Pre-Placed Two -Releasable Suture Trabeculectomy : Assessment of Post Operative Need for Suture Removal

The study evaluated the efficacy of 2-releasable-suture trabeculectomy in lowering intraocular pressure (IOP) among patients with Primary Open-Angle Glaucoma (POAG) and Normal-Tension Glaucoma (NTG).It also aimed to assess the need for postoperative suture removal. Methods:This was a retrospective study of 36 patients with POAG or NTG who underwent trabeculectomy with preplaced 2 releasable.Males were 19/36( 52.78%).with a M:F ratio of 5.3 : 4.7 The mean age of participants was 52.8 years 13.2 SD.IOP levels were measured preoperatively and at 3, 6, and 12 months postoperatively.Visual acuity outcomes were assessed, and the statistical significance of IOP reduction was analyzed using repeated measures ANOVA.Need for postoperative suture removal was also assessed. Results:The mean preoperative IOP was 26.31 mmHg, which significantly decreased to 12.23 mmHg at 3 months, 11.71 mmHg at 6 months, and 10.67 mmHg at 1 year (p = 0.011).No patients experienced postoperative hypotony (IOP below 5 mmHg).The 2-releasable sutures-technique demonstrated good IOP reduction with no postoperative suture removals, reducing follow-up visits and patient burden in the eye clinics.No cases of total blindness. Conclusion:The pre-placed 2-releasable suture trabeculectomy effectively lowers IOP in patients with POAG and NTG, with sustained reductions up to 1 year and minimal complications.The technique offers a balance of efficacy and simplicity.Prospective research with larger numbers of patients is recommended.