Posterior polar cataract is a rare form of congenital cataract. It is usually inherited as an autosomal dominant disease, yet sporadic. It is highly associated with complications during surgery, such as posterior capsule rupture and nucleus drop. The reason for this high complication rate is the strong adherence of the opacity to the weak posterior capsule. Objective: To evaluate the visual outcome in posterior polar cataract after small incision cataract surgery. Methods: A Prospective study of 50 eyes of 50 pts with posterior polar cataract were reviewed. All pts underwent small incision cataract surgery. The surgical techniques used, intraoperative complications, preoperative and postoperative visual acuity and the causes of impaired visual acuity after surgery were examined. Results: 50 eyes of 50 pts presenting, high incidence was noticed in females (58%) mean age of presentation was 53.125Yrs. 27(54%) eyes had pre op visual acuity between PL+ and CF2Mts. During surgery 3eyes (6%) had PCR and were aphakic.PCR in 1(33.33%) eye occurred during nucleus prolapsed and in 2(66.66%) eyes during cortical wash. Snellens Visual acuity on day 1 was >6/18 in 13 cases (26%),on day 7 in 34 cases (78%) and BCVA after 6weeks was >6/18 in (98%) cases. AC reaction was seen in 4 cases (8%). Conclusion: Visual outcome in pts with posterior polar cataract is good when surgery done after proper pre-op assessment, with thorough planning. Experienced surgeons with proper knowledge of the technique during the surgery and about vitrectomy.

Keywords: PPC, SICS, Hydrodelineation, Intraoperative complications, Visual Outcome