Corneal opacity is one of the main causes of monocular blindness in the world. Various modifications of keratoplasty are considered radical, effective — and in some cases the only — way of visual rehabilitation of this category of patients. The article describes a case of using the original surgical method of ipsilateral automated anterior lamellar rotational autokeratoplasty. Application of the described surgical technique made it possible to preserve the advantages of the known methods of ipsilateral rotational penetrating autokeratoplasty (IRA) and to level out their main disadvantages. In addition, the use of anterior lamellar rotational autokeratoplasty allowed the endothelial layer of the cornea to remain intact; its decompensation is one of the main reasons for unsatisfactory outcomes of penetrating keratoplasty. The use of a microkeratome device and the formation of an interface between the layers of its own tissues made it possible to achieve clinically insignificant violation of light scattering in this zone. With the right choice of a patient with shallow local central corneal opacity and careful planning of the original method, ipsilateral lamellar rotational automated autokeratoplasty can be an alternative to both standard penetrating and lamellar allokeratoplasty.