Kim JH, Rabiolo A, Morales E, et al. - By performing this retrospective cohort analysis, researchers explored risk factors, both baseline and longitudinal, for fast visual field (VF) decay in patients with open-angle glaucoma. This study included patients with open-angle glaucoma with ≥ 6 VFs and ≥ 4 years of follow-up. They examined 1,317 eyes of 745 patients. The median (interquartile range) mean deviation was −2.4 (−0.7 to −5.6) dB at baseline. The study sample had a mean (± SD) age of 63.3 (±10.9) years. The median (interquartile range) number of VFs and the mean follow-up duration were 12 (9 to 16) and 11.5 (±3.7) years, respectively. Findings revealed the link of older age, peak intraocular pressure (IOP), pseudoexfoliative glaucoma, and baseline mean deviation, with the rate of glaucomatous VF worsening in this cohort. A higher peak IOP was noted in fast progressors vs non–fast progressors. The visual disability from glaucoma would be decreased by the recognition as well as appropriate aggressive management of fast progressors.