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Home glaucoma monitoring

Glaucoma monitoring,
from home.

Glaucosim runs the standard glaucoma battery at home — visual field, contrast sensitivity, acuity, anterior segment imaging and drop adherence — in minutes, with voice guidance. Your eye-care professional reviews everything before your next appointment.

Start as a patient I'm a clinician
Voice-guided · No installation · Reviewed by an eye-care professional
76 M
People living with glaucoma in 2020
Tham · Ophthalmology 2014
~50%
Don't know they have it
Quigley · BJO 2006
< 50%
Take drops as prescribed after one year
Friedman · Ophthalmology 2007
−10%
Progression risk per 1 mmHg of IOP lowered
EMGT · Leske 2003
How it works

Three steps from sign-up to your first review.

No app store, no installation. Open the browser, sign in, take a few minutes for each exam. The data goes to your eye-care professional automatically.

Step 01

Create your account

Five fields. Then a short medical-history intake — diagnosis, drops, prior surgery, family history. You can edit anything later.

Step 02

Take the exams

Voice-guided visual field, contrast sensitivity, acuity, anterior segment recording, IOP screening, and a quality-of-life questionnaire. About 20 minutes for a full battery.

Step 03

Doctor review

Your data lands on a clean dashboard for your ophthalmologist. They flag changes, send notes, and adjust the cadence of your next checks.

What we capture

Glaucoma-relevant signal — captured at home.

Each module is a focused, evidence-based proxy for a clinical test. Run them on cadence; trends do the talking.

Visual field

24-2 or 10-2 confrontation grid. Voice-paced presentations, fixation monitoring, MD/PSD estimation.

~10 minper eye
Contrast sensitivity

Pelli-Robson digit ladder. Picks up signal that often precedes measurable field loss.

~3 minlogCS score
Visual acuity

ETDRS-style staircase. Distance and near. Snellen, E-game, HOTV, Landolt-C variants.

~2 minper eye
Anterior segment

Phone-camera handoff. Ten voice-guided takes per eye, automatic quality and gaze checks.

~5 minper eye
IOP screening Research β

Acoustic, contactless pressure screening. Laptop emits, phone captures. Experimental.

~5 minboth eyes
Quality of life

NEI VFQ-25 — the validated questionnaire for vision-related quality of life in glaucoma.

~6 minonce per cycle
Drop adherence

Per-drop schedule with one-tap log. Weekly chart, missed-dose tracking, gentle reminders.

30 sec / dosecontinuous
Symptom diary

Halos, eye pain, blurred vision, redness. Time-stamped entries surface progression cues.

~30 secas needed
For patients

Take an active part in your treatment.

Most glaucoma damage is silent. You can't feel the field shrink, you can't feel the pressure swing. Glaucosim makes the invisible part visible — to you and to your doctor.

  • Run the exams when it fits your schedule.
  • See your trends month over month.
  • Get a real review of every session by an eye-care professional.
  • Track your drops and surface adherence issues early.
Start as a patient How it works
For clinicians

The data between visits, on one dashboard.

Glaucoma needs more than two data points a year. Glaucosim gives your patients a structured way to capture vision data at home, and you a clean place to triage it.

  • Invite patients with a single link — no IT setup.
  • Set the cadence per patient: which tests, how often.
  • Review and flag changes, send a note back to the patient.
  • Export to PDF or push to your records system.
Open a clinician account Talk to the team
Built on the literature

A glaucoma-first product.

Every module maps to a validated clinical test or a well-documented surrogate. We cite our sources in-app, in reports, and in the science deck.

01 — Field

Visual field

Confrontation grid with 24-2 and 10-2 patterns. Voice-paced presentations, webcam fixation monitoring, and an HFA-style readout with MD, PSD, VFI and total / pattern deviation maps per eye.

