New restriction on glaucoma care deserves closer look

A proposed Medicare policy threatens to reshape how ophthalmologists treat glaucoma.
At issue is the anterior segment intraocular nonbiodegradable drug-eluting system, more commonly known as iDose TR (travoprost intracameral implant, Glaukos). The policy deserves scrutiny before it becomes final.
Five Medicare Administrative Contractors (MACs) have published similar local coverage determinations (LCDs) that are currently in the proposal stage. Together, the LCDs raise serious limitations that are worth understanding before the comment period closes. The proposed criteria require patients to






