方法：选择2010-01/2013-03在我院眼科进行白内障复明手术者358例372眼，观察术中疼痛感、术后视力及并发症。

结果：手术过程中患者无痛感，术中麻醉效果明显，能很好地配合手术者342眼(91.9%)； 术中偶感轻微疼痛，可忍受并能配合手术顺利完成者17眼(4.6%)； 另有8眼(2.2%)患者因疼痛无法耐受手术； 5眼(1.3%)患者因无法固视而改行球后或球周麻醉。术后第3d最佳矫正视力4.0～4.5者57眼(15.9%)，4.5～4.8者213眼(59.3%)，4.8以上者89眼(24.8%)。

结论：表面麻醉下非超声乳化小切口白内障手术避免了相应的并发症，手术时间明显缩短， 手术质量较好，适宜于基层的防盲治盲工作。

METHODS: Totally, 372 eyes of 358 cataract cases, in our hospital from January 2010 to March 2013, underwent cataract extraction and intraocular lens implantation with manual small incision cataract surgery under surface anesthesia. Intraoperative pain, postoperative complications and visual acuity were observed.

RESULTS: In the process of surgery, patients without pain and being-cooperated were recorded in 342 eyes(91.9%), that occasionally felt slight pain, but within endure and the operation was completed successfully were recorded in 17 eyes(4.6%). There were 13 eyes quit, 8 eyes(2.2%)of them because of the intolerable pain, the other 5 eyes(1.3%)of the ceaseless movement of the eye. The best corrected visual acuity on the 3^rd day after operation of 4.0～4.5 were observed in 57 eyes(15.9%), 4.5～4.8 in 213 eyes(59.3%), above 4.8 in 89 eyes(24.8%).

CONCLUSION: The cataract extraction and intraocular lens implantation with manual small incision cataract surgery under surface anesthesia can avoid corresponding complications, reduce the operation time obviously and ensure better quality of operation. It's suitable to carry out the prevention and treatment of blindness at the Primary Hospitals.