ABSTRACT BACKGROUND: Automated lamellar keratoplasty (ALK) and laser in situ keratomileusis (LASIK) are surgical procedures used to correct high myopia, although their differences in effectiveness and long-term stability have not been sufficiently documented. Little information exists about the results of the two procedures in the hands of the same surgeon. METHODS: To assess long-term stability of refractive results of ALK and LASEK, a retrospective study of 260 eyes that received ALK and 308 eyes that received LASBK was