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The authors declare no conflict of interest. Rev Bras Oftalmol. 2015; 74 (2): 102-5 ABSTRACT High astigmatism correction represents a challenge for the refractive surgeon with current available technology. Excimer laser correction should be considered as an option in the available therapeutic arsenal. We report a patient with astigmatism higher than eight diopters to whom it was used a treatment with LASIK (Laser Assisted In Situ Keratomileusis) in two surgical moments, using a new generationdoi:10.5935/0034-7280.20150023 fatcat:cgw2ck233ff6nljme56efs6glm