Purpose: To describe a patient with keratoconus who underwent Intacs surgery to one eye with an unsatisfactory result and refused to undergo an Intacs removal procedure.
Methods: Case report.
Results: The patient's eye was fitted with a soft contact lens for visual rehabilitation 5 months after Intacs placement.
Conclusions: Intacs, with the help of secondary refractive procedures or contact lenses, may still be considered as effective in postponing penetrating keratoplasty, even in patients with advanced keratoconus.