Introduction: Cataract is one of the common causes for preventable blindness amongst adults in India. Presenile cataract is cataract occurring before age of 55 years. Objective: To assess risk factors present in patients with presenile cataract. Materials and Method: Study was conducted amongst patients attending tertiary care hospital at Amreli. Duration of study was May 2020 to October 2020. Eligible patients with presenile cataract who gave consent were included in the study. A total of 150 participants aged 18 to 55 years were included in th study. Confirmed presenile cataract cases were interviewed for questions related to risk factors. Result: Out of 150 study participants, 80% had atleast one possible risk factors present. Top 5 most common risk factors present amongst participants in the present study were tobacco consumption 34 (22.7%), followed by obesity 14 (9.3%), diabetes 13 (8.7%), auto-immune disorder 10 (6.7%) and thyroid disorder 7 (4.7%). Most participants had unilateral cataract (104; 69.3%) while posterior sub-capsular cataract (66; 44.0%) was most common variety of cataract followed by combined cataract type (42; 28%) found amongst the participants. Conclusion: Four out of every five study participants with presenile cataract had some form of possible risk factor present. Presence of possible risk factor may increase incidence of presenile cataract. Keywords: Myopia; Non Communicable disease; Presenile cataract; Tobacco.