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Shareholders' Equity - Additional Information (Detail) (USD $)
1 Months Ended 12 Months Ended 1 Months Ended 2 Months Ended 1 Months Ended
Mar. 31, 2014
Oct. 31, 2013
May 31, 2013
Jul. 31, 2012
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Oct. 31, 2010
warrant
Feb. 28, 2015
Feb. 28, 2015
Jan. 31, 2015
Class of Stock [Line Items]                      
Total shares reserved         9,154,740us-gaap_CommonStockCapitalSharesReservedForFutureIssuance            
Stock Issued During Period, Shares, New Issues 3,500,000us-gaap_StockIssuedDuringPeriodSharesNewIssues   3,900,000us-gaap_StockIssuedDuringPeriodSharesNewIssues 3,400,000us-gaap_StockIssuedDuringPeriodSharesNewIssues              
Share Price $ 11.50us-gaap_SharePrice   $ 4.14us-gaap_SharePrice $ 10.25us-gaap_SharePrice              
Exercise price of warrants         $ 12.25us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1 $ 12.25us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1          
Shares of common stock to purchase by warrant         139,897us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights 197,000us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights          
Payments of Stock Issuance Costs $ 2,500,000us-gaap_PaymentsOfStockIssuanceCosts   $ 39,000us-gaap_PaymentsOfStockIssuanceCosts $ 2,200,000us-gaap_PaymentsOfStockIssuanceCosts              
Proceeds from issuance of common stock, net of offering costs 37,800,000us-gaap_ProceedsFromIssuanceOfCommonStock   16,100,000us-gaap_ProceedsFromIssuanceOfCommonStock 32,300,000us-gaap_ProceedsFromIssuanceOfCommonStock 37,754,000us-gaap_ProceedsFromIssuanceOfCommonStock 20,988,000us-gaap_ProceedsFromIssuanceOfCommonStock 32,306,000us-gaap_ProceedsFromIssuanceOfCommonStock        
Sales Agreement, Number of Shares Sold During Period   374,000omer_SalesAgreementNumberofSharesSoldDuringPeriod                  
Sales Agreement, Average Share Price   $ 13.29omer_SalesAgreementAverageSharePrice                  
Sales Agreement, Net Proceeds   4,900,000omer_SalesAgreementNetProceeds     68,000omer_SalesAgreementNetProceeds 4,868,000omer_SalesAgreementNetProceeds          
Sales Agreement, Termination Period         Apr. 01, 2014            
Class of Warrant or Right, Exercise Price of Warrants or Rights, Weighted Average Price         25.06omer_ClassofWarrantorRightExercisePriceofWarrantsorRightsWeightedAveragePrice            
Class of Warrant or Right, Outstanding         551,435us-gaap_ClassOfWarrantOrRightOutstanding            
Warrant expiration date         Mar. 29, 2015            
Fair Value Adjustment of Warrants         (863,000)us-gaap_FairValueAdjustmentOfWarrants (41,000)us-gaap_FairValueAdjustmentOfWarrants (511,000)us-gaap_FairValueAdjustmentOfWarrants        
Class of Warrant or Right, Exercised During Period         57,581omer_ClassofWarrantorRightExercisedDuringPeriod            
Stock Issued During Period, Shares, Other         28,653us-gaap_StockIssuedDuringPeriodSharesOther            
Proceeds from Warrant Exercises         68,857us-gaap_ProceedsFromWarrantExercises            
Vulcan Incorporated                      
Class of Stock [Line Items]                      
Warrant expiration date               Oct. 21, 2015      
Class of Warrant or Right, Number of Warrants Issued               3omer_ClassofWarrantorRightNumberofWarrantsIssued
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
     
Oxford                      
Class of Stock [Line Items]                      
Exercise price of warrants         $ 9.13us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ dei_LegalEntityAxis
= omer_OxfordMember
           
Shares of common stock to purchase by warrant         11,539us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ dei_LegalEntityAxis
= omer_OxfordMember
           
