Via360 Expands Canal-Based MIGS Options - Scorecard - MDSpire

Via360 Expands Canal-Based MIGS Options

  • By

  • Jim Gallagher, senior managing editor

  • May 1, 2026

  • 7 min

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Clinical Scorecard: Via360 Expands Canal-Based MIGS Options

At a Glance

CategoryDetail
ConditionOpen-Angle Glaucoma
Key MechanismsCombination of canaloplasty and trabeculotomy with controlled viscodilation.
Target PopulationPatients with elevated intraocular pressure (IOP) and medication dependency.
Care SettingOphthalmic surgical settings.

Key Highlights

  • 510(k) clearance from the FDA for controlled viscoelastic delivery.
  • Surgeon-controlled, on-demand viscoelastic delivery via ActiveInject technology.
  • Microcatheter design allows advancement up to 360° within Schlemm’s canal.
  • Effective for patients with pigment dispersion syndrome, pseudoexfoliation syndrome, and steroid response glaucoma.
  • Reduces the need for filtering surgery in cases of significant IOP elevation.

Guideline-Based Recommendations

Diagnosis

  • Consider MIGS for patients who may benefit from IOP reduction and reduced medication burden.

Management

  • Utilize Via360 for maximum IOP lowering through combined canaloplasty and trabeculotomy.

Monitoring & Follow-up

  • Monitor IOP and medication dependency post-procedure.

Risks

  • Potential for catheter entering unintended areas, though tactile feedback aids in navigation.

Patient & Prescribing Data

Patients with open-angle glaucoma and elevated outflow resistance.

Significant reductions in IOP and topical medication burden observed.

Clinical Best Practices

  • Employ ActiveInject technology for precise viscoelastic delivery.
  • Utilize the rotatable cannula for access in complex anatomical cases.
  • Streamline surgical prep with the Smart Prime feature to optimize viscoelastic volume.

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