---
title: What is omni glaucoma procedure?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/what-is-omni-glaucoma-procedure/"
updated: "2025-12-31"
category: "Treatments & Procedures"
---

# What is omni glaucoma procedure?

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