AIM:To explore the methods of manual small incision extracapsular cataract extraction(ECCE) combined with intraocular lens(IOL) implantation in treating hyperma-ture cataract and their clinical effects.METHODS:The manual small incision ECCE combined with IOL implantation was performed in 94 cases(97 eyes). After the surgery,these patients were observed and followed up.RESULTS:The postoperative vision of all patients was markedly improved. The naked(or corrected) visual acuity of 73% patients(71 eyes) reached 0.5 or above at the first day after the operation,and 85% of patients(82 eyes) reached 0.5 or above and 98%(95 eyes) reached 0.3 or above at the second day after the operation.CONCLUSION:The manual small incision ECCE combined with IOL implantation in treating hyperma-ture cataract seems to be a safe,effective and practical surgery.