Dr. ASHOK SHARMA

Abstract

Meticulous suturing of the donor cornea to the host is the key to the success of penetrating keratoplasty. Unexpected extreme positive pressure during surgery makes suturing, nearly impossible. Authors adopted the tailor bird technique to tide over the suturing crisis. Tailor bird sutures leaf in the area of the least gap first and with a wide gap later. The authors chose to pass sutures close to the cardinal sutures on either side, which decreased the gap. Normally we pass the suture in the centre of the two cardinal sutures where the gap is maximum. Once a suture is passed, the compression effect decreases the wound gap and allows the passage of the next suture. We applied the same technique in all the quadrants to complete the suturing effectively. The tailor bird suturing technique is effective in eyes with extreme positive pressure during corneal grafting.