Background: Pathologic myopia is one of the leading causes of irreversible visual impairment worldwide, particularly in younger individuals. Objective: to evaluate the influence of uneventful phacoemulsification on macular thickness and macular changes in the postoperative period in high myopic patients. Patients and Methods: This is a prospective study which included 30 eyes in patients with high myopia ≥ -6 D or with axial length≥26mm underwent cataract surgery. Participants did not have any eye disorders exceptformyopia and cataract. Results: Statistically significant improvement was detected in postoperative best corrected visual acuity (BCVA) and intraocular pressure (IOP). As regard BCVA, preoperative mean was 0.116±0.064 and range was from 0.01 to 0.25 Decimal. 1 weak postoperative mean was 0.495±0.145 and range was from 0.32 to 1.00, P-value was <0.01. 1-month postoperative mean was 0.466±0.16 and range was from 0.16 to 1.00, P-value was <0.01. 3 months postoperative mean was 0.401±0.17 and range was from 0.01 to 0.63, P-value was <0.01. As for IOP preoperative mean was 15.73±1.14 mmHg and range was from 13 to 18 mmHg. Postoperative mean was 14.01±0.87 and range was from 12 to 15 mmHg. P-value <0.01. Conclusions: There was no statistically significant macular change after phacoemulsification in high myopic patients. There was statistically significant improvement in the BCVA and IOP control.