Rotational autokeratoplasty in advanced lipid keratopathy.

1. Autokeratoplasty (AKP) has many advantages, such as having no immune reaction, providing easy postoperative care in younger patients, having susceptibility to amblyopia without delay, and demonstrating no vascularization of the autograft. 2. AKP does have its disadvantages, including limitations of patient selection and a high rate of postoperative astigmatism, anterior synechia, and glaucoma. 3. The largest problem inhibiting the widespread use of AKP is the limitations of patient selection.