The invention discloses a control system and method for a cataract patient in a medical consortium. The control system comprises a cataract management cloud platform, a patient server, an expert server and a primary hospital server, wherein the cataract management cloud platform is connected with the patient server, the expert server and the primary hospital server to realize data interaction, thecataract management cloud platform comprises a doctor-patient management service engine, a screening module, an HIS docking module and a database, the primary hospital server comprises an eyeground examination management module and a digital slit lamp device used for shooting eyeground imaging pictures of a patient, the expert server comprises an expert diagnosis module and an expert diagnosis data management module, and the patient server comprises a login module, an information management module and a consultation module. The management method of a cataract patient in a medical consortium comprises: 1, carrying out primary diagnosis or cataract screening on a patient; 2, carrying out intelligent diagnosis; and 3, intervening by doctors.