J u l y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 9 7
New for MIGS glaucoma surger y
• Omni Surgical System. Surgeons can do 2 glaucoma procedures
with 1 device using the new Omni Surgical System from Sight
Sciences. The device can enable surgeons to viscodilate Schlemm's
canal, expanding the conventional aqueous outflow pathway.
Surgeons can also use the same device to do up to 360 degrees of tra-
beculotomy. Or they can do both.
The system incorporates a stainless steel curved cannula that
enables surgeons to pierce the trabecular meshwork. Once the device
has gained access to Schlemm's canal, the surgeon can push a flexible
blunt cannula through Schlemm's canal as much as 180 degrees. As
you slowly pull the cannula back, you inject viscoelastic. Turn the
steel cannula around and viscodilate the other 360 degrees.
Trabeculotomy works pretty much the same way, although here you
fully feed in the flexible cannula and then simply withdraw the device
from the eye, tearing open the trabecular meshwork.
The economics are favorable. Facilities and surgeons can bill for
both 66174 and 65820. For ASCs, the combined facility fee is $2,625.
For hospitals, it's $3,418.
• Omni Surgical System from Sight Sciences.
