Abstract Background: Keratoconus is a disorder that causes myopia and irregular astigmatism by causing gradual corneal steep-ening, usually below the cornea's center, as well as eventual central and para-central corneal thinning. Aim of Study: The objective of this study is to evaluate the efficacy of femtosecond laser-assisted intrastromal corneal ring segment implantation in the management of keratoconus. Patients and Methods: A study of 40 keratoconus patients' eyes was conducted retrospectively. The research was con-ducted at the AL-Azhar University Hospital's outpatient clinic during the period between January 2020 till January 2021. Results: Non-significant difference in patient satisfaction had been reported in the study group versus the control group. 80% of participants of two segment group were satisfied by the results compared to 70% of participants of the 355 keraring group. Conclusion: Intrastromal corneal ring segments have the benefits of being reversible, changeable, and relatively safe. It is a low-cost technique which prevents or merely postpones penetrating keratoplasty in keratoconic patients.