Objective: Contrast to the way small incision cataract surgery (MSICS) and cataract phacoemulsification, through the follow-up observation of patients with postoperative rehabilitation .To study their safety and effectiveness and
replicability
Mathod: Select the 74 cases of 78eyes who accepted the small incision cataract surgery (MSICS)as group A; Select 60 patients with a total of 72 eyes who accept phacoemulsification cataract surgery by the same surgeon with non-foldable intraocular lens implantation as group B. Comparison of A group and B group after 1 week, 1 month visual acuity, intraocular pressure,changes in the amount of astigmatism and corneal endothelial changes.
Results: preoperative visual acuity (P> 0.05) of A group and B group is differences, after a week and a month of postoperation ,intraocular pressure,visual acuity, corneal endothelium (P <0.05) of A group and B group are no statistical difference. preoperation and after one month of postoperation,Compare the amount of astigmatism of A and B group。Preoperative, the average amount of corneal astigmatism of A groupis 0.94 ± 0.99D (0.1D ~ 5.41D), the average amount ofcorneal astigmatism of B groups 0.86±0.56D（0.1D～2.79D）. The statistical tests of the amount of corneal astigmatism between the two groups there is no significant difference
(P> 0.05).
Conclusion visual acuity, corneal astigmatism and corneal endothelium is no significant difference between A group and B group after postoperative. But the operation costs of A group is significantly lower than B group. Low-cost advantage and combined effects of Phaco surgery made MSICS more suitable for development and promotion to the hospitals in remoteareas and grass-roots .MSICS is an important means of treating large-scale of cataract blindness.