1. Poor Man’s Glaucoma Chief Instructor Dr.Krishnaprasad.R Co Instructors Dr.H.M.Ravindranath Dr.Deepak Megur Dr.Sirish Nelivigi

2. Seeing Glaucoma with Socio-Economic Perspective!! Glaucoma makes a Man Poorer !! Glaucoma makes a Man Poorer !! Poor Patient with Glaucoma becomes Blind faster !! Poor Patient with Glaucoma becomes Blind faster !!

3. Glaucoma as a Disease Painless and Progressive loss of vision Painless and Progressive loss of vision Loss of Field of Vision rather than Central Vision Loss of Field of Vision rather than Central Vision Deceptive in Early stages Deceptive in Early stages Establishing Diagnosis requires Investigations Establishing Diagnosis requires Investigations Poorly Understood Pathogenesis Poorly Understood Pathogenesis Loss of Visual Function - Irreversible Loss of Visual Function - Irreversible

4. How does Poverty influence Glaucoma Diagnosis ? Poverty is linked to Ignorance and Reduced Access to Healthcare Poverty is linked to Ignorance and Reduced Access to Healthcare Lack of Health as a Priority ! Lack of Health as a Priority !

5. How does Poverty influence Glaucoma Diagnosis? Even if Diagnosed, Glaucoma is not taken seriously ! Even if Diagnosed, Glaucoma is not taken seriously ! Affordability of Good Ophthalmic Affordability of Good Ophthalmic Set up for Necessary Investigations Set up for Necessary Investigations

6. How does Poverty influence Glaucoma Treatment ? Treatment with Anti Glaucoma Medications is LIFELONG !! Treatment with Anti Glaucoma Medications is LIFELONG !! Treatment on Cumulative basis is COSTLY ! Treatment on Cumulative basis is COSTLY ! Cost of Timolol & Brimonidine Eye drops for Both Eyes per Month is Rs 450 – 500/-. If you add Latanoprost / Bimatoprost, it will be more than Rs 1000/-. Cost of Timolol & Brimonidine Eye drops for Both Eyes per Month is Rs 450 – 500/-. If you add Latanoprost / Bimatoprost, it will be more than Rs 1000/-.

7. Non Compliance leads to Worst Outcomes! Poor Comprehension Poor Comprehension Next set of Medications – Cannot Next set of Medications – Cannot Afford /Cannot Access Afford /Cannot Access

8. Poverty and Blindness make a Vicious Cycle How to get around this ?