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BACKGROUND: An ab interno Tanito microhook trabeculotomy (micro-LOT) requires a reusable, specially designed microhook(Inami & Co, Ltd) to cleave the TM and the inner walls of SC. This reusable instrument has a sharpened bent tip, which comes as straight, right-angled, and left-angled, and allows the surgeon to access all quadrants of TM, if desired.Although the prices of many devices are variable, an estimate of the cost of a reusable Tanito microhook is approximately $200 to $220 USD which is a signicantly less than usual cost in the United States than other MIGS procedures like an iStent, KDB, OMNI, or iTrack catheter, which are signi cantly more expensive and single use SYNOPSIS: This Video starts with a comparative review of different MIGS procedures and authors’ views regarding microhooks. Followed by detailed steps of MicroLOT surgery with micro-points and authors’ experience. The author also shares his experience of uutilizing microhooks not only in open-angle but also in challenging cases like Primary angle closure, Acute angle closure, Glaucoma associated with coloboma and others. This video also shows a case of MicoLOT coming to the rescue of a surgeon in case of intraoperative Trabeculectomy complication as an alternative to filtering surgery.The video concludes with the author’s one-year prospective analysis, which proves Ab interno microhook trabeculotomy (microLOT) combined with phacoemulsication in patients with open-angle glaucoma an efficacious procedure.