Glaucoma is irreversible progressive optic neuropathy, for which the major proven treatment is to lower the intraocular pressure. Our study aims to present therapeutic decisions, used to treat glaucoma among the citizens of Sofia city aged 65 years and above. Data were collected in a prophylactic ophthalmic campaign, realized in the summer of 2016 and 2017, in Sofia city. All patients passed thorough ophthalmic examinations and filled penand-paper questionnaires. The predominant number of persons with glaucoma was treated with conservative monotherapy. Prostaglandin analogues have been prescribed to more than half of the patients. Fixed combinations have been used in 86% of the cases who needed combined therapy with two substances and in 100% of those with three medications. The therapeutic scheme used for treating glaucoma in seniors in Sofia city is similar and corresponding to practice worldwide. Conservative monotherapy is used in a mean of 45%. When combined therapy is necessary, fixed combinations are predominantly prescribed to minimize adverse events and to ensure better patients compliance. A tendency of usage of preservative-free formulas to benefit patients’ eye health has been noticed.

Keywords : Glaucoma, Seniors, Therapy, Fixed Combination, Medication.