In long-term stable patients, the target IOP may be raised.

• A. Maintain
• B. Lower
• C. Stop therapy
• D. Raise

Answer: (D)

The target IOP in glaucoma care is not a fixed number but a flexible goal tailored to how the patient is doing over time. If long-term observations show that the optic nerve space, nerve fiber layer, and visual fields are stable and there’s no evidence of progression, there’s justification for easing the goal a bit. Raising the target IOP reduces treatment burden, side effects, and costs while still keeping the disease under control because stability suggests the eye can tolerate a higher pressure without harm. Of course, this requires ongoing careful monitoring with regular exams, imaging, and visual field testing to catch any signs of change early. In stable patients, increasing the target IOP is a reasonable, patient-centered adjustment to balance safety with quality of life.