• Management of a Giant Irregular Astigmatism on Epikeratophakia for Keratoconus Description: In this video, we will describe a bioptic procedure that combines LASIK topography-guided for treating high irregular astigmatism with a customized flap designed on epikeratophakia with a toric IOL implantation for treating the remaining astigmatism. Subspecialty: Refractive Management / Intervention Level: Intermediate Uploaded By: David Smadja