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Cognitive Assessment in Glaucoma Care: A Narrative Review of Clinical Rationale, Screening Tools, and Implementation
1Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, JPN.
Cureus
|June 9, 2026
Summary
Glaucoma and cognitive impairment are increasingly linked, especially with aging populations. Integrating cognitive screening into glaucoma care is crucial for effective management and improved patient outcomes.
Area of Science:
- Ophthalmology and Neurology
- Geriatric Medicine
Background:
- Growing evidence links glaucoma and cognitive impairment, a concern amplified by global population aging.
- Cognitive dysfunction can significantly complicate glaucoma management, affecting diagnostic tests and treatment adherence.
Purpose of the Study:
- To review the current evidence on the glaucoma-cognitive impairment relationship.
- To overview cognitive screening tools and discuss clinical implications for glaucoma care.
- To explore digital assessment methods and future research directions.
Main Methods:
- This narrative review synthesizes existing observational studies and literature.
- It examines the impact of cognitive impairment on glaucoma management protocols.
- Commonly used cognitive screening tools are summarized.
Main Results:
- The interrelationship between glaucoma and cognitive impairment is well-documented.
- Cognitive issues pose challenges in visual field testing, medication adherence, and post-operative care.
- Digital cognitive assessment tools are emerging as potential solutions.
Conclusions:
- Cognitive screening is vital for optimizing glaucoma care, particularly in aging populations.
- Further research is needed to validate glaucoma-specific cognitive screening strategies.
- Integrating cognitive assessment can improve management and patient outcomes in glaucoma care.
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