目的：对高龄老年人人工晶体植入术的情况进行分析，以改进治疗措施;使更多患者能及时、安全地手术治疗.方法：对42例（48眼）高龄老年白内障病人行人工晶体植入术，观察分析术前、术中、术后眼部及全身病情变化和治疗过程.结果：本组42例患者中，患全身多种疾病者占92.9％，以冠心病最多，占66.7％，其次为慢性支气管炎、高血压病.虽然病情变化复杂多样，但经适当处理，均安全施行了手术，术后矫正视力＞0.5者35眼占72.9％.结论：高龄老年白内障患者，虽患全身多系统疾病，仍可安全手术，且术后效果良好，故这些病人应尽早手术治疗. Objective: To analyze the situation of intraocular lens implantation in the elderly in order to improve the therapeutic measures and make more patients operate timely and safely.Methods: 42 cases (48 eyes) of elderly cataract patients underwent artificial lens implantation The results showed that 92.9% of the 42 patients with systemic diseases and the most coronary heart disease accounted for 66.7% , Followed by chronic bronchitis, hypertension.Although the condition changes are complex and diverse, but the appropriate treatment, are safe operation, visual acuity> 0.5 after surgery accounted for 72.9% of 35 eyes.Conclusion: elderly patients with cataract, despite the Systemic and systemic diseases, can still be safe surgery, and the effect is good, so these patients should be treated as soon as possible.