True or False: With glaucomatous disease, we almost always recommend treatment.

• A. False
• B. Only in advanced cases
• C. Never
• D. True

Answer: (D)

Glaucoma is a chronic, progressive optic neuropathy where vision loss is irreversible. Because the damage can advance over time and patients often don’t notice early changes, the goal is to lower intraocular pressure and keep it at a level that reduces the risk of further damage. That means, once glaucomatous changes are detected, treatment is typically started to slow or halt progression rather than waiting. Treatments range from daily eye drops to laser or surgical options, all aimed at achieving a safe target pressure tailored to the individual. While rare situations might lead to cautious observation (such as diagnostic uncertainty or very low-risk scenarios), the standard approach is to treat to protect vision.