An adjustable double running suture technique for keratoplasty

T. E. Clinch, H. W. Thompson, B. P. Gardner, S. C. Kaufman, H. E. Kaufman

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


In a retrospective analysis, we examined 30 consecutive cases of penetrating keratoplasty in which a double running 10-0/11-0 nylon suture technique was used and the 10-0 suture was adjusted early in the postoperative period to reduce astigmatism. When the response to suture adjustment was inadequate, the presence of the 11-0 suture allowed for early (ten to 18 weeks) removal of the 10-0 suture. Rapid visual recovery (12.3 ± 0.95 weeks; mean ± standard error) and low levels of final astigmatism (2.66 ± 0.24 diopters) were achieved. Visual acuity was 20/20 to 20/40 in 25 of the 28 patients (89%) who were visually rehabilitated. In these 28 patients, visual acuity remained stable for the remainder of the study. All patients had a minimum of six months' follow-up from the time of surgery; mean follow- up was 10.6 ± 1.70 months.

Original languageEnglish (US)
Pages (from-to)201-206
Number of pages6
JournalAmerican journal of ophthalmology
Issue number2
StatePublished - 1993
Externally publishedYes

Bibliographical note

Funding Information:
From the LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans, Louisiana. This study was supported in part by U.S. Public Health Service grants EY02580 and EY02377 (Dr. H. E. Kaufman), as well as EY07100 (Dr. S. C. Kaufman), from the National Eye Institute, National Institutes of Health, Bethesda, Maryland. Dr. Clinch was a Heed Ophthalmic Fellow (1991-1992).


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