To treat nearsightedness, the cornea must be made flatter. This is accomplished by removing tissue from the center of the cornea.
To treat farsightedness, the central cornea must be made steeper. This is accomplished by directing the laser beam to remove tissue from around this area.
To treat astigmatism, the cornea must be made more spherical. By changing the pattern of the beam, tissue is removed in one direction more than the other.