We determine the most general solution of the five-dimensional vacuum Einstein equation, allowing for a cosmological constant, with (i) a Weyl tensor that is type II or more special in the classification of Coley et al., (ii) a non-degenerate "optical matrix" encoding the expansion, rotation and shear of the aligned null direction. The solution is specified by three parameters. It is locally isometric to the 5d Kerr-de Sitter solution, or related to this solution by analytic continuation or taking a limit. This is in contrast with four dimensions, where there exist infinitely many solutions with properties (i) and (ii).