PURPOSE.: METHODS.: We selected 10 patients, 6 male and 4 female, with surgical keratoconus, with a mean age of 45±16 years (range 29-61), with best-corrected visual acuity (BCVA) ≤20/70 logMAR. The study period was from February 1, 2008, to November 3, 2008, at the S. Maria della Scaletta Hospital (Imola, Italy). We evaluated the following parameters preoperatively and postoperatively: BCVA with Snellen card; endothelial density measured by specular microscope (SP 2000P, Topcon, Japan); and mean astigmatism measured by computerized topography (Keratron Scout, Optikon 2000, Rome, Italy). The parameters were evaluated monthly, with a maximum follow-up of 8 months. RESULTS.: CONCLUSIONS.