BACKGROUND:To study the effect of paired opposite clear corneal incisions on the steep axis on preexisting corneal astigmatism in phacoemulsification. MATERIALS AND METHODS:This study was performed on 30 eyes of 30 patients who had keratometric astigmatism of more than 1 diopter. All patients underwent clear corneal phacoemulsification with a 3.2mm clear corneal incision on the steep axis. An additional similar incision was placed on the steep axis opposite to the first incision at the end of surgery. Preoperative keratometric astigmatism was compared with postoperative keratometric astigmatism at 6 weeks postoperatively. RESULTS: The difference between the median score of preoperative keratometric astigmatism and postoperative astigmatism was 1 diopter. Results were analyzed with wilcoxon signed rank test and were significant p value. (<1) CONCLUSION: Paired opposite clear corneal incisions is a simple method to correct mild to moderate corneal astigmatism in phacoemulsification.