In earlier centuries simple debridement of loosely adherent epithelium was used for the treatment of recurrent corneal erosions but with technology advancement superficial keratectomy developed as a more aggressive and efficacious technique. The most common cause of recurrent corneal erosions is minor trauma or abrasion of the corneal epithelium that usually occurs as a result of a shallow corneal injury by a fingernail. The signs and symptoms of recurrent erosions include pain, foreign body sensation, epiphora and photosensitivity. Most spontaneous epithelial erosion attacks are treated with either patching or bandage soft contact lens along with topical antibiotics and topical nonsteroidal anti-inflammatory drugs. But for patients with recurring erosions, surgical intervention in the form of superficial keratectomy, anterior stromal micropuncture or phototherapeutic keratectomy is indicated. This chapter discusses in detail about the techniques, instrumentation and complications of superficial keratectomy.