With the continuous development of cataract surgery and intraocular lens(IOL), the evaluation of visual quality after IOL implantation has become a research hotspot, and aberration is an important factor that affecting visual quality. After more than 60y of development, IOL has made great improvement in optical design. Due to the fact that conventional spherical IOL has a positive spherical aberration and cannot correct the positive spherical aberration existing in the normal human cornea, it is improved to an aspherical IOL having a negative spherical aberration and a zero spherical aberration. The former can correct the cornea positive spherical aberration, improve the contrast sensitivity and improve visual quality. However, if the optical position does not match, the formation of other higher-order aberrations will have greater impact on visual effects. Although the latter is well tolerated to tilt and decentration, it still cannot compensate for the positive aberration from the cornea. The advent of the non-constant aberration IOL provides a new way for cataract surgeons to solve this problem. In this paper, the concept of aberration, the design principle and advantages and disadvantages of different kinds of aspheric IOL, as well as the observation of clinical application effect of non-constant aberration aspheric IOL are discussed.