The invention discloses a photobiological regulation therapeutic instrument for treating open-angle glaucoma and a using method. According to the photobiological regulation therapeutic instrument, near-infrared light with a wavelength of 600-800 nm relative to light-emitting viewpoints of a left eye sight glass and a right eye sight glass is set to activate photoreceptors in eye cells of a glaucoma patient, promote light energy to be converted into metabolic energy, reduce intraocular pressure of a glaucoma patient, and provide greater possibility for vision recovery of the patient. On one hand, by irradiating the eyeball-ciliary body, aqueous humor generation is reduced, aqueous humor backflow is promoted, intraocular pressure is reduced, on the other hand, glaucoma optic nerve damage can be reduced and injured optic nerve repair can be promoted through low-dose red light irradiation, and in addition, neurons of optic nerves need high-energy mitochondria ATP to meet tissue requirements, and are very sensitive to glucose consumption or energy deficiency, oxidative stress, and mitochondrial dysfunction. Near-infrared light can promote mitochondrial injury repair and improve mitochondrial functions, and has important application value in optic nerve injury treatment.