Yu AC, Franco E, Caruso L, et al. - In this single-centre interventional case series, researchers reported the 10-year outcomes of modified microkeratome-assisted lamellar keratoplasty (LK) for keratoconus. One hundred fifty-one consecutive eyes with keratoconus underwent modified microkeratome-assisted LK. Eyes with scars extending beyond the posterior half of the corneal stroma and preoperative thinnest-point pachymetry value of less than 300 μm have been eliminated. According to results, baseline best spectacle-corrected visual acuity (0.89 ± 0.31 logarithm of the minimum angle of resolution (logMAR)) significantly improved to 0.10 ± 0.12 logMAR at year 3, and remained stable up to 10 years. Data reported that the 10-year cumulative risk for immunological rejection and graft failure, respectively, was 8.5%, and 2.4%. At 10 years, no case developed recurrent ectasia.