iDose TR
IDose TR (travoprost) is an implant that's placed into your eye by your ophthalmologist (eye doctor). It works to deliver a steady amount of medication to lower pressure in the eye in adults with open-angle glaucoma or ocular hypertension (high pressure in the eye). Unlike travoprost eye drops, you only need to get iDose TR (travoprost) placed once and it can last up to 3 years. IDose TR (travoprost) can cause some eye discomfort as a side effect, as well as dry or red eyes, but these effects are typically mild and go away with time.
What is IDose TR (travoprost)?
What is IDose TR (travoprost) used for?
- To lower eye pressure (intraocular pressure, IOP) for:
- Open-angle glaucoma
- Fluid build-up in the eye (ocular hypertension)
How IDose TR (travoprost) works
IDose TR (travoprost) is a prostaglandin eye implant. It helps fluid drain from inside the eye which helps lower pressure inside the eye.
Drug facts
Side effects of IDose TR (travoprost)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Increased eye pressure (2-6%)
- Inflammation of the colored part of your eye (2-6%)
- Dry eye (2-6%)
- Eye discomfort or pain (2-6%)
- Red eyes (2-6%)
- Blind spots in your visual field (2-6%)
- Vision isn't as sharp (2-6%)
Less Common Side Effects
- Sensitivity to light
- Inflammation of the eyelids
- Eye irritation
- Injury to the cornea
- Implant travels where it's not supposed to
- Feeling that something's in your eye
IDose TR (travoprost) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Eye swelling, pain, or change in vision
The following IDose TR (travoprost) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Change in vision
- Eye pain, redness, irritation, or discharge with blurry or decreased vision
- Sensitivity to light
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
- Change in eye color
- Dry eyes
- Eye irritation or itching
Pros and cons of IDose TR (travoprost)
Pros
- Implant lasts up to 3 years, sometimes longer
- Most side effects are mild and temporary
- Can help reduce the need to use glaucoma eye drops
Cons
- There's no generic version available
- Can permanently change the color of your eye
- Can affect MRI scans you might need in the future
Pharmacist tips for IDose TR (travoprost)
- It's possible that your eye color might appear more brown after getting iDose TR (travoprost) placed, and this could be permanent. This discoloration may not be noticeable for several months to years.
- Follow your eye specialist's instructions for after your iDose TR (travoprost) procedure. Most people recover within a day or two and can resume normal daily activities.
- It's not easy to tell if your eye pressure is improving at home. Your ophthalmologist will check how well iDose TR (travoprost) is working for you through regular eye exams. Ask your ophthalmologist or care team how often you need to come into the office for an eye exam.
- Contact your ophthalmologist immediately if your eye becomes red, sensitive to light, painful, or if you develop a change in your vision. These could be signs of an issue with your implant and you need to be seen right away.
- If your healthcare professional says you need a magnetic resonance imaging (MRI) scan, make sure to tell them that you have iDose TR (travoprost) in your eye. The MRI operator will need to adjust the MRI settings in order to avoid injury to you.
Common questions about IDose TR (travoprost)
Talk with your eye specialist if you have specific safety concerns about iDose TR (travoprost). In clinical studies, 2-6% of people who received iDose TR (travoprost) reported mild or temporary side effects, such as eye discomfort and dry eye. Though rare, some people experienced more serious side effects, such as vision problems or damage to the eye. Discuss the risks and benefits of this implant with your eye specialist.
Studies show that iDose TR (travoprost) works similarly well in lowering eye pressure compared to timolol 0.5% eye drops twice daily. In addition, after a year of treatment, more people who received iDose TR (travoprost) no longer needed additional pressure-lowering eye drops compared to those who used timolol eye drops.
Before your ophthalmologist places iDose TR (travoprost), they'll give you topical anesthesia so that you don't feel the implant insertion. After the anesthesia wears off, it's possible that you might feel some eye discomfort as a side effect. Contact your care team right away if your eye becomes painful, sensitive to light, red in color, or if you develop a change in your vision.
Your ophthalmologist will make a small incision (cut) on the side of your eye. The implant itself is extremely tiny in size (less than 2 millimeters), so someone's unlikely to see this in your eye unless they're looking very closely.
Both iDose TR (travoprost) and Durysta (bimatoprost) are prostaglandin eye implants that work to lower eye pressure in people with high eye pressure or open-angle glaucoma. One major difference between the two is how often you need an implant. Durysta is a dissolvable implant and needs to be replaced after a few months. iDose TR isn't dissolvable and one iDose TR implant can last for up to 3 years. If you need a new iDose TR implant, your eye specialist will remove the old one before placing a new implant. Talk with your eye specialist if you've more questions about either eye implant.
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Risks and warnings for IDose TR (travoprost)
IDose TR (travoprost) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Device dislocation
IDose TR (travoprost) is supposed to be anchored within your eye, but it's possible that the implant can dislocate and travel where it's not supposed to be. Your ophthalmologist will check the implant's location regularly with an eye exam, so make sure to keep your appointments with them. If the implant does happen to move, they'll need to remove it surgically.
Risk of eye swelling and infection
- Risk factors: Eye inflammation | Eye infection
People who received travoprost eye drops and iDose TR (travoprost) have reported inflammation of the eyes (macular edema). Let your eye specialist know if you have had cataract surgery because this can raise your risk of macular edema; they might need to monitor your eye more closely after you receive iDose TR (travoprost).
In addition, let your ophthalmologist know if you already have red, itchy, or painful eyes from other conditions, such as an eye infection, before getting iDose TR (travoprost) placed. Receiving iDose TR (travoprost) can worsen redness or swelling of the eye.
Notify your ophthalmologist if you notice any blurry vision or vision changes once iDose TR (travoprost) is placed.
Bacterial infections
- Risk factors: Injury or damage to the surface of the eye
Eye procedures, such as receiving a iDose TR (travoprost) implant, can cause a bacterial infection within the eye. To minimize this risk, your ophthalmologist will implant iDose TR (travoprost) in a clean and sterile environment; take care to avoid touching your eyes if your hands are dirty, especially right after the procedure. Contact your ophthalmologist if you notice redness, discharge, or pain in your eye.
Darkening of eye color
Using travoprost can lead to darkening of eye color over time. This might not be noticeable for several months or years after starting treatment. Darkening of eye color isn't harmful, but can become permanent even after you stop using travoprost. Your eye specialist will check your eyes regularly during treatment to make sure they're healthy.
Risk of harm from MRI machine
If another healthcare professional says you need a magnetic resonance imaging (MRI) scan, tell them that you have iDose TR (travoprost) implanted in your eye. The MRI technician will need to adjust the machine settings so that it won't cause injury to you.
IDose TR (travoprost) dosage
Typical dosage for IDose TR (travoprost)
Each iDose TR (travoprost) contains 75 mcg of travoprost.
Your ophthalmologist will place 1 implant into the affected eye(s) once. The implant will continuously release travoprost into the eye. Your ophthalmologist will let you know if you need to replace the implant later on.
IDose TR (travoprost) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because IDose TR (travoprost) will not be safe for you to take.
- Active eye infection
- Corneal endothelial cell dystrophy (e.g., Fuch's Dystrophy)
- Past cornea transplant or endothelial cell transplant (e.g., DSAEK)
What are alternatives to IDose TR (travoprost)?
IDose TR (travoprost) images
