights the safety and efficacy of combining µLOT with phacoemulsification, showing substantial IOP reduction and minimized need for antiglaucoma medications. It provides evidence supporting µLOT as a safe, minimally invasive option for managing open-angle glaucoma.
  • Link: Access article by visiting AAO.org

Noninferiority of Microhook to Trabectome
Tram Trac Study, Journal of Clinical Medicine, 2023.

  • Summary: This comparative study establishes that µLOT performs similarly to the Trabectome procedure in maintaining IOP levels without additional glaucoma surgery, supporting µLOT as an effective alternative for managing glaucoma.
  • Link: Access article
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