Glaucoma · monitored daily

Catch glaucoma before it catches you.

A daily companion for patients with glaucoma — drop reminders, symptom check-ins, and scheduled visual-field, contrast and anterior-segment exams. A longitudinal dashboard for the doctor. Built around the disease that loses sight in silence.

The problem

Glaucoma is the world's leading cause of irreversible blindness — and most of it is silent.

Patients don't notice peripheral-vision loss until it's too late. Once vision is lost, it doesn't come back. Yet office visits happen every six to twelve months, leaving long stretches of unmeasured drift between them.

76M people worldwide live with glaucoma. Projected to reach 111.8M by 2040. Tham YC et al · Ophthalmology · 2014
~50% of glaucoma cases go undiagnosed until significant vision is already lost. Quigley HA & Broman AT · BJO · 2006
<50% of patients on glaucoma drops are persistently adherent at one year — the single biggest controllable risk factor. Friedman DS et al · AJO · 2007
Our thesis

The chart isn't missing. The doctor just sees it twice a year.

Glaucoma is a chronic disease that doesn't deserve discrete care. The information that matters — pressure, adherence, symptoms, peripheral vision — drifts continuously. A tool that captures that drift continuously is the entire product.

  1. 01
    Adherence is the leverage. The OHTS trial showed lowering IOP cut 5-year POAG progression in half. Real-world adherence is roughly half of what's prescribed. Closing that gap matters more than any new drug.
  2. 02
    Patient daily check-ins are the dataset. A 15-second symptom log every day generates more clinical signal between visits than the visit itself.
  3. 03
    Doctors don't need more data — they need a triaged feed. Risk-prioritised patient list. Alerts when something shifts. Time saved, not added.
  4. 04
    Voice-guided exams unlock home monitoring. Visual field, contrast sensitivity, anterior-segment photography — done at the kitchen table on the patient's own device.
The platform

One product, two surfaces.

Patients get a quiet daily companion. Doctors get a longitudinal dashboard pre-sorted by risk. Both share the same data — only the lens changes.

For patients

Quiet, but persistent.

The disease never sleeps. Neither does the loop. A few seconds a day is enough.

Drop reminders by email — at your schedule, not ours 15-second daily symptom check-in Voice-guided visual field, acuity, contrast and anterior-segment exams Longitudinal trend visible to you and your doctor
For doctors

Triage, not triathlon.

Open the dashboard, see who needs you today. Skip everything else.

Patient list with risk pills (🔴 risk · 🟡 watch · 🟢 stable) Per-patient adherence trend, exam history and symptom diary Tokenised invitation flow — patients onboard themselves Care plans configured per patient (test cadence, medications)
How it works

Three steps. No clinic visit required.

Doctor invites the patient

One tap in the dashboard generates a tokenised invite link. The patient receives it by email — no public sign-up, no insurance gymnastics.

Patient onboards in minutes

Glaucoma intake (diagnosis, medications, family history, current symptoms). Drops + schedule. Care plan created automatically with sensible defaults the doctor can override.

Daily monitoring runs in the background

Patient logs drops + symptoms. Scheduled exams come up when due. Doctor sees the patient list re-prioritise as risk shifts.

Pilot status

Launching at UCSD.

First clinical pilot under preparation at the Hamilton Glaucoma Center, UC San Diego — one of the world's leading glaucoma research programs. IRB protocol in development; data captured under HIPAA-grade infrastructure with a signed BAA.

Status Pre-pilot · Q2 2026
Site Hamilton Glaucoma Center · UCSD
Compliance HIPAA · Supabase BAA · LGPD-ready
Indication Screening adjunct · not a diagnostic device
Get started

If you're a doctor, your patients are waiting.

If you're a patient, ask your ophthalmologist to send you a Glaucosim invitation. There is no public sign-up — Glaucosim only works inside the doctor-patient relationship.