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Iridex Announces First Patient Enrolled in an Independent Landmark Investigator-Led UK Study Evaluating MicroPulse® Technology as an Adjunct to anti-VEGF Therapy for Diabetic Macular Edema

MOUNTAIN VIEW, Calif., June 24, 2025 (GLOBE NEWSWIRE) -- Iridex Corporation (Nasdaq: IRIX), a worldwide leader providing innovative and versatile laser-based medical systems, delivery devices, and accessories for the treatment of glaucoma and retinal diseases, announced today that the first patient has been successfully enrolled in the independent, investigator-led DAME Trial to evaluate the clinical efficacy, safety, cost-effectiveness, and patient acceptability of adding subthreshold MicroPulse treatments to anti-vascular endothelial growth factor (anti-VEGF) therapy in patients presenting with severe diabetic macular edema (DME).

Led by Principal Investigator Professor Noemi Lois at Queenโ€™s University Belfast, the study is designed to include at least 20 clinical sites and enroll 264 participants across the United Kingdom with severe DME, defined as having central retinal subfield thickness (CRT) or โ‰ฅ400 ฮผm once CRT goes below 400ฮผm. The trial is intended to develop a blueprint for the implementation of the new treatment pathway (i.e., adding subthreshold MicroPulse laser only when the CRT is <400ฮผm following anti-VEGFs) into clinical practice, if this is shownย to be beneficial to people with DME.

โ€œCurrent treatment for DME relies heavily on frequent anti-VEGF injections, which are not only expensive and burdensome to patients and healthcare systems but can also lead to patient anxiety along with having potential sight-threatening complications,โ€ said Professor Lois. โ€œDAME may transform the care of people living with diabetes and DME if the trial shows that continuing with subthreshold MicroPulse laser, once the DME has improved following anti-VEGFs, is equivalent in terms of visual outcomes to ongoing anti-VEGF therapy. This strategy may reduce the number of anti-VEGF injections required and, subsequently, risks, inconvenience, and costs to people and health care services. We are excited to have enrolled the first participant in the trial and we are indebted to the National Institute for Health Research (NIHR) in the UK for having funded this trial. We are also very grateful to Iridex and their UK distributor partner, Carleton Optical Equipment Ltd, for supplying the laser systems for this trial.โ€

The Iridex IQ 577ยฎ laser in its MicroPulseยฎ treatment mode, paired with the TxCellยฎ Scanning Delivery Device, allows clinicians to deliver controlled, subthreshold treatment that activates the retinaโ€™s natural healing response without causing visible tissue damage.

โ€œWe are honored that our IQ 577 laser, MicroPulse, and TxCell technologies are trusted as the exclusive platform for the DAME trial. Our technology enables consistent, safe and effective treatments for DME patients and we are excited to see its additional use investigated in this large-scale trial led by these respected clinicians,โ€ said Patrick Mercer, Iridex President & CEO. โ€œWe congratulate Professor Lois and her team for this exciting milestone and commend their efforts to advance diabetic eye care to improve patientsโ€™ lives.โ€

About DAME

The DAME trial โ€œTreatment of severe Diabetic macular oedema with Anti-vascular endothelial growth factor (anti-VEGF) monotherapy versus treatment with Anti-VEGF followed by subthreshold Micropulse lasErโ€ is an independent, investigator-led, pragmatic randomized equivalence trial funded by the Health Technology Assessment of the National Institute for Health Research (HTA-NIHR) in the UK. It is powered to demonstrate equivalence in best-corrected visual acuity outcomes between treatment arms over a 24-month period. Secondary outcomes include quality of life, cost-effectiveness, treatment burden, and patient-reported experience. The trial includes an implementation work package to develop a strategy to implement trial results into clinical practice.

The DAME Trial builds on the success of the DIAMONDS1-4 study, another independent, investigator-led, multi-center UK trial that demonstrated the safety and effectiveness of subthreshold MicroPulseยฎ laser using the Iridex IQ 577ยฎ and TxCellยฎ Scanning Delivery Device in patients presenting with DME of less than 400 ฮผm in CRT.

Noemi Lois has no conflicts of interest to declare.

Aboutย Iridex Corporationย 
Iridex Corporationย is a worldwide leader in developing, manufacturing, and marketing innovative and versatile laser-based medical systems, which include capital equipment and consumable probes for the ophthalmology market. The Companyโ€™s proprietaryย MicroPulseยฎย technology delivers the therapeutic benefits of laser treatment while minimizing tissue damage, offering a safe, effective, and proven treatment for targeted sight-threatening eye conditions. Iridexโ€™s current product line is used for the treatment of glaucoma and diabetic macular edema (DME) and other retinal diseases.ย Iridexย products are sold inย the United Statesย through a direct sales force and internationally primarily through a network of independent distributors into more than 100 countries. For further information, visit theย Iridexย website atย www.iridex.com.

Media Contact
Joan Stauffer
jstauffer@iridex.com

Investor Relations Contact
Philip Taylor
Gilmartin Group
investors@iridex.com

For more information about Iridex technologies, visit www.iridex.com.

MicroPulseยฎ, IQ 577ยฎ and TxCellยฎ are registered trademarks of Iridex. ยฉ2025ย Iridex Corporation. All rights reserved.

References

1. Mistry H, Maredza M, Campbell C, Lois N, Diamonds study group. Subthreshold micropulse laser versus standard laser for the treatment of central-involving diabetic macular oedema with central retinal thickness of <400ยต: A cost-effectiveness analysis from the DIAMONDS trial. BMJ Open. 2023;13(10):e067684.

2. Lois N, Gardner E, Waugh N, Azuara-Blanco A, Mistry H, McAuley D, Acharya N, Aslam TM, Bailey C, Chong V, Downey L, Eleftheriadis H, Fatum S, George S, Ghanchi F, Groppe M, Hamilton R, Menon G, Saad A, Sivaprasad S, Shiew M, Steel DH, Talks JS, Adams C, Campbell C, Mills M, Clarke M, Group DS. Diabetic macular oedema and diode subthreshold micropulse laser (DIAMONDS): Study protocol for a randomised controlled trial. Trials. 2019;20(1):122.

3. Lois N, Campbell C, Waugh N, Azuara-Blanco A, Maredza M, Mistry H, McAuley D, Acharya N, Aslam TM, Bailey C, Chong V, Downey L, Eleftheriadis H, Fatum S, George S, Ghanchi F, Groppe M, Hamilton R, Menon F, Saad A, Sivaprasad S, Shiew M, DH S, Talks JS, Doherty P, McDowell C, Clarke M. Standard threshold laser versus subthreshold micropulse laser for adults with diabetic macular oedema: The DIAMONDS non-inferiority rct. Health Technol Assess. 2022;26(50):1-86.

4. Lois N, Campbell C, Waugh N, Azuara-Blanco A, Maredza M, Mistry H, McAuley D, Acharya N, Aslam TM, Bailey C, Chong V, Downey L, Eleftheriadis H, Fatum S, George S, Ghanchi F, Groppe M, Hamilton R, Menon G, Saad A, Sivaprasad S, Shiew M, Steel DH, Talks JS, Doherty P, McDowell C, Clarke M, Diamonds study group. Diabetic macular oedema and diode subthreshold micropulse laser (DIAMONDS): A randomized double-masked non-inferiority clinical trial. Ophthalmology. 2022.

June 2025 PR0001


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