Glaucoma Disparities: Black Americans 5-6× Risk With ~10 Years Earlier Onset; AAPI Elevated Angle-Closure + Myopia Risk

Glaucoma Research Foundation: Black Americans face 5-6× higher open-angle glaucoma prevalence and 6× the blindness rate vs white peers. First diagnosis on average ~10 years earlier; disease progression 0.43 dB/year faster.

Asian American/Pacific Islander populations face elevated angle-closure glaucoma risk due to anatomically shallower anterior chambers — up to 86% myopia in Singaporean-Chinese 15+. AAPI patients face elevated POAG risk where myopia is a key driver.

FQHC implication: Black-majority FQHCs (Watts Healthcare, Charles Drew, Southern California Medical Center) and AAPI-majority FQHCs (NEMS, Asian Health Services, KHEIR, Operation Samahan, Nhan Hoa, Buddhist Tzu Chi) need protocolized glaucoma screening starting earlier than national guidelines suggest. Asian Health Services has NO on-site optometry — significant equity gap.