Editor,—We read with great interest the article by Sugita and Kondo and the editorial by Aggarwal.1 2 We congratulate the authors on this paper which can contribute to the revival of lamellar keratoplasty. The authors report on deep lamellar keratoplasty in which the stroma is excised to the extent that only Descemet’s membrane remained. We wish to comment that we have previously reported on a similar procedure.3-5 We used a full thickness graft, since in the eyes operated by us the endothelium was compensated and graft clarity was maintained by the donor’s corneal endothelium. It seems to us that deep lamellar keratoplasty with a full thickness graft can also be a useful procedure in cases with decompensated endothelium.