Heijl · Patterson · AAO standard pattern set
Glaucosim visual field per-eye report — MD, PSD, grayscale, threshold, total and pattern deviation plots for both eyes
Per-eye report
Glaucosim visual field setup screen explaining the 24-2 test to the patient
Setup
Glaucosim visual field exam in progress with central fixation cross and live readout
During the exam
02 — Contrast

Contrast sensitivity

Pelli-Robson digit ladder run at calibrated screen size. Picks up signal that often precedes measurable field loss, especially in early glaucoma.

Pelli & Robson 1988 · Hawkins IOVS 2003
Glaucosim contrast sensitivity intro screen — 'Read the faintest numbers you can see' with a 5-3-8 sample triplet
Intro
Glaucosim contrast sensitivity per-eye report — Pelli-Robson logCS, z-score and age-expected reference range
Per-eye report
Glaucosim contrast sensitivity patient-facing summary card — logCS per eye with deviation flag
Patient summary
03 — Acuity

Visual acuity

Distance and near optotypes — Snellen, HOTV, Landolt-C, E-game. Calibrated to the physical screen size before each run so logMAR is comparable visit-to-visit.

ETDRS chart standards · Bailey-Lovie spacing
Glaucosim visual acuity per-eye result — Snellen, logMAR and trial count for each eye
Per-eye result
Glaucosim visual acuity setup screen asking the patient to wear their distance glasses
Setup
Glaucosim visual acuity exam in progress with an optotype digit and the 'Say the number' prompt
During the exam
04 — Quality of life

NEI VFQ-25

The validated vision-specific quality-of-life questionnaire used across the glaucoma literature as a patient-reported anchor for functional change.

Mangione · Arch Ophthalmol 2001
Glaucosim NEI VFQ-25 question prompt
During the exam
Glaucosim NEI VFQ-25 subscale chart
Subscales
Glaucosim NEI VFQ-25 composite score card
Composite
05 — Anterior segment

Anterior segment

Phone-handoff capture with MediaPipe FaceMesh gaze guidance and on-device quality checks. Ten takes per eye, automatic poster image, reviewable clips.

MediaPipe · Glaucosim quality pipeline
Glaucosim anterior segment phone capture screen
Phone handoff
Glaucosim anterior segment poster image
Poster image
Glaucosim anterior segment take review screen
Take review
06 — Pressure

IOP screening β

Acoustic, contactless approach using a laptop emitter paired with a phone capture. Surfaced as screening only — not a substitute for tonometry — while research validation continues.

Glaucosim Research · ongoing validation
Glaucosim acoustic IOP dual-device setup
Dual-device setup
Glaucosim acoustic IOP capture trace
Capture trace
Glaucosim acoustic IOP screening result
Screening result
07 — Adherence

Drops & adherence

Per-drop schedule and adherence log, reported weekly. Designed to surface the < 50% adherence cliff before the next OCT instead of after.

Friedman · Ophthalmology 2007
Glaucosim adherence weekly trend
Weekly trend
Glaucosim drop schedule
Drop schedule
Glaucosim dose log
Dose log
08 — Symptom diary

Symptom diary

One-tap log for halos, eye pain, blurred vision and redness. Time-stamped entries flow into the same trend view, so subjective cues are reviewed alongside the objective signal.

Glaucosim · patient-reported telemetry
Glaucosim symptom diary daily check-in
Daily check-in
Glaucosim symptom diary tag picker
Tag picker
Glaucosim symptom diary timeline
Timeline
Mauro Gobira, founder of Glaucosim
Built by

I built Glaucosim because two appointments a year can't catch a disease that damages the optic nerve silently, fiber by fiber, between visits.

I'm Mauro Gobira. I trained in ophthalmology, and I spent years watching patients fall into the gap between in-office visits. Glaucosim is the layer I wished existed: a home cadence of clinically grounded tests, a place for the eye-care professional to see the trend instead of just the latest reading, and a way to catch drift before the next OCT.

Every module ships only when the science holds. Every report is meant to be read by an eye-care professional, not to replace one.

Mauro Gobira Founder · Ophthalmology MD
Get started

Capture what happens between visits.

Sign up in under a minute. Take your first exam today. Your eye-care professional sees the result before your next appointment.

Start as a patient I'm a clinician