R eis-Bücklers' corneal dystrophy, an anterior stromal dystrophy caused by mutations in the transforming growth factor beta-induced gene, typically presents in childhood with confluent, early, irregular geographic-like opacities varying in density and developing at the level of Bowman's layer and superficial stroma. 1 Opacities are initially discrete, but subsequently extend to the limbus and deeper stroma. Corneal optical coherence tomography (OCT) shows a homogenous, confluent, membrane-like layer of hyperreflective deposits at the level of Bowman's layer and anterior stroma. 2 Reis-Bücklers' corneal dystrophy progressively hinders visual acuity and causes recurrent erosions. Conservative therapy includes gels and ointments, but conventional treatment for extreme cases includes corneal transplantation. 3 Femtosecond laser-assisted lamellar keratectomy, featuring a 110-to 140-µm corneal free cap, has been recently reported. 4 Phototherapeutic keratectomy (PTK) using a 193-nm excimer laser has been used to treat vision-hampering corneal dystrophies causing recurring corneal erosion for the past 25 years. 5-8 PTK appears to be the less invasive surgical solution, and it can be repeated, postponing for a long time partial-or full-thickness corneal transplantation (deep anterior lamellar keratoplasty or penetrating keratoplasty). 9