Astigmatic keratoconus is a chronic keratocystic disease of unknown etiology. In 90% of cases, astigmatic kercoconus is detected when examining the eyeball of young adults and in 10% of children. Most often, astigmatic corneoconus is diagnosed in the age group of 15-30 years. In childhood, the diagnosis of astigmatic corneoconus can be established in cases where all its characteristic morphological signs are already visible, leaving no doubt that these changes were evidence of a long and incurable process. The true prevalence of astigmatic corneocones in adults, according to various authors, is 9-10:100,000