目的:探讨高度近视性白内障患者行巩膜遂道式小切口非超声乳化(简称非超小)白内障囊外摘除联合人工晶状体植入术的疗效。方法:对21例32眼高度近视性白内障患者行非超小白内障囊外摘除联合人工晶状体植入术,术后观察及随访其疗效。结果:术后视力均有不同程度的提高,术后3个月视力≥0.5者15眼,占46.88%;0.12～0.4者13眼(40.63%);≤0.1者5眼,(15.63%)。结论:非超小高度近视性白内障外摘除联合人工晶状体植入术是一种安全、有效、能够明显改善患者视力的实用手术方法。 Objective: To investigate the effect of scleral tunnel incision non-phacoemulsification (referred to as non-ultra-small) extracapsular cataract extraction combined with intraocular lens implantation in patients with high myopia cataract. Methods: 21 cases of 32 eyes with high myopia cataract patients underwent extracapsular cataract extraction combined with intraocular lens implantation, postoperative observation and follow-up of its efficacy. Results: The postoperative visual acuity was improved to some extent. There were 15 eyes (≥0.5), accounting for 46.88% at 3 months postoperatively, 13 eyes (40.63%) with 0.12 ~ 0.4 eyes, and 5 eyes (≤0.1 eyes, 15.63%). Conclusion: Extracapsular non-ultra-myopic cataract extraction with intraocular lens implantation is a safe and effective method that can significantly improve the visual acuity of patients.