AIM: To investigate the non-staining continuous curvilinear capsulorhexis and phacoemulsification with intraocular lens implantation for the treatment of white cataract.

METHODS:Totally 458 eyes with white cataract underwent phacoemulsification combined intraocular lens implantation, the success rate, intraoperative complications, postoperative visual acuity, corneal edema response index were observed.

RESULTS:Of the 458 eyes, capsulorhexis was successful in 441 eyes(96.3%), 17 eyes(3.7%)film radial tear occurred with scissors, capsular flap was cut out and capsulorhexis was completed. Intraoperative rupture of posterior capsule in 9 eyes(2.0%), mild postoperative corneal edema in 94 eyes(20.5%), moderate oedema block 29 eyes(6.3%), severe edema in 8 eyes(1.7%), both in 2 to 10 days without edema, corneal endothelial decompensation. After postoperative first day, visual acuity improved in 329 eyes(71.8%)with visual acuity >0.3, postoperative one week visual acuity >0.5 in 417 eyes(91.0%).

CONCLUSION:Although non-staining continuous curvilinear capsulorhexis and phacoemulsification with intraocular lens implantation is difficult in treatment of white cataract, but after skilled operation, high success rate and good postoperative visual acuity can be obtained.