AIM:To treat the patients with opacity of the cornea and cataract that need non-supersonic emulsification cataract extraction,intraocular lens implantation and iris optics excision(tripie procedure),and to observe and analyze the clinical effects of the triple procedure·METHODS:Thirteen cases(18 eyes) with keratoleukoma and cataract were chosen,according to the opacity degree of the cornea and the spot,the iris optics excision spot was designed.The triple procedure was perfomed and postoperative visual acuity was observed.Follow-up period lasted for 1 month to 3 months postoperatively·RESULTS:The preoperative visual acuity:12 eyes were light perception and finger counting;4 eyes <0.1;2 eyes between 0.1-0.2.The postoperative naked vision: one week after surgery open hole vision of 12 eyes was over 0.3,5 eyes over 0.1,1 eye had no improvement.After 3 months,best-corrected visual acuity was 0.6,14 eyes were over 0.2-0.3,the majority of the vision had varying degree enhancement·CONCLUSION:Non-supersonic emulsification cataract extraction,intraocular lens implantation and optics iris excision can cure the patients refracting media turbidity of eye forepart and help them to get perception function at one time.Compared to the traditional penetrating corneal transplantation and cataract extraction,the iris optics excision method is simplified,and reduces the complications of rejection and so on after cornea transplantation.The tripe procedure has high safety,low cost and low risk,which is worth promoting.