AIM:To explore the efficacy,skill,complication and its treatment in small incision cataract surgery combined with intraocular lens(IOL)implantation.METHODS:A total of 173 cases 199 eyes treated by small incision cataract surgery combined with IOL implantation were retrospectively analyzed within 1 year.RESULTS:The uncorrected visual acuity was 0.5 or better in 70 eyes(35.2%),93 eyes(46.7%),134 eyes(67.3%),158 eyes(79.4%)at 1 day,1 week,1 month and 1 year postoperatively,while the corrected visual acuity was 0.6 or better in 78 eyes(39.2%),101 eyes(50.8%),145 eyes(72.9%),164 eyes(82.4%).CONCLUSION:Manipulation of chopping nucleus in small incision cataract surgery with few complications for visual rehabilitation is effective,safe and economic.It is worth to be popularized.