Published in Glaucoma

The 2023 Glaucoma Report

This is editorially independent content
4 min read

We surveyed over 500 optometrists on their approaches to the diagnosis, treatment, and management of glaucoma. Download your free copy of the report to learn how your colleagues are approaching this disease!

The 2023 Glaucoma Report
Glaucoma is the second leading cause of blindness worldwide, and roughly three million people in the United States have been diagnosed with the disease.1 According to the Centers for Disease Control and Prevention (CDC), half of all people with glaucoma don’t even know that they have the condition.2
As the global population ages, eyecare practitioners around the world must expand their knowledge of glaucoma diagnosis, management, and treatment. Blindness caused by glaucoma is irreversible; luckily, glaucoma therapeutics have progressed in leaps and bounds even in the last decade to mitigate the severity of visual loss.
In May of 2023, we surveyed 505 optometrists in the US and Canada who treated glaucoma. The result of this survey is the 2023 Glaucoma Report. As with all Eyes On Eyecare reports, the 2023 Glaucoma Report is absolutely free to download!

Download the 2023 Glaucoma Report now, or keep reading for a sneak peek at our findings!

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The 2023 Glaucoma Report

This report outlines trends in glaucoma diagnosis, management, and treatment with recent survey data and detailed infographics.

The 2023 Glaucoma Report covers:

  • Glaucoma prevalence and focus: How many of your patients have been diagnosed with glaucoma? How important is glaucoma to your practice?
  • Confidence in diagnosing, managing, and treating glaucoma: How comfortable are optometrists diagnosing glaucoma? How comfortable are they with treating and managing the disease?
  • Top glaucoma treatments: What are the top first-line and second-line treatments for glaucoma? How comfortable are optometrists with the variety of glaucoma treatments available?
  • Referrals and co-management: What do optometrists think about the co-management process for glaucoma? How many patients are they referring to other specialists, and why?
  • And more!

Confidence in diagnosing and treating glaucoma is high

This year, optometrists estimated that, on average, 16% of their patients have been diagnosed with glaucoma, a 10% drop from the estimation made by last year’s set of respondents. Overall confidence in diagnosis was 7.89/10, 2.47% higher than last year.
To see the rest of the data, download the full report!
Optometrists are using a variety of technologies to diagnose glaucoma, but the most popular are visual field analyzers, optical coherence tomography (OCT), fundus photography, and pachymetry.

Confidence in treatment is high, with SLT as the most popular second-line treatment

Optometrists’ average confidence in treating glaucoma was high again this year at 7.54/10, a small increase from last year.
To see the rest of the data, download the full report!
Considering best practices in the treatment of glaucoma, it will come as no surprise that topical medications were the first-line treatment of choice this year. Once again, optometrists noted selective laser trabeculoplasty (SLT) as their go-to second-line treatment for mild to moderate open-angle glaucoma.
To see the rest of the data, download the full report!
Interestingly, the popularity of SLT has risen slightly since the 2021 report, in which roughly 6% of respondents identified it as a top first-line treatment—this year, 10% of respondents chose SLT as their go-to first-line treatment.

The glaucoma co-management process is improving but still has a ways to go

Last year, optometrists ranked the co-management process in their practice under a 7/10; this year, that average has risen to a 7.1/10. This year’s survey conveyed a marginal increase in referrals from ODs to their ophthalmology colleagues. In most cases, the patient's need was driven by potential benefits from a surgical procedure, or the patient was not responding to topical treatments.
To see the rest of the data, download the full report!
This is a crucial development as optometrists and ophthalmologists find themselves more often working collaboratively to manage complex glaucoma cases and ensure patients maintain access to the best possible care.

Learn more about the state of glaucoma treatment and management by downloading the free report!

  1. Friedman DS, Wolfs RC, O'Colmain BJ, et al. Prevalence of open-angle glaucoma among adults in the United States [published correction appears in Arch Ophthalmol. 2011 Sep;129(9):1224]. Arch Ophthalmol. 2004;122(4):532-538. doi:10.1001/archopht.122.4.532
  2. Centers for Disease Control and Prevention. Don’t Let Glaucoma Steal Your Sight! Centers for Disease Control and Prevention. Published November 24, 2020. Accessed June 7, 2023. https://www.cdc.gov/visionhealth/resources/features/glaucoma-awareness.html.
Matt Geller, OD
About Matt Geller, OD

Matt Geller, OD is the co-founder and CEO of Eyes On Eyecare—the #1 provider of clinical and career education for the next generation of optometrists and ophthalmologists through our all-in-one digital content platform.

Matt Geller, OD
Michael S. Cooper, OD
About Michael S. Cooper, OD

Michael S. Cooper, OD is an Optometrist and Past Director of Professional Strategies at Kala Pharmaceuticals in Arlington, MA. He specializes in anterior segment disease where he has treated a variety of conditions including dry eye and lid diseases, allergy, and uveitis. He has produced research, participated on expert ocular surface disease round tables, and lectured domestically and internationally on topics such as corneal disease states, uveitis management, Lyme disease, emerging pathogens, sports-related eye injuries in children, and AMD pedigree relationships. Dr. Cooper is published in journals such as Review of Optometry, Modern Optometry, Cataract and Refractive Surgery Today, Clinical Ophthalmology, Optometry Times, Primary Care Optometry News, and Ophthalmology/Optometric Management. Additionally, he has collaborated with CollaborativeEYE and Eyetube on a variety of digital media segments including “Managing the Surgical Patient” and “Hot Topics”. He has been actively involved in global clinical studies for novel anti-infective therapeutics, evaluating the efficacy of meibomian gland treatment modalities, ocular surface diagnostic validation, and AMD genetic research. Recently, he was been awarded a federal grant to evaluate Diabetes care efficiency across a multispecialty environment in a community health center setting.

Michael S. Cooper, OD
Eyes On Eyecare Editorial Team
About Eyes On Eyecare Editorial Team

Led by Editor-in-Chief Eleanor Gold, PhD, Eyes On Eyecare is a digital publication that provides clinical and career education to the young generation of optometrists and ophthalmologists. We work with eyecare professionals to create compelling, educational content available for free to all those in the eyecare industry. To learn more about our team, values, and other projects, visit our About page.

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