Why Glaucoma Prevalence Is Rising
... and what the eye care community must do next
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By
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Don Railsback
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March 24, 2026
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Clinical Scorecard: Why Glaucoma Prevalence Is Rising
At a Glance
| Category | Detail |
|---|
| Condition | Glaucoma |
| Key Mechanisms | Aging population, increased diagnostic awareness, and population diversity. |
| Target Population | Individuals over 40, particularly those over 60, and racially diverse groups. |
| Care Setting | Eye care settings, including optometry and ophthalmology. |
Key Highlights
- Projected increase to 1.6 million cases by 2060 among those over 40.
- Higher risk in individuals of African, Hispanic, and Asian descent.
- Glaucoma often asymptomatic in early stages, leading to late diagnosis.
- Comprehensive eye exams are crucial for early detection and management.
- Access to routine eye care is essential for prevention and early intervention.
Guideline-Based Recommendations
Diagnosis
- Conduct comprehensive eye exams including optic nerve evaluation and visual field testing.
Management
- Implement early detection strategies to slow or stabilize disease progression.
Monitoring & Follow-up
- Regular follow-ups for patients at risk, especially those with elevated intraocular pressure.
Risks
- Advancing age, family history, elevated intraocular pressure, and systemic diseases.
Patient & Prescribing Data
Older adults and medically complex patients.
Early detection and management can preserve vision and quality of life.
Clinical Best Practices
- Increase awareness of the importance of routine comprehensive eye exams.
- Enhance access to eye care for underserved communities.
- Support eye care professionals in detection and long-term management.
References
