
Education
Glaucoma is a leading cause of irreversible blindness globally — and angle-closure glaucoma is predominant in Asians due to eye structure.
Glaucoma is a group of eye conditions that damage the optic nerve, typically caused by abnormally high intraocular pressure (IOP). It is one of the leading causes of irreversible blindness globally, and early intervention is critical to preserving vision.
Damage to the optic nerve is permanent and irreversible
Elevated intraocular pressure is the primary risk factor
Many patients have no symptoms until significant damage has occurred
Early diagnosis and intervention are essential to preserving vision
Intraocular pressure is the only modifiable risk factor

Types of Glaucoma
The most common form of glaucoma. The drainage angle remains open, but the trabecular meshwork slowly becomes less efficient over time, causing gradual pressure build-up with typically slow progression.
Most common
Addressed by many existing MIGS devices
The iris physically blocks the outflow pathway, raising intraocular pressure sharply. More aggressive than open-angle glaucoma with a higher risk of rapid vision loss. Disproportionately affects Asian populations.
Higher risk · Underserved
No approved MIGS option exists — existing devices are contraindicated in this anatomy
Why Angle-Closure Matters
Existing minimally invasive glaucoma surgery (MIGS) devices require an open trabecular meshwork to function. For angle-closure patients, this pathway is blocked — making current minimally invasive solutions inapplicable and leaving a critical treatment gap. In angle-closure disease, the iris obstructs the iridocorneal angle — physically preventing access to the trabecular meshwork that conventional MIGS devices depend on. Adapting existing MIGS devices to this anatomy has proven unsuccessful, with significantly higher failure rates than in open-angle patients.