To evaluate the clinical effect and safety of cataract extraction with intraocular lens implantation in the advanced aged patients. METHODS: Cataract extraction with intraocular lens implantation was performed on 120 eyes of 115 aged patients. The postoperative visual acuity and complications were analyzed. RESULTS: The out of blindness rate was 98.3% in postoperative one month. 99 eyes (82.5% ) got a visual acuity of 0.3 or better after one month. No serious complications occurred and the effects were satisfactory. CONCLUSION: Cataract extraction with intraocular lens implantation in the advanced aged patients are safe and effective.