Choosing between glaucoma medication and surgery depends on eye pressure control, side effects, and how glaucoma is progressing. The aim is always to protect vision for the long term.
When drops may be enough
Many people manage well for years on eye drops alone. Regular monitoring checks whether the optic nerve remains stable.
- Drops lower pressure by reducing fluid production or improving drainage
- Side effects such as redness or stinging may limit some options
- Missed doses reduce protection, so routines must feel realistic
- Visual field tests and scans track slow changes over time
When surgery becomes sensible
Surgery is considered if glaucoma continues to worsen or drops cause problems. It can also be an option for those struggling with complex regimens.
- Rising pressure or nerve damage despite maximum tolerated drops
- Difficulty remembering several daily medications
- Significant side effects or allergy to multiple drops
- Discussion focuses on expected pressure targets and lifestyle needs
