Glaucoma is irreversible progressive optic
neuropathy, for which the major proven treatment is to
lower the intraocular pressure. Our study aims to present
therapeutic decisions, used to treat glaucoma among the
citizens of Sofia city aged 65 years and above. Data were
collected in a prophylactic ophthalmic campaign, realized
in the summer of 2016 and 2017, in Sofia city. All patients
passed thorough ophthalmic examinations and filled penand-paper questionnaires. The predominant number of
persons with glaucoma was treated with conservative
monotherapy. Prostaglandin analogues have been
prescribed to more than half of the patients. Fixed
combinations have been used in 86% of the cases who
needed combined therapy with two substances and in
100% of those with three medications. The therapeutic
scheme used for treating glaucoma in seniors in Sofia city
is similar and corresponding to practice worldwide.
Conservative monotherapy is used in a mean of 45%.
When combined therapy is necessary, fixed combinations
are predominantly prescribed to minimize adverse events
and to ensure better patients compliance. A tendency of
usage of preservative-free formulas to benefit patients’
eye health has been noticed.
Keywords : Glaucoma, Seniors, Therapy, Fixed Combination, Medication.