Title: Presenting features of primary open angle glaucoma at initial diagnosis at Government Medical College Baramulla - a hospital based study. Aim: To study clinical presentation of primary open angle glaucoma at initial diagnosis. Methods: The study was conducted on patients of above 40 years of age attending OPD to screen the patients for primary open angle glaucoma. Results: The prevalence of glaucoma in the study is 1%. The mean age in our study is 58.1 years. 20.9% and >50% of the studied cases showed RAPD in the right and left eye, respectively. CDR 0.5-0.8 was present in 70% of right eyes and 42.9% of left eyes whereas Glaucomatous Optic Atrophy was present in 16.8% in right eyes and 27.8 left eyes, respectively. Mean IOP was 22.9mmHg and 27.8mmHg in right and left eye, respectively. 13.8% of the patients had IOP greater than 30mmHg in the right eye at presentation. 19.9% of the study subjects had mild visual fields changes in right eye. 20.4% had moderate and 10.2 % had severe visual fields changes in right eye whereas 6.6% had moderate visual field changes in left eye and 55.6% had severe changes. There was a statistically significant correlation of BCVA which decreased with increasing CD ratio, increasing IOP and progressively increasing visual field defects.