Via360 Expands Canal-Based MIGS Options - Summary - MDSpire

Via360 Expands Canal-Based MIGS Options

  • By

  • Jim Gallagher, senior managing editor

  • May 1, 2026

  • 7 min

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Objective:

To introduce the Via360 surgical system, a new device for glaucoma surgery that combines canaloplasty and trabeculotomy, enhancing surgical precision and patient outcomes through controlled viscodilation.

Approach:
    Key Findings:
    • The Via360 system received FDA clearance in February 2025.
    • Surgeons report improved control and efficiency during procedures, with specific metrics indicating enhanced outcomes.
    • The device has shown promise in reducing IOP and medication burden in specific patient subgroups, supported by clinical data.
    Interpretation:

    The Via360 system enhances the capabilities of minimally invasive glaucoma surgery (MIGS) by allowing for customizable treatment options and improved surgical efficiency.

    Limitations:
    • Potential for catheter misplacement into unintended areas; training and practice can mitigate this risk.
    • Requires training for optimal use despite its streamlined design; ongoing support and resources can enhance user proficiency.
    Conclusion:

    The Via360 system represents a significant advancement in MIGS, potentially reducing the need for more invasive surgeries and improving patient outcomes, particularly in those with complex glaucoma cases.

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