AIM:To explore the clinical efficacy of small-incision extracapsular cataract extraction and intraocular lens implantation. METHODS:A total of 285 patients 285 eyes with age-related cataract underwent small-incision extracapsular cataract extraction and intraocular lens implantation under the surgical microscope.The clinical efficacy were observed postoperatively. RESULTS: Visual acuity was improved after surgery.On postoperative day 1, visual acuity>0.3 were 265 cases (93.0%) and ≥ 0.5 were 245 cases(86.0%). CONCLUSION: Small-incision extracapsular cataract extraction and intraocular lens implantation have some advantages such as fast wound healing, mild surgery reaction, small astigmatism, easy to prevent and deal with outbreaks of intraoperative choroidal hemorrhage and few complications.