Micro-interventional glaucoma surgery

Micro procedures.
Natural reinforcement.

Breakthrough micro-instrumentation for high-precision, ab interno surgery — and natural allogeneic tissue that reinforces the eye's own structure. Better together.

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Micro-Instrumentation · Devices

Breakthrough micro-instrumentation.

High-precision ab interno access and delivery.

Micro-scale instruments engineered to reach the angle through a tiny opening — enabling canaloplasty, excisional goniotomy, and cyclodialysis, and delivering tissue with single-pass precision.

AlloSert™ Uveo

Microinterventional cyclodialysis and scleral-graft delivery platform.

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BioTissue · §361 HCT/P

Breakthrough bio-tissue products.

One homologous scleral allograft. A catalog of sizes.

Structural by design, made to reinforce. A single tissue platform, shaped for the anatomy it supports — from the peri-canal wall to endoscleral reinforcement.

AlloSpan Canal, AlloStat, and AlloFlo Uveo — one homologous scleral allograft in three formats
AlloFlo™ Uveo
Endoscleral scleral tissue that reinforces the endoscleral wall during cyclodialysis.
5 × 0.5 mm · endoscleral wall
AlloSpan™ Canal
Sub-millimeter scleral tissue that reinforces the peri-canal scleral wall.
0.2 mm dia · peri-canal wall
AlloStat™
Scleral tissue that reinforces and closes scleral tissue.
1–2 mm · scleral defect · in development
02 / 03
BioTissue · §361 HCT/P

Natural allogeneic bio-reinforcement.

Minimally processed human scleral tissue.

Instead of permanent synthetic hardware, the surgical site is reinforced with the eye's own kind of tissue — minimally manipulated human scleral allograft that provides natural, structural reinforcement of native sclera.

Tissue, not hardware. Sclera reinforcing sclera.
AlloFlo and AlloSpan are homologous scleral allograft — the same collagenous tissue the eye is built from, used to reinforce it. That isn't a marketing distinction; it's a tissue-identity and a regulatory one.
Homologous scleral allograft
  • The same collagenous tissue as the host sclera
  • Matched biomechanics — no rigidity mismatch with native sclera
  • Porous, conforming scleral matrix
  • No permanent synthetic material left in the eye
  • Human tissue under §361 — exempt from device premarket approval
Exogenous synthetic implant
  • Foreign, engineered material
  • Stiffness mismatch with the soft eye
  • Permanent, rigid implant
  • A device — cleared or approved via 510(k) or PMA

Because homologous sclera shares native tissue's mechanics, it avoids the stiffness mismatch that makes rigid synthetic implants a recognized trigger of the foreign-body response. It isn't a device by nature — which is why it isn't one by regulation: homologous human tissue is exempt from device premarket approval under §361.

AlloFlo Uveo scleral allograft reinforcing the endoscleral wall
AlloFlo Uveo scleral microstructure — porous collagen microstructure
Anatomy ⇄ Microstructure
AlloFlo Uveo

AlloFlo™ Uveo

Gentle, minimally processed human scleral tissue that reinforces the eye's own endoscleral wall at the surgical site.

AlloSpan™ Canal
Sub-millimeter scleral tissue that reinforces the peri-canal scleral wall in canaloplasty.
AlloStat™ In development
Scleral tissue that reinforces and closes scleral tissue.
Scale comparison of AlloSpan Canal (0.2 mm peri-canal wall), AlloStat (1–2 mm scleral defect), and AlloFlo Uveo (5 × 0.5 mm endoscleral wall) — one homologous scleral allograft family
  • AlloSpan™ Canal0.2 mm dia · peri-canal wall
  • AlloStat™ In development1–2 mm · scleral defect
  • AlloFlo™ Uveo5 × 0.5 mm · endoscleral wall
One homologous scleral allograft · structural reinforcement of native sclera · §361 HCT/P
One tissue · Three formats
A single homologous scleral allograft, shaped for the anatomy it reinforces.
Tissue quality & safety

Human tissue, handled to standard.

Recovered from consented donors and processed by an accredited eye bank.

Accredited processing
Prepared by CorneaGen under EBAA Medical Standards and 21 CFR Part 1271.
Terminal sterilization
Electron-beam irradiated; single-use, pre-loaded, and sterile.
Donor screening
Consented donors; serologic screening at a CLIA-certified, FDA-registered laboratory.
Full traceability
ISBT 128 identification with post-use tissue tracking.
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Better Together

Enabling breakthrough procedures for the modern surgeon.

Precision access and delivery, plus natural reinforcement — in one workflow.

The instrument performs the procedure and places the tissue exactly where it's needed; the tissue reinforces the eye's own wall. Together, they let the modern surgeon complete an ab interno, tissue-sparing procedure with natural reinforcement — and leave no permanent synthetic device behind.

