Glaucoma is one of the leading causes of blindness throughout the world 1,2 with a prevalence of over 2% in individuals over 40 years old. 3 It is a heterogeneous disorder characterized by a progressive degeneration of axons manifesting as optic nerve head cupping and field loss. Most glaucomas are asymptomatic until late in the disease course and therefore, many patients are diagnosed on routine examinations or only after advanced field loss has occurred. The molecular etiology of glaucoma is largely unknown, but there are numerous studies establishing a genetic etiology for this disorder. Mutations in specific genes are associated with the manifestations of open angle glaucoma (OAG), pseudoexfoliation glaucoma (XFG), congenital glaucoma, and the anterior segment dysgenesis syndromes. Understanding the molecular basis of glaucoma is important to several aspects of glaucoma diagnosis and management. Genetic testing could be used to identify individuals who are high risk for the development or progression of glaucoma. Identifying novel pathways could be used to design more specific and effective therapies. This article will review the genes associated with different forms of glaucoma AQ1(Table 1). OAG The most common form of glaucoma is primary open angle glaucoma (POAG), affecting over 33 million people worldwide. 1 This is a late-onset and complex disorder that is associated with elevated intraocular pressures (IOPs) leading to axonal degeneration and visual field loss. The IOP increase in this disorder seems to be owing to an "inefficiency" of the trabecular meshwork (TM) leading to decreased aqueous outflow facility. Its multifactorial etiology was first proposed in the year 1967 4 and it demonstrates a variable age of onset and severity. Most studies suggest an autosomal dominant inheritance with incomplete penetrance. 5 However, the inheritance pattern of this disorder seems to be multifactorial resulting from the interaction of one or more genes and/or environmental stimuli. To date, there have been over 20 genetic loci and 3 genes, MYOC (myocilin), OPTN (optineurin), and WDR36 that have been linked to POAG. Like POAG, juvenile open angle glaucoma (JOAG) is also characterized by the presence of elevated IOPs, optic nerve cupping, and open angles. It has a variable age of onset, but typically presents with very high IOPs from ages 3 to 25 years. Like most glaucomas, it is not a single entity, but is rather a spectrum disorder in which some individuals present with developmental immaturities of the angle with an increased number of iris processes and a thicker, more compact tissue on the inner wall of Schlemm's canal. 6 However, other JOAG individuals present with anatomic and histologic findings indistinguishable from POAG. Moreover, JOAG patients tend to be less responsive to argon laser trabeculoplasty and are often more resistive to medical therapy than POAG. Therefore, different forms of JOAG seem to be distinct from POAG and they may actually be different disorders with similar phenotypes. The first gen...