Penetrating sclerokeratoplasty is a technique of total corneal transplantation including a rim of sclera which was introduced in 1956, but which gave only temporarily clear grafts. The technique has been revived and with newer surgical techniques, the protection of a bandage contact lens, and long-term local and systemic steroids, has given encouraging results in severely damaged anterior segments. Clear grafts were determined in nine of 18 (50%) eyes for from 1.2 to 3.5 years, average 2.7 years. Three of 18 (17%) grafts were partially clear and six of 18 (33%) grafts were opaque. Complications included postoperative hemorrhage (2), graft rejection (2), glaucoma (2), temporary epithelial loss (2), and phthisis bulbi (2).