Is glaucoma surgery absolutely necessary?

Patient's question:

I have glaucoma. My relatives said that glaucoma requires surgery, and if it's not operated on, the eyes will get severely damaged and lead to blindness. I'm also skeptical in my heart. If I lose my eyesight, how inconvenient would that be? But then again, some people say it's no big deal and can be treated with eye drops. Hello, must glaucoma be treated with surgery?

Doctor's answer:

The initial symptoms of glaucoma can be treated with miotic eye drops, such as pilocarpine, in combination with mannitol infusion for blood pressure reduction. If the condition causes severe headaches, eye pain, nausea, and vomiting, significantly affecting vision, and the above medications are ineffective, a trabeculectomy must be performed. Otherwise, it may lead to retinal complications, such as optic nerve atrophy. Daily personal habits should be paid attention to, and a healthy diet should be maintained.

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