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Stock-based Compensation (Details)
$ / shares in Units, $ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Jul. 31, 2019
shares
Sep. 30, 2019
USD ($)
$ / shares
shares
Sep. 30, 2018
USD ($)
$ / shares
shares
Sep. 30, 2019
USD ($)
$ / shares
shares
Sep. 30, 2018
USD ($)
$ / shares
shares
Dec. 31, 2018
period
shares
Stock-based compensation            
Common stock available for future grant   8,643,425   8,643,425   6,799,486
Weighted average grant date fair value of options granted | $ / shares   $ 2.82 $ 8.83 $ 3.70 $ 9.99  
Stock based compensation expense | $   $ 2,572 $ 2,265 $ 7,666 $ 6,417  
Inventories | INVELTYS            
Stock-based compensation            
Stock based compensation expense | $   $ 10   $ 400    
2017 Equity Incentive Plan            
Stock-based compensation            
Common stock available for future grant   665,522   665,522    
2017 Equity Incentive Plan | Maximum            
Stock-based compensation            
Common stock available for future grant   2,538,468   2,538,468    
2017 Equity Incentive Plan | Minimum            
Stock-based compensation            
Common stock available for future grant           3,573,766
Percentage of aggregate number of common shares reserved for future issuance (as a percent)           4.00%
2009 plan            
Stock-based compensation            
Common stock available for future grant   2,538,468   2,538,468   2,563,072
Number of shares outstanding   6,995,769   6,995,769   5,111,690
Options granted       2,116,425    
Unrecognized compensation expense | $   $ 20,500   $ 20,500    
Weighted average expense recognition period       2 years 5 months 16 days    
Employee and Non-Employee Stock Options | 2009 plan            
Stock-based compensation            
Options Expiry Term       10 years    
Vesting Period       4 years    
Performance Stock Options            
Stock-based compensation            
Number of shares outstanding   0   0    
ESPP            
Stock-based compensation            
Common stock available for future grant   561,971   561,971   223,341
Number of offering period | period           2
Term of offering period           6 months
Closing price of common stock (as percent)           85.00%
Number of share purchased 123,664          
Number of common stock issuable upon exercise of rights under equity compensation plans           223,341
ESPP | Minimum            
Stock-based compensation            
Common stock available for future grant           893,441
Percentage of aggregate number of common shares reserved for future issuance (as a percent)           1.00%
Non-statutory Stock Options | Employee            
Stock-based compensation            
Options Expiry Term       4 years    
Vesting Period       3 years    
Percentage of vesting of share-based compensation awards on the one year anniversary of the grant date       25.00%    
Anniversary of the share-based compensation arrangement       1 year    
Percentage of vesting of share-based compensation awards after the year anniversary of the grant date       75.00%    
Options granted   27,000 69,500 175,500 219,500