Methods: In a prospective study, forty eyes of 38 patients (mean age 70.78 ± 8.7 years, range: 50 - 88 years) with cataract and 1 diopter or more of topographic corneal astigmatism were randomly divided into two groups: eyes that underwent phaco surgery with on-axis incisions consisting of a single clear corneal incision centered on the steepest corneal meridian (control group) and eyes that underwent phaco surgery with limbal relaxing incisions consisting of 2 arcuate incisions straddling the steepest corneal meridian associated with on-axis incision (cataract LRI group).