AIM:To evaluate the clinical effect of phacoemulsification and negative power intraocular lens implantation in patients with axial high myopia and cataract.METHODS:Thirty cases 41 eyes received phacoemulsification and negative power intraocular lens implantation.Preoperative axial length,postoperative visual acuity and the fundus examination were recorded.Intraoperative and postoperative complications were observed.The follow-up time was 6 months.RESULTS:The mean preoperative axial length was 32.11mm.Postoperative visual acuity achieved 0.1 or better in 38 eyes,and 0.5 or better in 12 eyes.Only 2 eyes had posterior lens capsule rupture,and 1 eye had corneal edema.No retinal detachment was observed during the follow-up time.24 eyes had obvious high myopia retinopathy.CONCLUSION:Phacoemulsification and negative power intraocular lens implantation is safe and effective for axial high myopic eyes.