Why Glaucoma Prevalence Is Rising
... and what the eye care community must do next
By
Don Railsback
March 24, 2026
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.
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