·AIM:To evaluate the surgical results and indicators of health economics(including length of stay,hospital costs)in patients with small incision phacoemulsification cataract surgery by clinical pathway,and to develop the system management and methods of cataract surgery project for primary hospital.·METHODS:The clinical pathway table of of senile cataract were developed and implemented,after that,96 patients with senile cataract were randomly divided into two groups:without small incision phacoemulsification cataract surgery(group A)and with phacoemulsification than surgery(group B),and the vision,complications,hospitalization days and total cost in the postoperative day 1 of the both groups were observed.·RESULTS:Both groups were significantly improved in visual acuity in the postoperative day 1(P <0.01),but there were no significant differences(P> 0.05)compared both groups;group A had the lower incidence of corneal edema than B group,the difference was statistically significant(P <0.05),but there were no significant difference in the incidence of complications and hospitalization days(P> 0.05);but,the average cost of hospitalization of the A group was lower than that of B group(P <0.01).·CONCLUSION:The small incision phacoemulsification cataract surgery by the clinical pathway have the better visual acuity,fewer complications,shorter hospitalization days,fewer financial burden,and in line with the fundamental purpose of health economics,which is worth promoting in the primary hospital.·