Glaukos Launches Novel Keratoconus Treatment, Expanding Ophthalmology Portfolio

  • Glaukos launched Epioxa™ HD / Epioxa™, a topical corneal cross-linking therapy for keratoconus, on March 19, 2026.
  • Epioxa represents an incision-free alternative to traditional corneal cross-linking, eliminating the need for corneal epithelium removal.
  • The therapy is FDA-approved for use in adults and pediatric patients aged 13 and older, utilizing enriched oxygen and light.
  • Glaukos plans to increase investments in patient awareness, education, and access programs to address underdiagnosis and undertreatment of keratoconus.

Glaukos's entry into this niche market with a differentiated product positions the company to capture a significant share of the keratoconus treatment landscape, which has historically been underserved. The company's focus on patient access programs signals a broader shift towards value-based care and addressing unmet needs within rare disease communities. This launch also reinforces Glaukos's strategy of expanding its portfolio beyond glaucoma treatments into related ophthalmic disorders.

Market Adoption
The success of Epioxa will hinge on physician adoption and patient acceptance of the epithelium-on approach, which could be slower if concerns about efficacy or safety arise.
Reimbursement
How insurance providers reimburse for Epioxa, given its novel approach and potential cost savings compared to traditional methods, will significantly impact its market penetration.
Competitive Response
Existing players in the corneal cross-linking space may accelerate development of competing therapies or strategies to counter Epioxa's advantages, potentially eroding Glaukos's market share.