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Corneal scars can reduce significantly visual acuity, the treatment option is a cornea Transplant. The ipsilateral rotational auto-keratoplasty is a good alternative for non progressive cornea scar and at least 4 to 5 mm of clear cornea. We performed eccentric trephination and rotate the opacity out of the visual axis and reposition clear cornea. This surgery reduces the risk of graft rejection and is an option for countries without access to donation tissue.