Cost Comparison: Laser vs. Eye Drops vs. Surgery in the UK
When it comes to glaucoma treatment in the UK, cost plays a major role in choosing between laser therapy, eye drops, or surgical options. Each method differs in long-term expenses, maintenance requirements, and overall value. Below is a detailed breakdown of what patients in the UK can expect when comparing these three approaches.
1. Eye Drops: The Most Common but Ongoing Expense
Eye drops are often the first line of treatment for glaucoma, especially in mild to moderate cases. While affordable in the short term, the cumulative cost of daily use can add up significantly over time.
Average cost (UK): £15–£50 per month per prescription
Annual total: £180–£600, depending on brand and dosage
Pros: Non-invasive and easy to use
Cons: Requires lifelong use, frequent check-ups, and possible side effects such as redness or irritation
Over a 10-year period, the cost of eye drops alone can exceed £6,000, not including specialist consultations and medication adjustments. For patients seeking a long-term solution, this ongoing expense can become a financial concern.
2. Laser Treatment: A Middle-Ground Option
Laser trabeculoplasty is an increasingly popular choice among UK glaucoma patients who want an effective but less invasive procedure than surgery.
Average cost (UK): £800–£2,000 per eye
Duration of effectiveness: 2–5 years
Pros: Quick recovery, minimal discomfort, and reduced reliance on daily drops
Cons: May need repeat sessions over time
Laser treatment offers excellent value for patients aiming to reduce long-term medication costs. Although the upfront cost is higher than monthly eye drops, the long-term savings can be substantial.
➡️ See how U.K. glaucoma treatment prices vary by state.
3. Surgery: The Long-Term Investment
For advanced glaucoma cases or patients who have not responded well to other treatments, glaucoma surgery offers the most lasting results. Common procedures include trabeculectomy and minimally invasive glaucoma surgery (MIGS).
Average cost (UK): £2,500–£5,000 per eye
Pros: Permanent pressure control, reduced dependency on drops, and improved vision stability
Cons: Requires recovery time and carries surgical risks
While surgery is the most expensive upfront, it can save money in the long term by reducing or eliminating the need for continuous medication and multiple follow-up treatments. Many private clinics in the UK also offer payment plans, making it more accessible.
4. Long-Term Value and Effectiveness
When comparing laser, eye drops, and surgery, the decision often depends on the patient’s budget, severity of glaucoma, and lifestyle preferences.
| Treatment Type | Average Cost (UK) | Duration/Effectiveness | Long-Term Value |
|---|---|---|---|
| Eye Drops | £180–£600 per year | Continuous | High recurring cost |
| Laser Treatment | £800–£2,000 | 2–5 years | Moderate cost, repeatable |
| Surgery | £2,500–£5,000 | 10+ years | High upfront, long-term savings |
Overall, surgery remains the best value for long-term results, while laser offers an affordable middle ground for those avoiding daily medication.
5. Which Option Offers the Best Value?
The cost comparison between laser, eye drops, and surgery in the UK reveals that eye drops are cheaper initially but can become costly over time. Laser treatment balances affordability and effectiveness, while surgery—though costly upfront—offers permanent relief and may prove to be the most cost-efficient solution over a patient’s lifetime.
Patients should consult their ophthalmologist to determine which treatment provides the right balance of cost, effectiveness, and long-term vision care.



