The present invention relates to an ophthalmic device with an intraocular pressure monitoring system and associated methods. In some embodiments, the ophthalmic device can be a contact lens with an intraocular pressure monitoring system that is not dependent on eye ball shape or change over time. Further, the intraocular pressure monitoring system may include elements for delivering audible and/or visual messages to the wearer that can be useful for the monitoring and treatment of glaucoma. The audible and/or visual messages can be signals communicated to the wearer using one or both of the ophthalmic device and a wireless device in communication with the ophthalmic device.