Whether patients with high intraocular pressure can take medication for a long time is related to the specific condition of the patient. Generally, if there is no fundopathy, the patient can be observed and followed up, and does not need any special treatment, but if there is glaucomatous fundopathy, the patient needs to use medication according to the doctor’s prescription. Hypertension is divided into benign hypertension and malignant hypertension such as glaucoma. If the hypertension is benign, the patient does not have progressive optic nerve atrophy, visual field defects, and the IOP control is relatively stable, the patient can be observed and followed up under the guidance of the doctor, and if the condition is generally very stable, the patient may not need to take medication continuously. In case of malignant hypertension, patients with persistent glaucomatous fundus lesions, patients can follow the doctor’s instructions to use eye drops to reduce intraocular pressure, such as carteolol eye drops, brimonidine tartrate, etc., to control intraocular pressure and reduce the risk of blindness. However, if medication does not control it well, patients can have surgical treatment, such as trabeculectomy. It is recommended that patients with IOP seek prompt medical attention to assess and, under the guidance of a physician, choose the appropriate treatment plan.