Objective To compare small incision non-phacoemulsification cataract extraction combined with IOL implantation with phacoemulsification combined with IOL implantation on visual acuity,corneal astigmatism and complications postoperatively. Methods The study population consisted of 95 cases(103 eyes),37 cases(38 eyes) receiving small incision non-phacoemulsification cataract extraction combined with IOL implantation and 58 cases(65 eyes) receiving phacoemulsification combined with intraocular lens implantation.To observe visual acuity,corneal astigmatism and postoperative complications of the two groups. Results There have no signification differences between the patients who had received phacoemulsification combined with IOL implantation and the patients who had received Small incision non-phacoemulsification cataract extraction combined with IOL implantation on visual acuity,corneal astigmatism and complications postoperatively. Conclusion Small incision non-phacoemulsification cataract extraction combined with IOL implantation has good effect,lower cost and it is applicable to the grass roots hospitals extensively.