Corneal biomechanics can directly reflect structural changes of the cornea, including indicators such as elasticity and hardness, and has an important reference value for the diagnosis and treatment of cataract surgery. In cataract-related surgeries, factors such as the size and location of the surgical incision, as well as the method of incision creation, can also directly affect changes in corneal biomechanical parameters, thereby influencing the recovery of postoperative visual acuity. Especially in high-risk surgical patients, such as those with concurrent corneal lesions, abnormal axial length, or glaucoma, the application of corneal biomechanical parameters to evaluate surgical effects and the risk of complications helps formulate personalized surgical plans and achieve precise postoperative monitoring. To sort out its value in preoperative evaluation and postoperative follow-up, explore the impact of different surgical methods on biomechanics and its correlation with postoperative prognosis, analyze the limitations and deficiencies of current studies, was included in this paper, which to provide references for the direction of subsequent clinical research and the optimization of diagnosis and treatment plans, and promotes the development of cataract diagnosis and treatment towards a more precise and personalized direction.