This report summarizes the authors' 3-year experience with excimer laser photorefractive keratectomy (PRK) on 240 eyes of 161 patients. With constant laser emission parameters, nitrogen (N2) flow across the cornea was used on 79 eyes while 161 eyes had no N2 flow. 74 eyes were operated on without fixation with a suction ring. Postoperative pain management included patching and oral analgesics in 77 eyes and the use of topical Diclofenac or Ketorolac, and a therapeutic soft contact lens in 163 eyes. Follow up ranged from 1 month (206 eyes) to 36 months (10 eyes).