AIM:To investigate the effect and safety of modified small incision cataract surgery in patients with soft core cataract.

METHODS: Totally 80 cases(109 eyes)of soft cataract patients who underwent surgical treatment from January 2015 to May 2016 in ophthalmology center of our hospital, using random number table method were divided into improved group(improved manipulation of small incision cataract surgery), traditional group(traditional approach to small incision cataract surgery), 40 cases in each group. Comparison of the two groups of treatment, the incidence of complications were taken.

RESULTS: There were no significant differences on uncorrected visual acuity between the two groups before and at 1d, 1wk and 1mo after operations(P>0.05). The uncorrected visual acuity of the two groups improved significantly at 1d, 1wk and 1mo after operations compared with those before operations(P<0.05). There were no significant differences on intraocular pressure(IOP)between the two groups before and at 1d, 1wk and 1mo after operations(P>0.05). The IOP of the two groups increased significantly at 1d, 1wk and 1mo after operations compared with those before operations(P<0.05). The complication rate was 9%(5/54)in the modified group, significantly lower than that in the conventional group 25%(14/55)(P<0.05).

CONCLUSION: Improved small incision cataract surgery for soft cataract patients was with reliable results, less complications.