Background: Cataract surgery audit is recommended for assessing the quality of cataract services. Visual acuity (VA) following surgery is one of the key indicators for evaluating the quality of surgery. The present study was conducted to assess outcome of MSICS in adults. Materials & Methods: 104 patients of cataract of both genders were included. Best-corrected visual acuity (BCVA), and ocular examination details were recorded. Results: Out of 104 patients, males were 50 and females were 54. Intraoperative complications were hyphema in 2, iris prolapse in 1, and intraoperative miosis in 4 and iridodialysis in 3 cases. The post- operative complications were corneal odema in 1, retained cortical method in 2, uveitis in 4 and hypotony in 1 case. The difference was significant (P< 0.05). Conclusion: Manual small incision cataract surgery for patients of cataract exhibited less complications and improved life quality. Key words: Blind, Manual small incision cataract surgery, Outcome