Abstract
Deciding when to perform glaucoma surgery can be challenging despite evidence in the literature supporting its safety and efficacy. In addition to clinical examination, visual field testing, and optic nerve imaging, other patient factors such as age, family history, and ocular comorbidities influence the decision-making process and are especially helpful in patients with borderline intraocular pressure and/or equivocal progression. The potential for a complicated postoperative course and lack of immediate visual benefit makes glaucoma surgery less straightforward than other ophthalmic procedures. The decision to operate is ultimately based on a discussion between each individual patient and the glaucoma surgeon, with careful consideration of disease severity, risk for progression, and quality of life.
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