| Sumario: | Purpose: The purpose of the study is to report midterm outcomes of a pilot case series using a Bangladeshi modification of bent ab interno needle goniectomy (B‐BANG) in primary open‐angle glaucoma (POAG). Methods: This single‐surgeon, nonrandomized case series included 11 eyes of 11 patients with POAG. Six eyes underwent standalone B‐BANG, while five eyes underwent combined phacoemulsification with B‐BANG. Preoperative and postoperative intraocular pressure (IOP), antiglaucoma medication (AGM) burden, and complications were recorded at 1, 3, and 6 months. Paired t‐tests and Cohen's d effect sizes with 95% confidence intervals (CIs) were calculated. Results: Mean IOP reduced from 22.73 ± 7.38 to 17.00 ± 2.19 mmHg at 6 months (p = 0.0368; Cohen's d = 0.73). AGM usage decreased from 2.09 ± 0.94 to 0.45 ± 0.52 (p < 0.0001; d = 2.02). No sight‐threatening complications occurred. Conclusions: B‐BANG was feasible and reduced IOP and medication burden. Findings require confirmation in future controlled studies.
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