Worldwide, cataract accounts 47.8%. Phacoemulsification cataract surgery had good results. Current study aimed to identify the macular thickness following uneventful phacoemulsification & small incision cataract surgery method (SICS) comparison with visual acuity. Materials and Methods: In total (n=50) patients, 50% undergone SICS for one eye with bag polymethacrylate intraocular lens implantation and 50% undergone phacoemulsification method in one eye with in bag acrylic type of foldable IOL. Postoperatively patients followed on day 7, week 2 and week 4 and upto 3 months. The complete ophthalmological examination and OCT of macula was done at follow-up. Results: Subclinical macular oedema noted in one case at 1 st , 2 nd and 4 th week follow-up, but it was reduced at 3 rd month. There was statistical (p<0.05) significant difference observed in macular thickness between the preoperative & post operative 1 st week, post-operative 2 nd week & post-operative 4 th week followup in Phaco group. Eyes with SICS procedure also shown statistical (p<0.05) significant difference as above pre and postoperative follow-ups without affecting the final visual outcome. Conclusion: Post operatively, there was increased macular thickness without affecting the final visual outcome following phacoemulsification procedure. Subclinical macular edema noted at 1 st week and reduced at 3 rd month.