According to the study cited below, there is a good chance the Omni 360 would allow you to get off of eye drops. (However, rather than picking a specific MIGS technique, maybe you should pick a glaucoma specialist you trust and get their advice on the best MIGS procedure for you.)
The VISCO360 system injects a predetermined amount of viscoelastic fluid into Schlemm’s canal (and the distal collector channels). The procedure covers the full 360 degrees of the eye (surgically done in two halves). The procedure allows for dilation without tissue destruction of the natural drainage system.
The Visco 360/OMNI System can be performed as a stand-alone procedure or in combination with cataract surgery.
A study by Ondrejka and Korber evaluated the effectiveness of the VISCO360 viscosurgical system for the treatment of mild to moderate primary open angle glaucoma.[]
Of the 72 eyes in group ONE, 11 underwent VISCO360 alone and 61 underwent VISCO360 with cataract extraction. At 12 months post-operatively, there was a significant reduction in IOP from a baseline of 24.6±7.1 mmHg to 14.6±2.8 mmHg with an average reduction in IOP of 41% across all eyes.
Additionally, 87% of eyes in group 1 achieved ≥20% reduction in IOP from baseline. There was also a significant reduction in IOP lowering drops in group 1 eyes from 2.1±1 to 0.2±0.6 and 85% of eyes required no medications to maintain pre-operative IOP or lower.
Of the 34 eyes in group TWO, 33 underwent VISCO360 with cataract extraction and only 1 underwent stand-alone VISCO360. There was a significant reduction in medications at 12 months from 1.8±0.9 to 0.2±0.6 post-operatively. Further, 88% of eyes in groups 2 were off all IOP lowering drops at 12 months with IOP at baseline.
In both groups, there was an excellent safety profile with only 14 eyes experiencing a hyphema, most of which were sub-millimeter in size. There were no subsequent surgical interventions related to the VISCO360.
Microinvasive Glaucoma Surgery (MIGS) - EyeWiki#Visco_360.2FOMNI)