After the first description of epikeratoplasty for the correction of aphakia by Kaufman in 1980, the application of epikeratoplasty has been extended further to the treatment of keratoconus and high myopia. Six epikeratoplasty for five eyes of high myopia and one eye of keratoconus were performed and followed up for an average of 4.9 months. All cases improved their uncorrected visual acuity, and the preoperative best corrected visual acuity improved or had no change postoperatively except for one case. In the cases of high myopia, the mean preoperative spherical equivalent of -19.4 D was corrected to an average -0.23 D with a range of -1.0 D to +2.5 D postoperatively. In the case of keratoconus, there was a mean decrease in 12.0 D of myopia in terms of the spherical equivalent, and the cornea was flattened by over 8 D in keratometry readings.