AIM:To evaluate the results of phacoemulsification combined with soft intraocular lens implantation in the treatment of cataract after trabeculectomy.METHODS:In total of 132 patients 148 eyes with cataract after trabeculectomy were treated by phacoemulsification and intraocular lens implantation in nasal or superior temporal quadrant incisions.Visual acuity,intraocular pressure(IOP)and complications were assessed in the postoperation.The follow-up time was from 3 to 39 months.RESULTS:All 148 eyes of 132 patients acquired satisfied visual acuity.One week postoperatively,the corrected visual acuity(CVA)showed that 8 eyes(5.4%)were<0.05,26 eyes(17.6%)were≥0.05-0.3,72 eyes(48.6%)were>0.3-0.6,40 eyes(27.0%)were>0.6-1.0,2 eyes(1.4%)were>1.0.The intraocular pressure(IOP)was all stable after the operation(15.23±3.42mmHg,1mmHg=0.133kPa).The main complications were early postoperative corneal edema and iris reaction which were mild and faded away in 2-5 days.CONCLUSION:The small incision phacoemulsification combined with intraocular lens implantation is convenient and effective for the treatment of cataract after trabeculectomy.It has achieved rapid postoperative recovery,less complication,lower astigmatism and stable IOP.The operation is better than extracapsular cataract extraction(ECCE)method in the treatment of cataract after trabeculectomy.