We report on a case of post-femtosecond-assisted laserassisted in situ keratomileusis (LASIK) (FA-LASIK) corneal ectasia, which developed in a young hyperopic male who underwent surgery in both eyes (BE) and eighteen month later, an enhancement procedure in his left eye (LE) due to residual hyperopia.   Ten years later, the patient complained about deterioration of his visual acuity (VA) in his LE. An examination of the eyes and imaging of the cornea revealed post-LASIK ectasia in his LE.   Post-LASIK ectasia in hyperopic eyes has already been reported in few cases, but this is the first report on post-FALASIK ectasia in a hyperopic eye.