01

Access

A single micro-instrument reaches the angle through a tiny ab interno opening.

02

Perform the procedure

The surgeon performs canaloplasty, goniotomy, or cyclodialysis using the eye's natural anatomy; the tissue provides structural reinforcement only.

03

Reinforce

Natural scleral tissue is delivered and reinforces the surgical site — no permanent synthetic device left behind.

Instrument and tissue, engineered as one workflow. Better together.

For surgeons

Procedures & reinforcement.

A single-pass platform across the angle-based procedures you already perform — with the option of natural scleral reinforcement.

Applications
01 · Procedure

Cyclodialysis

InstrumentationAlloSert™ Uveo
ReinforcementAlloFlo™ Uveo — endoscleral wall
02 · Procedure

Canaloplasty

InstrumentationC-Rex™ · AlloSert™ Canal
ReinforcementAlloSpan™ Canal — peri-canal scleral wall
03 · Procedure

Goniotomy

InstrumentationC-Rex™
ReinforcementInstrument-only
Investigational
04 · Procedure

Optic disc pit surgery

InstrumentationStandard instrumentation
ReinforcementAlloSpan™ — peripapillary sclera
Investigational
05 · Procedure

Sclerostomy closure

InstrumentationStandard instrumentation
ReinforcementAlloStat™ — scleral defect

The allograft provides homologous structural reinforcement of native sclera. Optic disc pit and sclerostomy applications, and AlloStat™, are in development and not available for commercial sale.

For healthcare professionals
Evidence

Clinical literature.

Peer-reviewed publications on the cyclodialysis and canaloplasty procedures, including the CREST study — one of the largest prospective cohorts in interventional glaucoma.

Outcomes below are reported for the surgical procedures as published; findings and terminology are the authors' own and are not claims for any tissue or instrument.

Standalone bio-interventional uveoscleral outflow enhancement: one-year multicenter results.
Reiss et al. PLoS One. 2026;21:e0351552.
Read
One-year clinical outcomes of cyclodialysis with scleral allograft reinforcement.
Ianchulev T, Weinreb RN, Calvo E, et al. Clin Ophthalmol. 2024;18:3605–3614.
Read
Surgical outcomes, safety and tolerability of allograft-reinforced cyclodialysis: clinical experience of 240+ cases.
Chaya CJ, Herndon LW, Lince J, et al. J Clin Med. 2024;13(16):4593.
Read
Two-year results of cyclodialysis with scleral allograft reinforcement in primary open-angle glaucoma.
Calvo E, De Francesco T, Vera L, Tyson F, Weinreb RN. Ophthalmol Sci. 2025;5(4):100727.
Read
Cyclodialysis surgery for glaucoma management: a systematic review and meta-analysis of 100 years of clinical evidence.
Stamper R, Huang A, Toris C, et al. Clin Ophthalmol. 2025;19:2859–2870.
Read
Scleral allograft use in ophthalmic surgery: techniques and indications for ab-externo and ab-interno scleral reinforcement.
De Francesco T, Ianchulev T, Rhee DJ, et al. Clin Ophthalmol. 2024;18:1789–1795.
Read
One-year results of allograft-reinforced cyclodialysis in medically uncontrolled open-angle glaucoma.
Barber K, Flowers B, Patterson M, Vera L, Ahmed IIK. Ther Adv Ophthalmol. 2025;17.
Read
First clinical series of cyclodialysis with scleral allograft reinforcement (10 eyes).
Ianchulev T, et al. Br J Ophthalmol. 2024;108:217–222.
Read

These publications evaluate the surgical procedure. The scleral allograft's role within the procedure is structural reinforcement of native sclera. Full presentation and CREST materials are available to healthcare professionals on request.

Newsroom

Iantrek in the field.

Independent coverage of micro-interventional glaucoma surgery and angle-based procedures.

External coverage published by third parties. Iantrek does not control third-party content.

Surgical technique

See the procedure.

A single-pass, ab interno approach — with optional natural scleral reinforcement.

  • Ab interno accessReach the angle through a single micro-incision.
  • Single-pass efficiencyCanaloplasty with excisional goniotomy in one instrument pass with C-Rex.
  • Fits the cataract workflowIntegrates with standard phacoemulsification.
  • Optional reinforcementDeliver natural scleral tissue to reinforce the surgical site.
Clinical evidence

Published in the peer-reviewed literature.

The clinical experience of surgeons working with this platform is reported independently, in peer-reviewed journals — the compliant, durable record of the field's evidence.

