A cornea transplant was the only solution to a keratoconus up to a few decades ago, but there are now different options to halt or even correct the keratoconus without resorting to a cornea transplant, particularly in incipient or moderate cases with a little astigmatism. Nowadays, a cornea transplant is solely reserved for very advanced cases where there is an evident and marked deformation of the cornea. It is important to emphasise the fact that laser refractive surgery with a corneal laser is contraindicated in cases of keratoconus.