Hyperopic astigmatism is corrected by ablating the cylinder correction on the corneal periphery in order to produce central meridional steepening. Correct treatment of hyperopic astigmatism requires knowledge of the total defect, which means that refraction must be performed under cycloplegia. The visual axis of patient must be clearly identified; the presence of pseudo-strabismus is frequent and the surgical ablation must be centered and performed in accordance. From the optical point of view it is necessary to remove a negative lenticle of a predetermined diameter and power, from the corneal stroma. In order to calculate the resection, the initial radius (Ir), the diopters on the vertex to be corrected (VD) and the desired optical zone (Zo) have to be known. With the excimer technology the Munnerlyn formula is applied: Ablation Depth (µm) = (Diopters/3) x Zo2. The ideal optical zone for hyperopic correction are always larger than 6.00 mm. Ablation algorithms with transition zones have been developed in order to avoid sudden changes in corneal thickness. The refractive results with LASIK, in accordance with the parameters of the current algorithms for the correction of hyperopia, and hyperopic astigmatism using the Schwind Keratom Multiscan are presented. We compare the postoperative corneal aberrometry results obtained with Multiscan Schwind and with ORK-W algorithm from ESIRIS Schwind.