AIM:To retrospective analysis the clinical effect of small-incision non-phacoemulsification combined with intraocular lens implantation in hard nuclear cataract.·METHODS:A total of 205 cases 235 eyes of hard nuclear cataract over IV which underwent small-incision non-phacoemulsification combined with intraocular lens implantation were retrospectively studied.·RESULTS:The uncorrected visual acuity was more than 0.5 in 156 eyes(66.4%)in postoperative day 1,and the best corrected visual acuity (BCVA) more than 0.5 was in 200 eyes (85.1%) in postoperative month 1. All the patients were relieved from blindness and 225 eyes (95.7%) were relieved from disable.·CONCLUSlON:Small-incision non-phacoemulsification combined with intraocular Iens implantation have some advantages such as fast wound heal,mild surgery reaction,good vision recovery,few complications and good patients’ satisfaction.