To evaluate visual outcomes of high hyperopic LASIK, using corneal aspherization to control the induced spherical aberration. Fondation Ophtalmologique Adolphe de Rothschild. Prospective interventional case series. Prospective interventional study of consecutive high hyperopes (≥+3D of Spherical Equivalent SE) undergoing LASIK with the WaveLight FS200 femtosecond and EX500 excimer laser platform. An aspheric ablation profile (planned change in corneal asphericity ΔQ = +0.2) was delivered using the Custom-Q nomogram (Alcon Laboratories, Inc., Fort Worth, TX) on an optical zone of ≥ 6.5mm centered near the corneal vertex. Uncorrected and best-corrected distance visual acuity (UDVA-BDVA), as well as changes in SE, corneal asphericity (ΔQ) and Higher order aberrations (HOAs), were analyzed preoperatively and on day1, 1, 3, 6, and 12 months. 117 eyes of 63 patients, (mean age of 30.1 ± 5.6 years), were included. Preoperatively and at 12 months postoperatively, the mean SE was 5.1 ± 1.1 D and 0.00 ± 0.7 D, respectively. 88% of eyes achieved 0 Log Mar or better UDVA at 12 months. One month after surgery, there was a statistically significant induction of positive spherical aberration decreasing progressively and significantly until the last visit (Preop SA4 = 0.09 ± 0.11 µm, Day 1 SA4 = 0.30 ± 0.32 µm, 12 Months SA4 = 0.08 ± 0.21 µm, p=0.056). Two eyes needed enhancement at 12 months. LASIK for high levels of hyperopia showed good outcomes mainly due to aspheric-customized ablation profile with a change of ΔQ = +0.2 in corneal asphericity.