Glaucoinnova study: Strategic reflection on innovation in glaucoma in Andalusia.

Primary open-angle glaucoma (POAG), with a prevalence of 2.6% in people over 40, is the most common form of glaucoma and can cause blindness in up to 9% of cases. The new therapeutic paradigm prioritizes early surgery to preserve vision and quality of life. The objectives of this study were to analyze the diagnosis, treatment, and management of POAG in Andalusia, evaluate the incorporation of innovation, and propose improvements. A review of scientific literature and official databases was conducted, supplemented by a multidisciplinary panel of experts. The results show a high rate of underdiagnosis due to asymptomatic nature, lack of screening, and scarce resources, as well as limitations in adopting an early surgical approach due to waiting lists and restricted capacity. It is concluded that early diagnosis and treatment are key to slowing progression, preventing visual impairment, and reducing the socioeconomic burden.