LETTER TO THE EDITOR
Dear Editor,
We were pleased to see scleral lenses mentioned as a treatment for dry eye disease in the article “Medical Management of Dry Eye Disease: A look at the latest solutions to treat this growing health burden,” in the April issue. However, there was some content included that created an inaccurate picture of PROSE treatment. As the pioneers of PROSE, we would like to provide additional details to clarify the treatment for your readership.
PROSE is a complex medical treatment utilizing an FDA-cleared Class-2 medical device to treat patients with challenging ocular surface conditions. PROSE devices differ from commercially available scleral lenses and molded lenses based on the complexity of customization the PROSE Provider can access utilizing BostonSight’s proprietary software. Treatment is skill- and time-intensive, requiring multiple hours of patient-provider interaction and direct collaboration with our engineers and manufacturing lab to optimize a custom design for each eye.
Of note, PROSE treatment has a 6-month global period, during which a PROSE Provider can make as many adjustments as needed without additional cost to the provider or the patient to optimize ocular health.
Although it is not an inexpensive treatment, the cost varies from Provider Network site to site, as do most medically necessary treatments. Many health insurers recognize PROSE treatment as a medically necessary option for corneal and ocular surface diseases and thus provide reimbursement. As a non-profit organization, patient access is important to BostonSight. We provide tremendous financial assistance each year to PROSE patients in need across our Provider Network to ensure they can receive the treatment so desperately required to alleviate pain and suffering.
Sincerely,
Daniel C. Brocks, MD
Chief Medical Officer, BostonSight
Sara Yost, MBA
Chief Executive Officer, BostonSight
WHAT’S NEW IN CORNEA
Cellusion Inc. and Minaris Regenerative Medicine announced Letter of Intent of the manufacturing of CLS001 for a corneal endothelial cell regenerative therapy in the United States. Cellusion and Minaris will develop the manufacturing process of Cellusion’s leading program, CLS001, a novel regenerative medicine for bullous keratopathy treatment.
Eversight announced the availability of Descemet’s membrane endothelial keratoplasty (DMEK) tissue preloaded in EndoGlide. Preloaded DMEK EndoGlide utilizes an endothelium-in or trifold loading method. Using an anterior chamber maintainer for infusion, the graft is pulled into the eye with specialized forceps through a 2.65-mm incision.
Glaukos Corp. commenced subject enrollment in a second Phase 3 confirmatory pivotal trial for Epioxa (Epi-on), its next-generation corneal cross-linking therapy for the treatment of keratoconus. Glaukos is targeting enrollment completion by the end of 2023.
HCP Cureblindness acquired the SightLife International Program. SightLife International and HCP Cureblindness will look for opportunities to partner with SightLife US and Lions Eye Institute for Transplant and Research to support technical training for eye bank personnel and surgeons globally, as well as provide corneal tissue to areas where eye bank development is not feasible.
The FDA granted Fast Track designation for Kala Pharmaceuticals’ human mesenchymal stem cell secretome therapy (KPI-012) for the treatment of persistent corneal epithelial defect (PCED).
Kuria Therapeutics completed a pre-IND interaction with the FDA and received positive feedback on its development program for KTX-1161 for corneal endothelial disease. KTX-1161 is a topical ophthalmic solution formulation of SCO-116. Kuria is developing KTX-1161 to treat patients with diseases of the corneal endothelium.
Tarsus Pharmaceuticals’ new drug application was accepted by the FDA for TP-03 (lotilaner ophthalmic solution, 0.25%) for the treatment of Demodex blepharitis, with a Prescription Drug User Fee Act target action date of Aug. 25, 2023.
WaveFront Dynamics announced the commercial launch of its aberrometry measurement system, the WaveDyn Vision Analyzer. The system captures a video of the eye’s dynamic optical system over time rather than producing a single measurement.
IN THE NEWS
Johnson & Johnson Vision’s ELITA Femtosecond Laser received FDA 510(k) clearance for the creation of LASIK flaps. ELITA provides low energy per pulse, fast laser repetition rate and small spot size (1 µm), smooth stromal bed and sub-micron precision.
