Aim: To assess the complications and visual outcome of manual small incision cataract surgery in the treatment of advanced white cataracts. Materials and methods: This prospective observational study was conducted in the Department of Ophthalmology, Bhagwan Mahavir, Institute of Medical sciences, Pawapuri, Nalanda, Bihar, India and private hospital. We included 60 eyes of 60 consecutive patients with white cataract who underwent MSICS by a single surgeon (ASM) over a period of 12 months. Results: At 45 days postoperatively, 57 patient’s had a best corrected visual acuity of 6/9. Conclusion: Manual small incision cataract surgery proves to be a safe and effective surgical option for patients with advanced white cataracts due to its low rates of intraoperative and postoperative complications and good postoperative visual outcomes.

Aim: To assess the complications and visual outcome of manual small incision cataract surgery in the treatment of advanced white cataracts. Materials and methods: This prospective observational study was conducted in the Department of Ophthalmology, Bhagwan Mahavir, Institute of Medical sciences, Pawapuri, Nalanda, Bihar, India and private hospital. We included 60 eyes of 60 consecutive patients with white cataract who underwent MSICS by a single surgeon (ASM) over a period of 12 months. Results: At 45 days postoperatively, 57 patient’s had a best corrected visual acuity of 6/9. Conclusion: Manual small incision cataract surgery proves to be a safe and effective surgical option for patients with advanced white cataracts due to its low rates of intraoperative and postoperative complications and good postoperative visual outcomes.