Abstract PURPOSE: To report complications of automated lamellar keratoplasty in two eyes of two patients. METHODS: Case reports. Two eyes of two patients underwent automated lamellar keratoplasty for myopia. Both patients complained of visual distortion and glare in the postoperative eye. RESULTS: The postoperative eye of both patients showed evidence of wrinkling of the corneal lenticule accompanied by irregular astigmatism. Patient 1 showed persistent lenticular wrinkling and corneal scarring 2.5 years later. Patient 2 showed evidence of interface scar and overcorrection. CONCLUSION: The use of a microkeratome can be complicated by lenticular displacement and wrinkling, resulting in visual aberration for the patient.