AIM:To compare clinical effect between two modes of incision of extracapsular cataract extraction and intraocular lens implantation. METHODS:In the retrospective analysis,143 cases (164 eyes) with cataract (February 2008-October 2011)were divided into group A (scleral tunnel incision) 72 cases 80 eyes and group B (clear corneal incision) 71 cases 84 eyes, all patients were checked visual acuity before and 1 week after surgery, astigmatism, operation time, complications and analyzed statistically. RESULTS:There was significant statistical difference of visual acuity 1 week after surgery, astigmatism, operative time between the two groups(P<0.05),but no statistical difference of complications such as vitreous loss, corneal edema, iris damage and so on (P>0.05). CONCLUSION:There was more obvious advantages of clinical effect of the corneal incision than scleral tunnel incision in extracapsular cataract extraction and intraocular lens implantation, and also it is simple, easy, economical, safe, more suitable for primary hospital.