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Debt - 2021 Convertible Notes - Additional Information (Detail)
12 Months Ended
Dec. 31, 2017
USD ($)
d
$ / shares
Dec. 31, 2016
USD ($)
Aug. 30, 2016
USD ($)
Aug. 05, 2016
USD ($)
Debt Instrument [Line Items]        
Interest expense $ 3,579,000 $ 1,418,000    
2021 Convertible Notes [Member]        
Debt Instrument [Line Items]        
Debt issuance costs incurred   3,262,000    
2021 Convertible Notes [Member] | Senior Notes [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount       $ 50,000,000
Debt instrument maturity date Aug. 01, 2021      
Debt instrument payment terms Semi-annually      
Convertible senior notes, interest rate, stated percentage 5.75%      
Debt instrument payment start date Feb. 01, 2017      
Debt issuance costs incurred $ 3,262,000      
Number of shares, note gets converted into 31.1876      
Principal amount $ 1,000      
Debt instrument redemption description Inotek, at its option, may redeem for cash all or any portion of the 2021 Convertible Notes if the last reported sale price of a share of Inotek’s common stock is equal to or greater than 200% of the conversion price for the 2021 Convertible Notes then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending within the five trading days immediately preceding the date on which Inotek provides notice of redemption, at a redemption price equal to 100% of the principal amount of the 2021 Convertible Notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.      
Percentage of common stock conversion price 200.00%      
Number of minimum trading days | d 20      
Number of consecutive trading days | d 30      
Holdings in debt outstanding 25.00%      
Number of days after default 180 days      
Effective interest rate 7.30%      
Interest expense $ 3,579,000 1,418,000    
Amortization of debt discount $ 581,000 $ 222,000    
2021 Convertible Notes [Member] | Senior Notes [Member] | First 90 Days [Member]        
Debt Instrument [Line Items]        
Effective interest rate 0.25%      
2021 Convertible Notes [Member] | Senior Notes [Member] | 91 to 180 Days [Member]        
Debt Instrument [Line Items]        
Effective interest rate 0.50%      
2021 Convertible Notes [Member] | Senior Notes [Member] | Over-Allotment Option [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount     $ 2,000,000  
2021 Convertible Notes [Member] | Fundamental Change [Member]        
Debt Instrument [Line Items]        
Principal amount $ 1,000      
Conversion of stock, description If the Stock Price applicable to any conversion is greater than $160.00 per share, the Conversion Rate will not be increased. If the Stock Price applicable to any conversion is less than $26.72 per share, the Conversion Rate in connection with a Make-Whole Fundamental Change Conversion will not be increased but it will be increased by 6.2375 shares in connection with a Voluntary Conversion.      
Debt instrument repurchase description Upon the occurrence of a Fundamental Change, the occurrence of certain change of control transactions or delisting events (as defined in the Indenture), each Holder may require Inotek to repurchase for cash all or any portion of the 2021 Convertible Notes held by such Holder at a repurchase price equal to 100% of the principal amount thereof, plus accrued and unpaid interest thereon.      
Percentage of principal amount of notes to be purchased 100.00%      
2021 Convertible Notes [Member] | Fundamental Change [Member] | Minimum [Member]        
Debt Instrument [Line Items]        
Number of shares, note gets converted into 0      
Debt Instrument, conversion rate | $ / shares $ 160.00      
2021 Convertible Notes [Member] | Fundamental Change [Member] | Maximum [Member]        
Debt Instrument [Line Items]        
Number of shares, note gets converted into 6.2375      
Debt Instrument, conversion rate | $ / shares $ 26.72