This is a randomised, controlled study of 110 paired eyes from 55 patients that were randomised into either femtosecond laser-assisted cataract surgery (FLACS) or conventional phacoemulsification cataract surgery (CPS) groups. Visual, refractive outcomes, intraocular pressure (IOP) and complications were compared between the two groups. The three-month postoperative refractive outcomes were comparable between the two groups in paired eyes from the same patients. IOP was statistically higher in the FLACS group on postoperative day 1 (20.6mmHg versus 18mmHg for CPS, p=0.01). One case of posterior capsular blockage syndrome developed intraoperatively and one case of newly developed glaucoma in the FLACS group. There was one case of retinal tears in the CPS group.