Mapping the FLIGHT Path

How incision-free intervention could expand glaucoma treatment options

By
Julian Upton
June 16, 2026
8 min

The Ophthalmologist

Objective:

To discuss the implications of the first commercial femtosecond laser image-guided trabeculotomy (FLIGHT) procedures for glaucoma care, as reported by ViaLase.

Approach:

Key Findings:

FLIGHT procedures were successfully completed at two locations, marking a significant milestone in glaucoma treatment, as reported by ViaLase.
Surgeons expressed confidence in the technology, noting its precision and reduced patient discomfort, based on their experiences.
FLIGHT may offer a viable option for patients who do not respond adequately to other treatments, as suggested by the surgeons.

Interpretation:

The introduction of FLIGHT could change the approach to glaucoma management, particularly for patients with mild to moderate disease.

Limitations:

The technology is still in early stages, with limited published results, as noted by the surgeons.
Behavioral change among ophthalmologists is necessary for widespread adoption, according to the discussion.