A technique is herein presented of penetrating keratoplasty with the use of through-and-through suturing of the cornea with continuous 10-0 nylon monofilament fiber. Rabbits, dogs, and monkeys were studied. Good apposition of the wound edge is the principal advantage of this technique. There were no instances of wound leak, flat anterior chamber, or epithelial downgrowth into the anterior chamber in a sequence of keratoplasties in rabbits, dogs, and 33 monkeys.
Massey JY, Hanna C. Penetrating Keratoplasty With Use of Through-and-Through Nylon Sutures. Arch Ophthalmol. 1974;91(5):381-385. doi:10.1001/archopht.1974.03900060393012