The FDA approved Eyenovia Inc.’s Mydcombi (tropicamide and phenylephrine hydrochloride ophthalmic spray) 1%/2.5% for inducing mydriasis for diagnostic procedures and in conditions where short-term pupil dilation is desired. This represents the first approved fixed-dose combination of tropicamide and phenylephrine in the United States.
Alcon’s open-platform NGENUITY 1.5 Digital 3D Visualization System is now available in the United States. NGENUITY 1.5 provides sharp visualization with usability, color, contrast and magnification enhancements. It also offers connectivity to ARGOS Biometer diagnostic images.
The FDA approved the CT LUCIA 621P Monofocal aspheric, single-piece C-loop IOL from ZEISS Medical Technology. The IOL features the ZEISS Optic Asphericity Concept, designed to compensate for a range of spherical aberrations and optimize visual outcomes in the event of potential decentration/lens misalignments.
Centricity Vision received 510(k) clearance from the FDA for the ZEPTOLink IOL Positioning System. The platform integrates the ZEPTO precision pulse capsulotomy technology with any phaco system to streamline cataract surgery. ZEPTOLink uses suction and irrigation provided by the phaco system.
Norlase received FDA 510(k) clearance for the ECHO Green Pattern Laser photocoagulator, a portable scanning laser photocoagulator utilizing microelectromechanical systems technology. The laser and scanner are completely integrated into a single delivery device that attaches to compatible slit lamps.
Lumibird Medical launched two additional variants within its Nd:YAG/SLT laser range: the Ultra Q Reflex Neo and Tango Neo. A fully integrated Q-switched Nd:YAG laser for anterior-segment YAG and glaucoma indications, Ultra Q Reflex Neo features second-generation Reflex technology with True Coaxial Illumination. Tango Neo has an improved general user interface.
Nova Eye Medical was granted FDA 510(k) clearance for its iTrack Advance canaloplasty device. iTrack Advance has been cleared for microcatheterization and viscodilation to reduce IOP in adult patients with primary open-angle glaucoma.
Bausch + Lomb and Heidelberg Engineering introduced the SeeLuma Fully Digital Surgical Visualization Platform. Bausch + Lomb also announced the US launch of the StableVisc device and the TotalVisc Viscoelastic System.
Iridex Corp. announced the full US market launch of the next-generation Iridex PASCAL laser with MicroPulse. The platform combines fast and precise pattern scanning capabilities in a smaller integrated laser platform and includes three tissue-sparing technology options.
NIDEK launched NT-1/1e non-contact tonometer models, an addition to the same series that includes the NT-1p. The NT-1/1e tonometers were developed without the pachymetry function to address market demand. The NT-1e enables manual measurement with high operability.
Astellas Pharma and Iveric Bio have entered into a definitive agreement under which Astellas through Berry Merger Sub has agreed to acquire 100% of the outstanding shares of Iveric Bio for $40 per share in cash for a total equity value of approximately $5.9 billion. Iveric Bio will become an indirectly wholly-owned subsidiary of Astellas.
Horizon Therapeutics announced the FDA has approved an update to the Indications and Usage section of the Tepezza label to specify its use for the treatment of “Thyroid Eye Disease regardless of Thyroid Eye Disease activity or duration.”
The FDA accepted for Priority Review Aldeyra Therapeutics’ NDA for ADX-2191 (methotrexate injection, USP), an investigational drug candidate for the treatment of primary vitreoretinal lymphoma.
The FDA cleared the IND application for Aviceda Therapeutics’ AVD-104, enabling the company to proceed with initiating Phase 2 clinical trials of its lead intravitreal ocular asset for the treatment of geographic atrophy secondary to AMD.
Harrow announced the CMS-approved transitional pass-through reimbursement status for IHEEZO (chloroprocaine hydrochloride ophthalmic gel) 3%, which is indicated for ocular surface anesthesia.