| Variable | Category | Weight |
|---|---|---|
| Age | younger than 50 years 50-64 years 65-74 years older than 75 years |
0 1 2 3 |
| Race | Caucasian/other African American |
0 2 |
| Family History of Glaucoma | Negative or positive in non-first degree relative Positive for parents Positive for siblings |
0 1 2 |
| Last Complete Eye Exam | Within last two years 2-5 years ago more than 5 years ago |
0 1 2 | Level of Glaucoma Risk (Total Score) |
| High | 4 or greater | |
| Moderate | 3 | |
| Low | 2 or less |
(Source: American Academy of Ophthalmology)