We sought to report glaucoma surgery as a possibly protective measure in patients with elevated intraocular pressure (IOP) during electroconvulsive therapy (ECT). An interventional case report is reported. IOP measurements were taken in patients with progressive glaucoma who had one eye fitted with a glaucoma tube implant and other without tube implant before, during, and after ECT treatment. IOP fluctuation was reduced in the eye that had undergone double tube implant surgery. Surgical intervention may blunt the IOP spikes associated with ECT.