·AIM:To report the application of surface anesthesia in binoculus for phacoemulsification in 115 cases.·METHODS:The surface anesthesia regimen consisted of 4g/L Alcaine.Phacoemulsification was performed through a scleral tunnel incision.The one-piece PMMA or three-piece silicon intraocular lens was implanted.·RESULTS:Totally 85 percent of 115 cases had not any pain during the surgery,15 percent felt pain during different operative stages.12 cases felt pain caused by epithelium’s loss,35 cases felt foreign body sensation,dry and discomfort;that contralateral eye discomfort occurred in 15 cases,including two cases of mild visual loss.All cases recovered in a week.·CONCLUSION:The phacoemulsification under surface anesthesia of binoculus is safe and effective.·