AIM:To evaluate the clinical effect of phacoemulsification and foldable intraocular lens(IOL) implantation with topical anesthesia and transparent corneal incison. METHODS:Totally 475 eyes of 382 cases of cataract were performed phacoemulsification and foldable IOL implantation,the safety and postoperative visual acuity and complications were observed. RESULTS:Totally 475 eyes of 382 cases of cataract were safe with results. There were no serious system and ocular complications. CONCLUSION:Transparent corneal incision phacoe-mulsification and foldable IOL implantation in patients can shorten the period of visual rehabilitation.It is effective and safe.