1 Volume 05; Issue 01 Research Article Pre-Placed Two -Releasable Suture Trabeculectomy : Assessment of Post Operative Need for Suture Removal Susannah T Adepoju 1 , Michaeline A Isawumi 2 1 Department of Ophthalmology, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria 2 Department of Ophthalmology, Osun State University Teaching Hospital, Osogbo, Osun State, Nigeria * Corresponding author: Susannah T Adepoju, Department of Ophthalmology, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria Citation: Adepoju ST, Isawumi MA (2025) Pre-Placed Two -Releasable Suture Trabeculectomy : Assessment of Post Operative Need for Suture Removal. Arch Surg 5: 125 DOI: 10.29011/3066-2559.000125 Received Date: 04 March 2025; Accepted Date: 12 March 2025; Published Date: 14 March 2025 Archives of Surgery Adepoju ST and Isawumi MA. Arch Surg 5: 125 www.doi.org/10.29011/ 3066-2559.100025 www.gavinpublishers.com Abstract 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. Introduction Glaucoma is the most prevalent condition that causes irreversible sight loss among the populace today. The World Health Organization(WHO) gives a prevalence of 8% among causes of blindness in the world [1], 4% in Sub Saharan Africa [2] or 5.02% in Nigeria [3]. It is particularly more virulent among the negroid race. Various ways or methods used to reduce intraocular pressure include medical, surgical and laser therapy. Surgery could be accompanied by adjuvant therapies such as antimetebolites. Shunt devices could also be used [4]. Whatever method used also depend on the individual surgeon’s preferences, the stage, type of glaucoma and the response to the IOP (Intra ocular pressure) management. In order to assess the global burden of the disease, a meta-analysis was performed whereby the authors attempted to determine and project rates of glaucoma in 2013 and the number of individuals who would be affected between the years 2020 and 2040 [5,6]. This analysis was performed using information from the World Population Prospects issued by the United Nations(