The OMNI procedure is a minimally invasive glaucoma surgery that combines canaloplasty and trabeculotomy using a single handheld device.
How the OMNI system works
Through a small corneal incision, the surgeon uses the OMNI device to first viscodilate Schlemm’s canal, then perform a controlled trabeculotomy over a chosen arc. This improves both canal and trabecular outflow.
- Designed for primary open-angle glaucoma
- Often combined with cataract surgery
- Preserves conjunctiva for future operations
- Performed under gonioscopic guidance
Benefits and follow-up
The dual mechanism can achieve meaningful pressure reductions with a low complication profile. As with other MIGS, results vary between individuals.
- Many patients reduce their need for drops but are not always drop-free
- Early postoperative bleeding or pressure fluctuations may occur
- Regular monitoring of optic nerve and fields remains essential
- Choice of arc length and technique is tailored to disease severity
