The paper analyses literature data and personal observations concerning the usage of radial keratotomy as a method of choice for correction of myopia and myopic astigmatism. It is pointed out that till now some rather important aspects of the usage of this operation are not yet comprehensively elucidated. To these aspects belong contraindications to the operation, its late sequelae, peculiar manifestations of age pathology in the eyes after keratotomy and a number of other questions. The author considers that such patients should receive a rather detailed information on the possible complications and outcomes of the operation, in particular on those negative points which are already known. The traditional and surgical methods available in ophthalmology should be regarded not as alternative ones, but as supplementing each other, i.e. as methods of choice.