AIM:To observe clinical efficacy of extracapsular cataract extraction combined with intraocular lens implantation by two kinds of converse frown and trapezoidal scleral small incision.·METHODS: Eighty-nine patients 113 eyes age-related cataract patients were randomly divided into A group (43 cases, 56 eyes) and B group (46 cases, 57 eyes), they received extracapsular cataract extraction combined with intraocular lens implantation by two kinds of converse frown and trapezoidal scleral small incision respectively, the best-corrected uisual aluity (BCVA), corneal astig-matism, intraocular pressure, intraocular lens position and complications were observed in 1 week, 1 month and 3 months after surgery. ·RESULTS: The postoperative BCVA of both groups was improved significantly(P<0.05),but the corneal astig-matism had no significant difference between preopera-tion and postoperation; the BCVA and corneal astig-matism in 1 week, 1 month and 3 months after surgery had no statistical difference within the group or between the groups. There were no complications such as abnormal intraocular pressure, bullous keratopathy or suppurative endophthalmitis occurred in both groups after surgery.·CONCLUSION: Extracapsular cataract extraction com-bined with intraocular lens implantation by two kinds of converse frown and trapezoidal scleral small incision both have advantages like quick recovery of visual acuity, small astigmatism, safe and convenient, no need of ex-pensive equipment, they are suitable to be used in basic hospitals.