AIM:To explore the application effect of manual small incision cataract surgery and intraocular lens implantion in Vision Recovery Action of Zhoukou area.METHODS:Retrospective study was taken on 692 eyes of 670 cataract patients in Vision Recovery Action.RESULTS:One month after the surgery,among 692 eyes of cataract patients,the naked vision ≥0.5 was in 609 eyes(88.0%),≥0.3 in 674 eyes(97.4%),≥0.05 in 691 eyes(99.9%).Before operation,mean astigmatism was 0.89±0.40D,1 week,1 month and 3 months after operation,mean astigmatism was 1.22±0.37D,0.81±0.39D,0.79±0.43D,respectively,and compared with the preoperative data,mean astigmatism 1 month and 3 months after operation had no significant difference(P>0.05)and all patients were planted intarocular lens.Major complications:posterior capsule rupture in 3 eyes,accounting for 0.4%;postoperative corneal edema in 13 eyes,accounting for 1.9%.CONCLUSION:Manual small incision cataract surgery and intraocular lens implantation has significant effect and fewer complications,and it can be applied in primary hospital for the prevention of blindness.