AIM:To investigate the clinical effect of small incision cataract extraction and intraocular lens implantation in 287 black cataract patients during the China-aided project in Africa.METHODS:Totally 287 eyes of 287 cases with senile cataract were treated with scleral tunnel incision extracapsular cataract extraction,and posterior chamber intraocular lens implantation.Postoperative visual acuity and complications were observed.RESULTS:Intraocular lens was implanted in 275 eyes under quite limited medical facilities in Africa.Postoperative vision increased significantly after a week.The postoperative vision was ≥0.3 in 240 eyes(83.6%),≥0.5 in 166 eyes(57.8%),corneal edema was in 53 eyes(18.5%);posterior capsule rupture was in 5 eyes(1.7%);anterior chamber inflammation was in 38 eyes(13.2%).CONCLUSION:Small incision cataract extraction combined with intraocular lens plantation has significant effect in a large scale of black cataract patients in Africa.