Clinical Applications

This page provides a summary of the iTrack™ clinical applications by region. Indications and available device functions vary depending on where the device is used. For complete information, including contraindications, warnings, precautions and adverse events, please refer to the Instructions for Use (IFU).

The iTrack™ has a CE Mark (Conformité Européenne) for the treatment of open-angle glaucoma.

Indications for use

The iTrack™ is indicated for fluid infusion or aspiration during surgery. The iTrack™ is indicated for catheterization and viscodilation of Schlemm’s canal to reduce intraocular pressure in adult patients with open-angle glaucoma.

About Canaloplasty

Canaloplasty is a microcatheter-based glaucoma procedure that uses 360° catheterization of Schlemm’s canal followed by viscodilation with viscoelastic. The goal is to support aqueous outflow through the conventional pathway by addressing resistance along the trabecular meshwork, Schlemm’s canal and collector channels.

Learn more about Canaloplasty
White Arrow Pointing Right

Ab-Interno Canaloplasty

About the ab-interno approach

In an ab-interno canaloplasty technique, Schlemm’s canal is accessed from within the anterior chamber under gonioscopic visualization. The procedure is performed through a small corneal incision, enabling canal catheterization and viscodilation while avoiding external conjunctival dissection.

Ab-interno Canaloplasty with iTrack™

With iTrack™, ab-interno canaloplasty is performed by accessing Schlemm’s canal from within the eye, advancing a microcatheter through the canal and delivering viscoelastic to viscodilate the pathway as the catheter is withdrawn.

Ab-Externo Canaloplasty

About the ab-externo approach

In an ab-externo canaloplasty technique, Schlemm’s canal is accessed through a scleral approach. The canal can then be intubated with a microcatheter to support catheterization and viscodilation of Schlemm’s canal as part of the canaloplasty procedure.

Ab-externo Canaloplasty with iTrack™

With iTrack™, ab-externo canaloplasty is performed by accessing Schlemm’s canal externally via scleral flaps, advancing the microcatheter through the canal, and delivering viscoelastic to viscodilate the pathway as the catheter is withdrawn.

Disclaimer

International

The iTrack™ has a CE Mark (Conformité Européenne) 2862 and US Food and Drug Administration (FDA) 510(k) #K080067 for the treatment of open-angle glaucoma.

INDICATIONS: The iTrack™ canaloplasty microcatheter is cleared for the indication of fluid infusion and aspiration during surgery, and for catheterization and viscodilation of Schlemm’s canal to reduce intraocular pressure in adult patients with open-angle glaucoma.

CONTRAINDICATIONS: The iTrack™ canaloplasty microcatheter is not intended to be used for catheterization and viscodilation of Schlemm’s canal to reduce intraocular pressure in eyes of patients with the following conditions: neovascular glaucoma; angle closure glaucoma; and, previous surgery with resultant scarring of Schlemm’s canal.

ADVERSE EVENTS: Possible adverse events with the use of the iTrack™ canaloplasty microcatheter include, but are not limited to: hyphema, elevated IOP, Descemet’s membrane detachment, shallow or flat anterior chamber, hypotony, trabecular meshwork rupture, choroidal effusion, Peripheral Anterior Synechiae (PAS) and iris prolapse.

WARNINGS: The iTrack™ canaloplasty microcatheter is intended for one time use only. DO NOT re-sterilize and/or reuse, as this can compromise device performance and increase the risk of cross contamination due to inappropriate reprocessing.

PRECAUTIONS: The iTrack™ canaloplasty microcatheter should be used only by physicians trained in ophthalmic surgery. Knowledge of surgical techniques, proper use of the surgical instruments, and post-operative patient management are considerations essential to a successful outcome.

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Not all products are available in all regions or countries. Please contact your Nova Eye representative for more information.
Surgeons in the Operating room using itrack devices
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*In-house bench testing data using a proprietary optical rheology test apparatus to assess the change in viscosity over time during viscoelastic delivery with the iTrack™ Advance. Bench testing data may not be indicative of clinical outcomes. Clinical effects depend on anatomy and surgical technique. Results may vary.