Glaucoma cannot be reversed — vision lost to the disease is gone permanently. But with proper treatment initiated before significant damage occurs, the progression of glaucoma can be slowed or halted entirely. The goal of treatment is to lower intraocular pressure (IOP) to a level that prevents further optic nerve damage, and today there are more effective, convenient options than ever before.

Prescription Eye Drops

For most patients with open-angle glaucoma — the most common form — prescription eye drops are the first line of treatment. Several classes of drops are available, each working through a different mechanism to either reduce fluid production inside the eye or increase fluid drainage:

  • Prostaglandin analogs (latanoprost, bimatoprost) — Increase fluid outflow; typically dosed once daily at bedtime
  • Beta-blockers (timolol) — Reduce fluid production; often used as adjunctive therapy
  • Alpha agonists (brimonidine) — Reduce production and increase drainage
  • Carbonic anhydrase inhibitors (dorzolamide) — Reduce aqueous humor production
  • Rho kinase inhibitors (netarsudil) — A newer class that lowers IOP through multiple pathways

Laser Treatment

Selective Laser Trabeculoplasty (SLT) is a safe, in-office laser procedure that improves the eye's natural drainage system, lowering IOP without drops. It is effective in many patients and can be repeated if needed. For angle-closure glaucoma, laser peripheral iridotomy creates a small opening in the iris to restore normal fluid circulation.

Surgical Options

When drops and laser are insufficient, surgical procedures — including trabeculectomy and minimally invasive glaucoma surgery (MIGS) — can create new drainage pathways to reduce IOP more significantly. Our office co-manages surgical glaucoma patients with trusted ophthalmology partners.

Ongoing Monitoring

Treatment success requires consistent monitoring. We track IOP, optic nerve appearance, visual fields, and OCT measurements on a regular schedule to ensure your therapy is working and adjust when needed. Glaucoma is a lifelong condition, but with the right care team, most patients retain their functional vision for life. Contact us to discuss your glaucoma management options.