This paper deals with refractive disorders in cataract surgery. The authors have studied the efficiency of eximer laser correction (LASIK) of astigmatism on pseudophakic eyes and proposed their own modification of the technology "Pre-flap" that provides the most advantageous conditions for laser correction. In addition, preflapping permits correction of astigmatism in the immediate period after cataract extraction, thus reducing the time of the patients' rehabilitation. Clinical and functional studies have provided evidence for the proposed procedure.