OMNI Surgical System for Glaucoma

Last updated: October 2, 2026

The OMNI Surgical System is an implant-free device used to perform canaloplasty followed by trabeculotomy through a small corneal incision. Current United States product information indicates the procedure for reducing intraocular pressure in adults with primary open-angle glaucoma. It may be performed before, with, or after cataract surgery when the patient’s diagnosis, angle anatomy, pressure goal, prior treatment, and overall eye health support that approach.

Fichte, Endl & Elmer Eyecare may discuss OMNI or another glaucoma treatment after a complete examination. A procedure cannot restore vision already lost to glaucoma, guarantee a particular pressure, or guarantee that medication or additional surgery will never be needed. Device availability and the treating surgeon should be confirmed at the consultation.

How OMNI Works

OMNI is designed to address the eye’s conventional drainage pathway without leaving an implant behind. The surgeon introduces a microcatheter into Schlemm’s canal, delivers viscoelastic to dilate the canal, and then performs trabeculotomy by opening part of the trabecular meshwork. The treatment goal is to improve aqueous outflow and lower eye pressure.

Who May Be Evaluated

Current United States labeling identifies adults with primary open-angle glaucoma. Evaluation may include gonioscopy, pressure measurements, optic-nerve imaging, visual-field testing, corneal assessment, review of glaucoma medications and prior procedures, and cataract evaluation. The amount of pressure lowering needed is an important part of the decision because minimally invasive surgery may not provide enough reduction for every stage of disease.

Contraindications and Anatomy

Current product information advises against use when the drainage angle is compromised, damaged, or cannot be adequately visualized. Listed exclusions include angle-recession, neovascular, chronic angle-closure, narrow-angle, traumatic, and malignant glaucoma, narrow inlet canals with plateau iris, and quadrants containing certain prior MIGS implants. The complete current instructions for use contain additional warnings and precautions.

Potential Risks and Limitations

Possible complications include bleeding in the front of the eye, inflammation, temporary or persistent pressure elevation, pressure that is too low, corneal or angle injury, infection, vision changes, the need to restart or continue drops, and the need for another laser or surgical procedure. Recovery and follow-up vary according to whether OMNI is performed alone or with cataract surgery.

OMNI Compared With Other Options

OMNI is one of several glaucoma treatments. Alternatives can include prescription drops, selective laser trabeculoplasty, Hydrus or iStent with cataract surgery, another canal-based procedure, XEN, trabeculectomy, or a glaucoma drainage implant. The choice depends on diagnosis, disease severity, angle anatomy, target pressure, cataract status, medication tolerance, prior procedures, and patient preferences.

Compare glaucoma drops, laser, MIGS, and traditional surgery.

Questions to Ask the Surgeon

What type and stage of glaucoma do I have?
Why is OMNI being considered for my eye?
Would it be performed alone or with cataract surgery?
What pressure reduction and medication change are reasonable goals?
What risks are most relevant to my anatomy and prior treatment?
What follow-up and activity restrictions are expected?

Video Overview

Video summary: The animation demonstrates a canal-based glaucoma procedure and the conventional drainage pathway. Patients should rely on the surgeon’s explanation and the current device labeling for candidacy, risks, and expected outcomes. Caption and transcript verification remain part of the media-accessibility production queue.

Schedule a Glaucoma Evaluation

Call 1-800-309-2020 or request an appointment. Patients can also review glaucoma care in Buffalo and Western New York.

Product and Patient Education Sources

This page provides general education and summarizes selected labeling concepts. The complete current instructions for use and an individual examination control treatment decisions.