AIM:To explore the change of corneal astigmatism after phacoemulsification associated with fold artiphakia lens embedded with hyaline corneal incision.METHODS:Seventy-nine eyes of 58 cases were enrolled. All cases underwent similar phacoemulsifica-tion combined with fold artiphakia lens implantation.The changes of corneal astigmatism before and 3 days,1 week,1 month after operation were compared as well as visual acuity.RESULTS:One month after operation,visual acuity elevated and became stabilization. Average corneal astigmatism were decreased obviously 1 month compared with 1 week after operation. There was significant difference.CONCLUSION:Phacoemulsification combined with fold artiphakia lens implantation with 3.2mm hyaline corneal incision may be a safe and effective method to treat cataract for smaller corneal astigmatism,quicker visual recovery and shortter stable time.