[Astigmatism correction with Excimer laser]

Excimer laser is the best and the more used technique for Astigmatism correction. Lasik is generally preferred to PRK and must be the choice for hyperopic and mix astigmatisms. Myopic astigmatisms are the easier cases to treat: the length of the photoablation is placed on the flat meridian. Hyperopic and mix astigmatisms are more difficult to correct because they are more technically demanding and because the optical zone of the photoablation must be large. Flying spots lasers are the best for these cases. The most important point is to trace the photoablation very precisely on the astigmatism axis. The use of eye trackers with iris recognition or a preoperative marking of the reference axis avoid cyclotorsion or a wrong position of the head. Irregular astigmatism are better corrected with topoguided or wavefront guided photoablations.