Given a strongly regular Hankel matrix, and its associated sequence of moments which defines a quasi-definite moment linear functional, we study the perturbation of a fixed moment, i.e., a perturbation of one antidiagonal of the Hankel matrix. We define a linear functional whose action results in such a perturbation and establish necessary and sufficient conditions in order to preserve the quasi-definite character. A relation between the corresponding sequences of orthogonal polynomials is obtained, as well as the asymptotic behavior of their zeros. We also study the invariance of the Laguerre-Hahn class of linear functionals under such perturbation, and determine its relation with the so-called canonical linear spectral transformations. © 2013 Elsevier Ltd. All rights reserved.