Warrant expiration date         Apr. 26, 2015            
Shares from cash exercise of warrants [Member]                      
Class of Stock [Line Items]                      
Stock Issued During Period, Shares, Other         5,621us-gaap_StockIssuedDuringPeriodSharesOther
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_SharesfromcashexerciseofwarrantsMember
           
Warrant 1 | Vulcan Incorporated                      
Class of Stock [Line Items]                      
Exercise price of warrants         $ 20.00us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantOneMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
    20us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantOneMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
     
Shares of common stock to purchase by warrant         133,333us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantOneMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
    133,333us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantOneMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
     
Warrant expiration date         Oct. 21, 2015            
Warrant 2 | Vulcan Incorporated                      
Class of Stock [Line Items]                      
Exercise price of warrants         $ 30.00us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantTwoMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
    30us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantTwoMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
     
Shares of common stock to purchase by warrant         133,333us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantTwoMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
           
Warrant expiration date         Oct. 21, 2015            
Warrant 3 | Vulcan Incorporated                      
Class of Stock [Line Items]                      
Exercise price of warrants         $ 40.00us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantThreeMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
    40us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantThreeMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
     
Shares of common stock to purchase by warrant         133,333us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_WarrantThreeMember
/ dei_LegalEntityAxis
= omer_VulcanIncorporatedMember
           
Options granted and outstanding                      
Class of Stock [Line Items]                      
Total shares reserved         8,364,469us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_AwardTypeAxis
= omer_OptionsOutstandingMember
           
Options available for future grant                      
Class of Stock [Line Items]                      
Total shares reserved         238,836us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_AwardTypeAxis
= omer_OptionsAvailableForFutureGrantMember
           
Common stock warrants                      
Class of Stock [Line Items]                      
Total shares reserved         551,435us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_AwardTypeAxis
= omer_CommonStockWarrantsMember
           
Subsequent Event                      
Class of Stock [Line Items]                      
Stock Issued During Period, Shares, New Issues                 3,400,000us-gaap_StockIssuedDuringPeriodSharesNewIssues
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Share Price                 $ 20.03us-gaap_SharePrice
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
$ 20.03us-gaap_SharePrice
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Shares of common stock to purchase by warrant                 749,250us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
749,250us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Payments of Stock Issuance Costs                 4,900,000us-gaap_PaymentsOfStockIssuanceCosts
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Proceeds from issuance of common stock, net of offering costs                 79,100,000us-gaap_ProceedsFromIssuanceOfCommonStock
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
   
Class of Warrant or Right, Outstanding                 29,462us-gaap_ClassOfWarrantOrRightOutstanding
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
29,462us-gaap_ClassOfWarrantOrRightOutstanding
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Stock Issued During Period, Shares, Other                   104,741us-gaap_StockIssuedDuringPeriodSharesOther
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Proceeds from Warrant Exercises                   $ 1,300,000us-gaap_ProceedsFromWarrantExercises
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Subsequent Event | Pre-funded warrants                      
Class of Stock [Line Items]                      
Share Price                 $ 20.02us-gaap_SharePrice
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_PrefundedWarrantsMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
$ 20.02us-gaap_SharePrice
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_PrefundedWarrantsMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Exercise price of warrants                 $ 0.01us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_PrefundedWarrantsMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
$ 0.01us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
/ us-gaap_ClassOfWarrantOrRightAxis
= omer_PrefundedWarrantsMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember
 
Subsequent Event | Equity Incentive Plan 2008 | Equity Option [Member]                      
Class of Stock [Line Items]                      
Increase in authorized shares                     1,709,273omer_ShareBasedCompensationArrangementShareBasedPaymentAwardAdditionalSharesAuthorized
/ us-gaap_MajorTypesOfDebtAndEquitySecuritiesAxis
= us-gaap_StockOptionMember
/ us-gaap_PlanNameAxis
= omer_EquityIncentivePlanTwentyZeroEightMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember