To analyze the safety and efficacy of small incision non-phacoemulsification cataract extraction and intraoclar les (IOL) implantation. METHODS:Totally 300 cases (360 eyes) of cataract had been operated with small incision non-phacoemulsification cataract extraction and IOL implantation in our hospital. The vision and complications of the patients were observed-after 1 week and 3 months. RESULTS:After 1 week,postoperative vision was ≥0.05 in 356 eye (98.9%), 0.1-0.2 in 13 eyes, 0.3-1.0 in 315 eyes (87.5%).After 3 months, postoperative vision was ≥0.05 in 356 eyes (98.9%), 0.1-0.2 in 6 eyes, 0.3-1.0 in 322 eyes (89.4%).During surgery, 26 eyes (7.2%) had posterior capsule rupture, 19 eyes(5.3%) had repetitive prolapse of upper iris, 28 eyes (7.8%) had cornea edema, 8 eyes (2.2%) had mutilation of iris root, 5 eyes (1.4%) had anterior chamber hemorrhage and 10 eyes (2.8%) had upper incision leakage.10 eyes(2.8%) had cystoid macular edema; 12 eyes(3.3%) had posterior capsule opacification. There was no case with lens nucleus falling into vitreous cavity or epichoroidal explosive hemorrhage.CONCLUSION:Taking account of the advantages of the small incision non-phacoemulsification cataract extraction and IOL implantation,such as good efficacy, high safety and less complications, it is a good way for cataract surgery.