In general most doctors will try drops first and reserve surgery for more advanced (or recalcitrant) glaucoma. In someone who is young and in whom the drops are not working or tolerated, surgery is a reasonable option. Those who work at the computer for extended periods of time are often better candidates for canaloplasty than trabeculectomy as trabs can worsen dry eye syndrome (which is often exacerbated by extended computer use).
David Richardson, MD
Date: Jul 8, 2013