What are the limitations of the glaucoma progression?

While the glaucoma progression is highly validated, it should not replace clinical judgment. OpiCalc provides the latest evidence-based limitations for the glaucoma progression to ensure safe bedside use and optimal diagnostic accuracy.

How does the glaucoma progression compare to other Ophthalmology scores?

The glaucoma progression is a gold-standard diagnostic tool. OpiCalc provides side-by-side clinical guidance to help clinicians choose the most specific evidence-based tool for their patient's presentation.

Is the glaucoma progression free to use?

Yes. OpiCalc provides the glaucoma progression completely ad-free and optimized for mobile bedside use, ensuring you can calculate medical risk swiftly and without distraction.

OpiCalc

805 Clinical Tools

OpiCalc

AMD Severity Scale Astigmatism Assistant Diabetic Retinopathy Risk Diopter <-> Radius Glaucoma Progression Glaucoma Risk (OHTS)Graves CAS IOP Correction (CCT)ISNT Rule LogMAR <-> Snellen MRD Assessment SUN Uveitis Grading Vertex Distance

Glaucoma Progression

Baseline MD (dB)

Current MD (dB)

Time (Years)

Guidelines & Evidence

Clinical Details

Section 1

When to Use

Risk Assessment

Forecasting timeframe to legal blindness

Determining aggressiveness of IOP lowering

Standardizing visual field (VF) decay rates

Section 2

Formula & Logic

Mean Deviation (MD) Decay

Normal age-related MD loss is approx -0.05 to -0.1 dB/year. Progression in glaucoma is typically categorized: Slow (< -0.5 dB/y), Moderate (-0.5 to -1.0 dB/y), and Fast (> -1.0 dB/y).

Section 3

Pearls/Pitfalls

Visual Field Reliability

Always check Reliability Indices (Fixation losses, False Positives, False Negatives) before acting on a decay rate. A single poor-quality VF can erroneously accelerate the calculated progression rate.

Last Comprehensive Review: 2026

Related Ophthalmology Tools

AMD Severity Scale

Astigmatism Assistant

Diabetic Retinopathy Risk

Have feedback about this calculator?Let us know.