This case details the diagnosis and management of a series of patients with advanced and end stage glaucoma. Medical and surgical options in patients that are visually disabled from glaucoma are discussed. There will be detailed presentations of low vision options and training for mobility and activities of daily living. Additionally, there will be instruction on certifying a patient with visual disability and the options of disability benefits available to these patients. At the end of this course, the attendee will have a better understanding not only of the clinical management of the disease, but how to assist the patient to better navigate the world when visually disabled by glaucoma.