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Objective: To observe the safety and effect of sutureless phacoemulsification with PMMA intraocular lens (IOL) implantation.Methods: One-hundred and twenty-six cases (126 eyes) of sutureless phacoemulsification with PMMA intraocular lens (IOL) implantation were retrospected and evaluated. The surgeries were performed through a limbal tunnel incision. PMMA IOLs with 5.5mm or 6.0mm in diameter were implanted.Results: The follow-up was 3～20 months. Visual acuity of 0. 5 or better was obtained in 120 cases (95.2%), and that of 1.0 or better was obtained in 89 cases (70. 6% ).Intra-operative complications included posterior capsule rupture in 9 cases (7. 1% ) and iris injury in 7 cases(5.6% ). Postoperative complications included early ceal edema in 96 cases(76.2% ), transient intraocular pressure elevation in 5 cases(4. 3%),remnant of cortex in 1 case and leakage of incision in 1 case. M1 were properly managed with good results.Conclusion: Sutureless phacoemulsification with PMMA IOL implantation is safe even in grass-root hospitals where cataracts are harder.