AbstractEpikeratophakia for keratoconus was done in 11 mentally retarded patients, using fresh, free‐hand made lamellar grafts. The mean follow‐up period was 31.5 months. The grafts remained clear and well adapted in 7 cases (63.6%). Necrosis of the lower part of the graft occurred in 3 eyes (27.3%), and was probably caused by persisting epithelial defects. Only one of these grafts had to be removed. Despite concurrent eye diseases, such as cataract and possible amblyopia, an improved overall visual function was reported in 5 of the 11 patients (45.5%). No vision‐threatening complications related to the epikeratophakia surgery was