OBJECTIVE: To probe into the clinical efficacy of Jiawei Wuling powder in the treatment of macular edema after phacoemulsification for cataract. METHODS: Totally 93 patients with cataract complicated with macular edema after phacoemulsification admitted into the First Affiliated Hospital of Hunan College of Traditional Chinese Medicine from Jan. 2018 to Jul. 2019 were extracted to be divided into 47 cases in the study group（ 47 eyes） and46 cases in the control group（ 46 eyes） via the random number table method. The control group was given pranoprofen eye drops and tobramycin dexamethasone eye drops

while the study group received oral treatment with Jiawei Wuling powder on the basis of the control group. The best corrected visual acuity（ BCVA）

the central retinal thickness（ CRT） and traditional Chinese medicine（ TCM） syndrome scores before and after treatment

clinical efficacy and disappearance time of macular edema in two groups were observed. RESULTS:（ 1） The total effective rate in the study group was 93. 62%（ 44/47）

higher than 78. 26%（ 36/46） in the control group

the difference was statistically significant（ χ

2

= 4. 559

P = 0. 033）.（ 2） After treatment of 30 d

the total traditional Chinese medicine syndrome scores of the study group were significantly lower than those before treatment and the control group

the differences were statistically significant（ intra group comparison: t = 57. 569

P = 0. 000; comparison between groups: t =-29. 747

P = 0. 000）.（ 3） The CRT of two groups decreased significantly reduced after treatment of 15 d and 30 d

and the BCVA was significantly improved. CRT in the study group was significantly lower than that in the control group（ 15 d:t =-3. 287

P = 0. 001; 30 d: t =-4. 650

P = 0. 000）

the improvement of BCVA was significantly better than that of the control group（ 15 d: t =-2. 209

P = 0. 030; 30 d: t =-3. 505

P = 0. 001）

the differences were statistically significant.（ 4） The disappearance time of macular edema in the study group was significantly shorter than that in the control group

with statistically significant differences（ t =-4. 343

P = 0. 000）. CONCLUSIONS: The efficacy of Jiawei Wuling powder in the treatment of macular edema after phacoemulsification for cataract is significant

which can effectively reduce CRT

shorten the disappearance time of macular edema and improve BCVA.