Results of femtosecond based intrastromal astigmatic keratotomy have been reported to be encouraging for correction of Astigmatism. We report a new surgical technique‑manual intrastromal corneal keratotomy (MICK) for correction of simple refractive astigmatism (−1.5 DC against the rule). The technique involves the creation of a 100 µm thickness corneal flap creation using Moria M2 evolution LSK MicroKeratome and 300 µm depth, 4 mm long manual transverse astigmatic keratotomy on both sides of the steep axis 3 mm from the pupillary center along with four incision peripheral radial keratotomy outside the optic zone (based on the mesopic pupil). The flap was repositioned and routine post‑operative regimen was followed. Patient achieved 20/20 vision in both eyes post‑operatively on the first day, which was maintained even at the 1 month follow‑up. This simple technique could be useful as an alternative method for correction of refractive errors in patients not suitable for excimer and/or femtosecond laser treatment.

Results of femtosecond based intrastromal astigmatic keratotomy have been reported to be encouraging for correction of Astigmatism. We report a new surgical technique‑manual intrastromal corneal keratotomy (MICK) for correction of simple refractive astigmatism (−1.5 DC against the rule). The t...