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Epikeratophakia is based on the principles of the Barraquer refractive procedures, with modifications that simplify the surgical technique and eliminate the use of the microkeratome by placing the donor corneal tissue lens on the anterior surface of the cornea. Procedures developed to permit freeze-drying the preshaped lens for storage enable these lenses to be obtained from a central source, freeing the surgeon from the complexities of the computer and the cryolathe. The correction of theoretically unlimited amounts of myopia is possible with these lenses. In 12 eyes that underwent the final epikeratophakia procedure, the average desired correction achieved was 98%.