08/22/2025
A surgical case by Arkadiy Yadgarov, MD:
"A 71-year-old man presented for a routine glaucoma follow-up. He was phakic with 20/25 best-corrected visual acuity (BCVA) in both eyes, though central vacuoles were noted. On a prior visit, glare testing reduced his vision to 20/40, but he declined cataract surgery, stating he was satisfied with his vision. MIGS was not discussed at that time. He was diagnosed with moderate primary open-angle glaucoma (POAG) in both eyes, with an intraocular pressure (IOP) of 16 mmHg OU and a historical maximum of 23 mmHg. Central corneal thickness measured 510 microns OU. The patient was using latanoprost QHS and timolol QAM; however, his adherence was estimated at just 60–70%.
During the visit, his comments revealed troubling compliance issues. He shared, “I do miss a dose here and there,” “It takes many tries to get one drop in,” and “I often run out of the bottle early.” These admissions raised red flags, considering the strong correlation between poor adherence and glaucoma progression. With this in mind, I opted for a proactive treatment approach rather than waiting for further visual field or lens changes. I discussed the benefits of combining cataract extraction with MIGS—specifically canaloplasty and trabeculotomy using the OMNI® Edge Surgical System—to improve natural outflow and reduce reliance on topical medications. Once he understood the potential for better glaucoma control and a reduced medication burden, he was enthusiastic about moving forward.
After undergoing the OMNI procedure, the patient was pleased with his controlled IOP and appreciated not having to rely solely on medications for glaucoma management."
See the full discussion of this case here: https://ow.ly/GS0150WJyiE
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OMNI Edge is indicated for followed by to reduce intraocular pressure in adult patients with primary open-angle . Please visit https://ow.ly/AO0V50WJyiA for more information and for the full instructions or use, warnings, precautions, and adverse event information."