When it comes to the diagnosis and treatment of glaucoma, there is a culture of being reactive. The old glaucoma “playbook” has mostly been “prevent defense”: when damage is seen, just enough treatment is initiated with the hopes of avoiding blindness. But we need to take a step back and evaluate what our primary goal is when we take care of patients with glaucoma. We focus on lowering IOP because this helps slow disease progression and deterioration of visual fields. The result is that patients can retain good functional vision, but more importantly achieve the true goal of maintaining the highest quality-of-life for our patients. We shouldn’t lose sight of that.