Objective  To observe the visual quality of microincision phacoemulsification cataract surgery and evaluate the stability of microincision intraocular lens by evaluating the IOL tilt and decentration. Methods  A retrospective study was carried out on 20 patients. The patients received 1.8 mm microincision phacoemulsification cataract surgery with Akreos MI60 implantation. The uncorrected visual acuity （UCVA）， best corrected visual acuity （BCVA）， ocular aberration， staylights， the tilt and decentration of the IOLs were analyzed at 3 months， 6 months postoperation. Statistical analysis was carried out using the repeated-measured analysis of variance （ANOVA）. Results  The UCVA and BCVA were significantly improved at 3 months and 6 months after the operation （P<0.05）. There was significant difference of staylights at 3 months and 6 months postoperation comparing with preoperation results. No significant difference was found for the average tilt and decentration of IOL of 1 week， 3 months， and 6 months after the surgery（P>0.05）. No significant difference was found for the higher-order aberration of 1 week， 3 months， and 6 months postoperatively （P>0.05）. Conclusion  The 1.8 mm microincision phacoemulsification with Akreos MI60 implantation can provide good lens stability and stable visual acuity for the patients.