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The uncertainty of target sizes and the complexity of backgrounds are the main reasons for the poor detection performance of small infrared targets. Focusing on this issue, this paper presents a robust and accurate algorithm that combines multiscale kurtosis map fusion and the optical flow method for the detection of small infrared targets in complex natural scenes. The paper has made three main contributions: First, it proposes a structure for infrared small target detection technology based on multiscale kurtosis maps and optical flow fields, which can well represent the shape, size and motion information of the target and is advantageous to the enhancement of the target and the suppression of the background. Second, a strategy of multi-scale kurtosis map fusion is presented to match the shape and the size of the small target, which can effectively enhance small targets with different sizes as well as suppress the highlighted noise points and the residual background edges. During the fusion process, a novel weighting mechanism is proposed to fuse different scale kurtosis maps, by means of which the scale that matches the true target is effectively enhanced. Third, an improved optical flow method is utilized to further suppress the nontarget residual clutter that cannot be completely removed by multiscale kurtosis map fusion. By means of the scale confidence parameter obtained during the multiscale kurtosis map fusion step, the optical flow method can select the optimal neighborhood that matches best to the target size and shape, which can effectively improve the integrity of the detection target and the ability to suppress residual clutter. As a result, the proposed method achieves a superior performance. Experimental results on eleven typical complex infrared natural scenes show that, compared with seven state-of-the-art methods, the presented method outperforms in terms of subjective visual effect, as well as some main objective evaluation indicators such as BSF, SCRG and ROC, etc.