Purpose: • To outline types of residual refractive errors after primary excimer laser refractive surgery.• To outline methods of diagnosis.• To outline methods of treatment.• To determine areas that needs future researches.Methods:Medline search and internet search engines on the topics of surgical management of residual refractive errors after primary excimer refractive surgery.Results:Residual refractive errors can be managed by different methods. This could be either excimer laser enhancement, contact lens, phakic IOL, INTACS, and penetrating keratopathy.Conclusions:Residual refractive errors can be managed both safely and effectively with a wide range of different techniques.