Ipsilateral rotating autokeratoplasty may be indicated when a nonprogressive central scar is present in an otherwise clear and normal cornea. By rotating an eccentric corneal button, the scar can be displaced peripherally and clear cornea brought into the visual axis. Ten cases of ipsilateral rotating autokeratoplasty were done in the Cornea Service at Wills Eye Hospital, Philadelphia, between 1975 and 1980. The technique is comparable to routine penetrating keratoplasty. There were no intraoperative or postoperative complications. Postoperative astigmatism was not a serious problem. All grafts remained clear and satisfactory; visual results were obtained in the majority of the patients.