Releasable sutures: For safe and titrated trabeculectomy

Trabeculectomy is considered the gold standard for glaucoma surgery, providing effective intraocular pressure control. However, complications such as over filtration leading to the hypotony and under filtration causing surgical failure can arise. Releasable sutures serve as an effective solution to mitigate these risks by allowing postoperative titration of aqueous outflow. These externalized interrupted scleral flap sutures regulate flow through the internal ostium and can be easily removed via a slit lamp. There are various techniques for using releasable sutures, and this video demonstrates two primary methods.