240+
eyes in the published experience
24 mo
longest published follow-up
5
peer-reviewed publications
Multi
center, multi-surgeon series
Studied and published at leading centers
Mount Sinai · NYEEDuke Eye CenterMoran Eye Center, UtahUCSD · ShileyWashUCase Western

The following are independent, peer-reviewed publications, listed for scientific and educational reference. Their findings, methods, and terminology are the authors' own. Some publications describe surgical procedures, mechanisms, or investigational uses that are not part of the intended use of Iantrek's scleral tissue, which provides structural reinforcement of native sclera only — see Important Information.

Bio-interventional uveoscleral outflow enhancement in medically uncontrolled primary open-angle glaucoma: 1-year results of allograft-reinforced cyclodialysis
Barber K, Flowers B, Patterson M, Vera L, Ianchulev T, Ahmed IIK · Ther Adv Ophthalmol, 2025 · doi:10.1177/25158414251362010
Bio-interventional uveoscleral outflow enhancement surgery for primary open-angle glaucoma: 2-year results of cyclodialysis with scleral allograft reinforcement
Ianchulev T, Weinreb RN, Kamthan G, et al. · Ophthalmology Science, 2025 · S2666-9145(25)00025-9
Bio-interventional cyclodialysis and allograft scleral reinforcement for uveoscleral outflow enhancement in open-angle glaucoma patients: one-year clinical outcomes
Ianchulev T, Weinreb RN, Calvo EA, Lewis J, Kamthan G, Sheybani A, Rhee DJ, Ahmed IIK · Clin Ophthalmol, 2024;18:3605–3614 · doi:10.2147/OPTH.S496631
Surgical outcomes, ocular safety and tolerability of bio-interventional cyclodialysis with allograft scleral reinforcement: clinical experience of more than 240 cases
Chaya CJ, Herndon LW, Lince J, Radcliffe N, Sadri E, Yadgarov A, Ianchulev T · 2024 · PMID 39200737
The evolving surgical paradigm of scleral allograft bio-tissue use in ophthalmic surgery: techniques and clinical indications for ab-externo and ab-interno scleral reinforcement
De Francesco T, Ianchulev T, Rhee DJ, Gentile RC, Pasquale LR, Ahmed IIK · Clin Ophthalmol, 2024;18:1789–1795 · Clin Ophthalmol 2024;18:1789–1795
For patients

A gentler option for glaucoma.

If drops or medications are no longer enough, your surgeon may recommend a micro-interventional procedure that aims to lower the pressure in your eye — through very small, tissue-sparing surgery.

Find a surgeon
  • Micro-scale surgery through a tiny opening that works with your eye's own anatomy.
  • Reinforced with natural human scleral tissue — the same kind of tissue your eye is made of.
  • No permanent synthetic device is left inside the eye.
  • Your surgeon will decide whether an Iantrek procedure is right for you.

Micro procedures.
Giant leaps for patients.

Advancing glaucoma surgery that respects the eye — small in scale, natural in reinforcement.

Newsroom

Iantrek in the field.

Selected coverage of canaloplasty, angle-based surgery, and the evolving surgical landscape.

Glaucoma Physician

The Evolution of Canaloplasty

Read →
EyeWorld

Expanding options in the suprachoroidal space

Read →
Ophthalmology Management

Should surgeons target both outflow pathways?

Read →

External coverage is published independently by third parties; links are provided for reference and do not constitute product claims by Iantrek.

Important information

BioTissue — AlloFlo™ Uveo, AlloSpan™ Canal, AlloStat™

These are minimally manipulated human scleral allografts, recovered from consented donors and processed by a licensed, accredited tissue bank. They are regulated solely as human cells, tissues, and cellular and tissue-based products (HCT/Ps) under Section 361 of the PHS Act and 21 CFR Part 1271 — not as drugs, devices, or biological products. They are intended to provide structural reinforcement and connective-tissue support of native sclera in ocular surgery, and are not intended to reduce intraocular pressure, restore or maintain aqueous outflow, maintain canal patency, or treat glaucoma; any such outcome results from the surgical procedure, not the tissue.

Micro-Instrumentation — C-Rex™, AlloSert™ Uveo, AlloSert™ Canal

Surgical instruments for canaloplasty, goniotomy, cyclodialysis, and tissue delivery. Rx only. Refer to product labeling for full indications, contraindications, warnings, and directions for use. Individual results vary; this website is not medical advice — talk with your surgeon.

Product labeling & instructions for use

Indications for use, contraindications, warnings, and directions for use are provided in each product's current labeling, available to healthcare professionals through an Iantrek representative. Updated tissue labeling reflecting the structural-reinforcement indication described above is in preparation.

Products in development

AlloStat™, and optic disc pit and sclerostomy applications, are in development, are not cleared or approved, and are not available for commercial sale. Nothing on this website is an offer to sell, or a promotion of, an unapproved product or use.

Resources & Instructions for Use

The current Instructions for Use accompany each product. The scleral tissue IFU is provided below in its revised, aligned form.