Purpose. To analyze the nature and frequency of intra - and postoperative complications during MyoRing implantation and corneal crosslinking in patients with keratoconus and to develop methods for their treatment and prevention. Material and methods. We conducted a study of the results of MyoRing implantation in 131 patients (147 eyes) with keratoconus II-III. Corneal rings with a diameter of 5-6 mm and a thickness of 280-320 µm were implanted. PocketMaker microkeratome (Dioptex GmbH, Austria) was used to create a stromal pocket during the implantation of the ICR. The patients were divided into the control group (32 patients, 34 eyes) – using the standard ICR implantation technology and the main group (38 patients, 42 eyes) – ICR implantation using the developed tools. Results. Among the complications, intraoperatively, the eruption of the stromal pocket was noted due to the loss of vacuum during the application of the applicator in 4 cases. In the long term, after 10 and 12 months, patients underwent ICR reimplantation with a positive result. In 2 cases, the surface location of the implant led to ring extrusion, which may have been due to the thinning of the surface layers, and subsequently keratoplasty was performed on the patients. In 1 case, the patient's pronounced deposition of lamellar deposits caused dissatisfaction of a cosmetic nature. At the request of the patients, the rings were removed, and in the following terms, the patient made up for the visual defect by wearing hard contact lenses. Conclusion. A moderate number of complications indicates the relative safety of the method of intrastromal keratoplasty. The use of the proposed instruments during the operation provides a significant reduction in the frequency of complications compared to the results with the standard technique of forming a corneal tunnel. Thus, it was found that the optimized method of implantation of MyoRing intrastromal rings reduces corneal trauma, simplifies the manipulation of the ring and reduces the total operation time by 1.4 times. Key words: keratoconus, intrastromal corneal rings, MyoRing, corneal crosslinking, complications.