On the basis of the typical structure and parameters of human eyes, we establish personalized -5 D myopic models with two types of astigmatism: corneal astigmatism and ocular residual astigmatism. The corneal ablation is simulated using three typical surgery schemes including spherical, optimized-Q, and wave-front guided laser in situ keratomileusis (LASIK). Spot diagrams at the fovea on retina and wave-front aberration maps of the eyeball before and after surgery are compared. The results show that the spherical correction and optimized-Q surgery can restrain corneal astigmatism, but the rectification to ocular residual astigmatism is poor; spherical correction scheme can introduce substantial spherical aberration, which can be well confined by the optimized-Q surgery scheme, but neither of them is able to reduce other types of high order aberrations; the wave-front guided LASIK can correct any type of myopia, astigmatism, or irregular high order optical aberrations.