Early detection and training gaps shape glaucoma care challenge in India, says Orbis India

March 24, 2026

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Dr Rishi Raj Borah, Country Director at Orbis India, said over 12 million glaucoma cases remain largely undiagnosed, highlighting the need for training and technology driven care

India is facing a significant glaucoma burden, with more than 12 million cases and nearly 90 percent remaining undiagnosed until advanced stages. The condition continues to be a leading cause of irreversible blindness, requiring stronger systems for early detection and long term management.
Glaucoma affects around 2 to 3 percent of individuals above the age of 40 in India. With global projections indicating a rise in vision related conditions by 2050, the need for scalable care models is increasing. Current treatment approaches, largely dependent on eye drops, often face issues of adherence, which can lead to disease progression.

Dr Rishi Raj Borah, Country Director at Orbis India, said, “Scaling sustainable glaucoma care requires public private training hubs, technology support and coordinated efforts to improve early detection and treatment.”
Training mid level providers such as optometrists is emerging as a key approach. Procedures such as Selective Laser Trabeculoplasty allow treatment at earlier stages and reduce dependence on long term medication. Expanding such capabilities to tier 2 cities can reduce referrals to tertiary centres and improve access.

Surgical approaches are also evolving. Minimally invasive glaucoma procedures combined with cataract surgery allow long term control of intraocular pressure while reducing reliance on medication.
Technology is playing an increasing role in screening and monitoring. Teleophthalmology enables remote consultations, reducing travel and improving access in underserved regions.

Artificial intelligence based imaging tools are being used to detect early signs of glaucoma with high accuracy, while home based monitoring solutions help reduce hospital visits.
Policy support will be important in expanding access. Integrating laser based procedures into national programmes and strengthening digital health infrastructure can help address gaps in care delivery.

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